5.3-O6The changing ethnic profiles of Scotland and Glasgow, and the implications for population health

Walsh, David; Buchanan, D; Douglas, Anne; Erdman, J. W.; Fischbacher, Colin; McCartney, Gerry; Norman, Paul; Whyte, Bruce

doi:10.1093/eurpub/cky047.175

Cited by 9 publications

(9 citation statements)

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“…Integrating this impact, quantitively, is difficult, and trends may not be comparable due to the major disruptions, and changes in access to, and delivery of, services, and the competition between causes of mortality [28]. Prior to the pandemic, improvements in life expectancy and healthy life expectancy in Scotland had stalled since 2012, with a slowdown in the overall progress of reducing mortality and widening of socioeconomic inequalities in mortality [5, 29,30, 35]. The results presented in this paper are therefore likely to be representative of wider pre pandemic trends given that YLD does not change quickly over time and that YLL estimates ultimately drive changes in the overall DALYs.…”

Section: Discussionmentioning

confidence: 99%

Pre-pandemic inequalities in the burden of disease: a Scottish Burden of Disease study

Grant

Chalmers

Fletcher

et al. 2023

Preprint

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Background: Health inequalities in Scotland have been well documented, including the contribution of different causes to inequalities in mortality. Our aim was to estimate inequalities within a burden of disease framework, accounting for both premature mortality and the effects of morbidity, to understand the contribution of specific diseases to health inequalities prior to the COVID-19 pandemic. Methods: Disability Adjusted Life Years (DALYs) for 13 disease groupings and 70 individual causes of disease and injury were sourced from the Scottish Burden of Disease Study. Area level deprivation was measured using the Scottish Index of Multiple Deprivation. Inequalities were measured by the range, Relative Index of Inequality, Slope Index of Inequality, and attributable DALYs were estimated by using the least deprived deciles as a reference. Results: Marked inequalities were observed across several measures. The overall disease burden was double that in the most deprived areas (50,355 vs 20,955 DALYS per 100, 000), largely driven by inequalities in premature mortality. The rate in the most deprived areas was around 48% higher than the mean population rate (RII = 0.96), with 35% of DALYs attributed to differences in area-based deprivation. Many of the leading causes of disease burden in 2019 – heart disease, drug use disorders, lung cancer and COPD – were also the leading drivers of absolute and relative inequalities in the disease burden. Conclusion: This study demonstrates that even before the COVID-19 pandemic there continues to be a steep stepwise gradient in the burden of disease experienced across the Scottish population. This was evident for premature mortality and morbidity and almost every specific cause of death. Keywords: Burden of disease; DALY; Disability-adjusted life year; Inequalities; Population health; Scottish burden of disease.

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Section: Discussionmentioning

confidence: 99%

Pre-pandemic inequalities in the burden of disease: a Scottish Burden of Disease study

Grant

Chalmers

Fletcher

et al. 2023

Preprint

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“…In Glasgow, proportionately higher levels of key ethnic minority groups including Pakistani, Chinese and Indian populaces have less exposure to multiple deprivation. 30 Finally, Glasgow provides an ideal testbed to investigate this spatial model as it is well established that there are major inequalities for people developing diabetes in Scotland. 31 Further to this, the west of Scotland’s central belt has particularly poor cardiovascular outcomes and greater levels of premature mortality.…”

Section: Discussionmentioning

confidence: 99%

Association of peripheral artery disease and chronic limb-threatening ischemia with socioeconomic deprivation in people with diabetes: A population data-linkage and geospatial analysis

et al. 2021

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The association between the prevalence and geographical distribution of peripheral artery disease (PAD) and chronic limb-threatening ischemia (CLTI) in patients with diabetes in the context of socioeconomic deprivation is not well understood. We undertook a retrospective cohort study of 76,307 people with diabetes admitted as a hospital inpatient in a large Scottish health administrative area. Utilising linked health records, we identified diagnoses of PAD and/or CLTI and their distribution using small area cartography techniques according to multiple deprivation maps. Spatial autocorrelation techniques were applied to examine PAD and CLTI patterning. Association between crude inpatient prevalence-adjusted outcome rates and exposure to social deprivation were determined. We found crude prevalence-adjusted rates of 8.05% for PAD and 1.10% for CLTI with a five- to sevenfold difference from the least to most deprived regions. Statistically significant hot spots were found for PAD ( p < 0.001) and CLTI ( p < 0.001) in the most deprived areas, and cold spots for PAD ( p < 0.001) but not CLTI ( p = 0.72) in the least deprived areas. Major health disparities in PAD/CLTI diagnoses in people with diabetes is driven by socioeconomic deprivation.

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“…It has the highest percentage of non-white ethnic minority population of all of Scotland's urban areas. Walsh (2017) predicts that by 2031, one-fifth of Glasgow's total population (and one-quarter of children under 16 years) will belong to a non-white minority group.…”

Section: Scotland and Immigrationmentioning

confidence: 99%

Racial Microaggressions and Ontological Security: Exploring the Narratives of Young Adult Migrants in Glasgow, UK

Nicolson

2023

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This study investigates the lived experiences of racial microaggressions faced by young adult migrants in everyday life in Glasgow, UK. The personal stories reported in this study are a direct challenge to the dominant political narrative that Scotland does not have a racism problem. When faced with this discord between narrative and reality, young adultmigrants in Scotland must negotiate both their own lived experiences and biographical narratives to achieve a sense of security. A narrative enquiry methodology is used to explore mundane and everyday interactions for four young adult migrants who have settled in Glasgow over the last 10 years. These accounts of daily life offer a unique view into the everyday racism and racialmicroaggressions faced by this group. Additionally, the opinions of selected Scottish politicians have been collected to gather an additional viewpoint on racism in Scotland. A theoretical perspective stemming from ontological security theory contributes to the racial microaggressions literature in unpacking how individual migrants negotiate traumatic experiences of racism and manage their identities. The analysis explores how migrant individuals may employ coping mechanisms and adopt distinct behaviours to minimise the daily trauma of racism and microaggressions experienced in Scotland. This study, therefore, highlights the potential for interdisciplinary research on racism, narrative, and security studies, and the opportunities for bringing together these distinct perspectives.

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5.3-O6The changing ethnic profiles of Scotland and Glasgow, and the implications for population health

Cited by 9 publications

References 0 publications

Pre-pandemic inequalities in the burden of disease: a Scottish Burden of Disease study

Pre-pandemic inequalities in the burden of disease: a Scottish Burden of Disease study

Association of peripheral artery disease and chronic limb-threatening ischemia with socioeconomic deprivation in people with diabetes: A population data-linkage and geospatial analysis

Racial Microaggressions and Ontological Security: Exploring the Narratives of Young Adult Migrants in Glasgow, UK

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