Morbidity-mortality paradox among South Asians living in Britain
Wallace, M. & Darlington-Pollock, F. (2018) European Population Conference, Brussels, 6 - 9 June 2018 [ONS LS]
Immigrants from India, Pakistan, and Bangladesh are three of the largest and most important foreign-born populations in Britain. The morbidity-mortality literature on South Asians is fascinating because they report higher limiting long-term illness (LLTI) rates yet lower mortality than the UK-born. Such an inconsistency may be down to study design i.e. differing definitions, time periods, and age-ranges. However, given that LLTI has been proven to be an effective proxy for mortality, such an inconsistency remains striking. Aim: we would like to know whether the paradox is real: are South Asians living longer, but in worse health, than the UK-born (which would impact demand for health services and require culture-specific health policies) or whether it is generated by overestimation of LLTI, or underestimation of mortality. Our initial aim is to calculate LLTI and mortality ratios for Indians, Pakistanis and Bangladeshis, using a consistent definition (country of birth), age group (20-85+) and period (2010-2012) to determine whether we can observe this morbidity-mortality paradox among South Asians.
Available online: Link
Output from project: 0301579