Abstract:
OBJECTIVE:To determine the relative admission rates of Asian and non-Asian patients to intensive therapy units (ITUs) in Coventry and to explore the implications of these rates for the transplantation of organs to Asian people. DESIGN:Examination of 1991 census data and a retrospective review of ITU admissions books. Data were collected on ethnic background, presenting diagnosis, and clinical outcome for each admission. SETTING:The three ITUs in Coventry. PATIENTS:All admissions to the ITUs from 1990-93 inclusive. RESULTS:Asian patients were admitted to ITUs disproportionately to their numbers in the Coventry population. Members of the Asian community were less than half as likely to be admitted to an ITU (p < 0.001) and more likely to die while there (p = 0.007) than members of the non-Asian population in Coventry. The proportions of patients referred to the transplant unit and the rates of subsequent donation do not seem to differ significantly for Asian and non-Asian patients (p = 0.26 in both cases). CONCLUSIONS:There are clear implications for the availability of cadaveric kidney transplantation to Asian patients, given that few kidneys from non-Asian donors are histocompatible with Asian recipients. Indeed, in Asians, promotion of living related donation may be more effective in countering the organ shortfall than efforts to increase consent to cadaveric transplantation. However, it may be valuable to investigate any patterns of morbidity or social or cultural factors that might explain the initial low admissions rates to ITUs for Asian patients.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Exley C,Sim J,Reid NG,Booth L,Jackson S,West Ndoi
10.1136/jech.50.4.447subject
Has Abstractpub_date
1996-08-01 00:00:00pages
447-50issue
4eissn
0143-005Xissn
1470-2738journal_volume
50pub_type
杂志文章abstract:BACKGROUND:The most direct way in which climate change is expected to affect public health relates to changes in mortality rates associated with exposure to ambient temperature. Many countries worldwide experience annual heat-related and cold-related deaths associated with current weather patterns. Future changes in cl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2013-202449
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:Little is known about the long-term consequences of sickness presence (ie, going to work despite ill-health), although one study suggests an association with coronary heart disease. This study examined the effect of sickness presence on future long-term sickness absence. METHODS:Information from a random sa...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.078238
更新日期:2009-05-01 00:00:00
abstract::The relation between blood pressure and subsequent stroke was examined in a four-year follow-up study of a geographically defined population sample of 2704 people aged 65 and over resident in South Tyneside in 1975. In men there was a significant relation between stroke and a history of diagnosed high blood pressure a...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.41.4.275
更新日期:1987-12-01 00:00:00
abstract:BACKGROUND:Dimensions of the individual socioeconomic position-education, social class, social status and income-are associated with mortality. Inequalities in death also related to the social position of the household. It is, however, less clear how the socioeconomic position of one marital/cohabiting partner influenc...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2009.089623
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:It is generally acknowledged that conventional estimates of the potential number of life years to be gained by elimination of causes of death are too generous. This is because these estimates fail to take into account the fact that those who are saved from the cause are likely to have one or more other condi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.53.1.32
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:Diagnosis of cancer through emergency presentation is associated with poorer prognosis. While reductions in emergency presentations have been described, whether known sociodemographic inequalities are changing is uncertain. METHODS:We analysed 'Routes to Diagnosis' data on patients aged ≥25 years diagnosed ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2017-210371
更新日期:2019-01-01 00:00:00
abstract:STUDY OBJECTIVE:Northern Ireland has the highest standardised mortality ratios for colon cancer in the United Kingdom and the Republic of Ireland has some of the highest mortality rates for cancer in the world. The aim of the study therefore was to investigate trends in colorectal cancer in the north and south of Irela...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.44.3.220
更新日期:1990-09-01 00:00:00
abstract:BACKGROUND:There is evidence that birth weight is positively associated with education, but it remains unclear whether this association is explained by familial environmental factors, genetic factors or the intrauterine environment. We analysed the association between birth weight and educational years within twin pair...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech-2017-210403
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:The prevalence of diagnosed diabetes among different ethnic groups and the influence of deprivation on the prevalence of diabetes among Māori and New Zealand Europeans was investigated. METHODS:This was a cross-sectional survey on all patients registered with 10 practices in the Rotorua General Practice Gro...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.078873
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Injuries have been recognised as important public health concerns, particularly among adolescents and young adults. Few studies have examined injuries using a multilevel perspective that addresses individual socioeconomic status (SES) and health behaviours and local socioeconomic conditions in early adolesce...
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doi:10.1136/jech-2017-210259
更新日期:2018-06-01 00:00:00
abstract:STUDY OBJECTIVE:To explore individual and social factors that could predict health care utilisation and medication among people with chronic pain in an unselected population. DESIGN:A mailed survey with questions about pain and mental symptoms, disability, self care action, visits to health care providers, and medicat...
journal_title:Journal of epidemiology and community health
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doi:10.1136/jech.53.8.503
更新日期:1999-08-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to analyse occupational mortality differences among women using follow up data from a large nationally representative sample. DESIGN:Occupational information was obtained from the 1971 census records of women in the Longitudinal Study carried out by the Office of Population Censuses and Sur...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.45.2.117
更新日期:1991-06-01 00:00:00
abstract:BACKGROUND:Identifying children at risk of poor developmental outcomes remains a challenge, but is important for better targeting children who may benefit from additional support. We explored whether data routinely collected in early life predict which children will have language disability, overweight/obesity or behav...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211028
更新日期:2018-12-01 00:00:00
abstract:STUDY OBJECTIVE:To analyse the role played by socioeconomic factors and self rated general health in the prediction of the reporting of severe longterm illness, and the extent to which these factors explain social class differences in the reporting of such illness. DESIGN:Analysis of panel data from the survey of livi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.2.156
更新日期:1996-04-01 00:00:00
abstract:STUDY OBJECTIVE:The acceptability of domestic violence against women (DVAW) plays an important part in shaping the social environment in which the victims are embedded, which in turn may contribute either to perpetuate or to reduce the levels of DVAW in our societies. This study analyses correlates of the acceptability...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.036533
更新日期:2006-02-01 00:00:00
abstract:OBJECTIVES:The fall in the prevalence of left handedness with age has been attributed to either premature mortality or a cohort effect of forced dextrality. Evidence for forced dextrality was sought to differentiate between these competing theories. DESIGN:6097 Edinburgh handedness inventories were used to calculate l...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.1.41
更新日期:1998-01-01 00:00:00
abstract::A statistical analysis combines data with assumptions to yield a quantitative result that is a function of both. One goal of an epidemiological analysis, then, should be to combine data with good assumptions. Unfortunately, a typical quantitative epidemiological analysis combines data with an assumption for which ther...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.063909
更新日期:2008-07-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to quantify the difference in precision of risk estimates in epidemiology between the situations where misclassification of exposure is corrected for by external validation and where it is corrected for by internal repeat measurement. Precision was measured in terms of the expected width of ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.6.620
更新日期:1992-12-01 00:00:00
abstract:STUDY OBJECTIVE:There is little information on the potential benefit of immunising all patients with chronic lung disease in the community against influenza. The clinical effectiveness and economic benefit was established of the influenza vaccination programme in a general practice based cohort of adult patients with c...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.52.2.120
更新日期:1998-02-01 00:00:00
abstract:STUDY OBJECTIVE:The aim was to assess the risk of back symptoms in people admitted to hospital because of traffic accidents and falls. DESIGN:The study was a cross sectional survey with information collected by postal questionnaire. Main outcome measures were associations between hospital admission for a traffic accid...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.46.3.231
更新日期:1992-06-01 00:00:00
abstract:STUDY OBJECTIVE:Several studies have reported an association between income inequality and increased mortality, but few have used net income data, controlled for individual income, or evaluated sensitivity to the choice of inequality measure. The study tested the hypotheses that people in regions of Britain with the gr...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.6.436
更新日期:2002-06-01 00:00:00
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journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2015-205457
更新日期:2015-11-01 00:00:00
abstract::This study was conducted at the paediatric emergency department of a tertiary care teaching and referral hospital in Kabul, Afghanistan to assess the morbidity and mortality pattern of illness in paediatric population. Afghanistan has one of the highest infant mortality rates in the world, and there is complete breakd...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2005.040147
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:To measure the effects of the civil unrest (the Troubles) on the mental health of the general population of Northern Ireland. DESIGN:A secondary analysis of a nationally representative population survey conducted in 1997. SETTING:Northern Ireland. METHODS:This is an analysis of the 1694 respondents (aged ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.57.7.488
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:This study examined whether living in rented housing is associated with increased all-cause and cause-specific mortality, and whether the association between home ownership and mortality can be explained by household income, occupational class, and educational level. METHODS:A random sample including every ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061309
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Several models have been proposed to explain the association between ethnicity and health. It was investigated whether the association between Roma ethnicity and health is fully mediated by socioeconomic status in Hungary. METHODS:Comparative health interview surveys were performed in 2003-04 on representat...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2008.079715
更新日期:2009-06-01 00:00:00
abstract:BACKGROUND:It has been hypothesised that dehydration in infancy could permanently increase sodium retention, raising blood pressure in later life. In this study, the association between gastrointestinal tract infection in infancy, a clinically relevant exposure often accompanied by dehydration, and raised blood pressur...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,随机对照试验
doi:10.1136/jech.2009.090894
更新日期:2010-12-01 00:00:00
abstract::In a randomised controlled trial intensive individual anti-smoking advice given in parallel with hospital antenatal care did not influence the outcome of pregnancy. The belief that retardation of fetal growth caused by maternal smoking occurs in late pregnancy is not well based, and the advice may not have been given ...
journal_title:Journal of epidemiology and community health
pub_type: 传,古典文章,历史文章,杂志文章
doi:10.1136/jech.50.3.232
更新日期:1996-06-01 00:00:00
abstract:STUDY OBJECTIVE:To assess the representativeness of survey participants by systematically comparing volunteers in a national health and sexuality survey with the Australian population in terms of self reported health status (including the SF-36) and a wide range of demographic characteristics. DESIGN:A cross sectional...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.56.10.748
更新日期:2002-10-01 00:00:00
abstract:STUDY OBJECTIVE:To describe the differences in health behaviours in disparate marital status groups and to estimate the extent to which these can explain differences in health associated with marital status. DESIGN:Baseline data of a prospective cohort study were used. Directly age standardised percentages of each mar...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.49.5.482
更新日期:1995-10-01 00:00:00