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Ethnic minorities: key data sources

Information about the health of minority ethnic groups in Scotland is limited, particularly from routine health service sources. The following indicate some potential sources of information.

Hospital discharge and outpatient data

Information on hospital inpatient and daycase discharges in Scotland is collected in the SMR01 database; the corresponding database for outpatient attendances is the SMR00 database. For Scotland as a whole, the recording of ethnicity is improving: a valid ethnic group code was recorded in 82% of inpatient and daycase records (SMR01) and 72% of new outpatient appointment records (SMR00) in the quarter ending 31st March 2016. Recent information on data completeness is available from ISD.

Census information

The 2001 Census provides information on self-assessed health among minority ethnic groups in Scotland. Further details from the Census are available in two reports produced by the Scottish Executive: Analysis of ethnicity in the 2001 Census and Analysis of religion in the 2001 Census. In July 2008 the Scottish Government announced a new ethnicity classification which was used for Scotland's 2011 Census and is recommended for use in all relevant Scottish Official Statistics.

The 2011 census can provide a range of tabulations by ethnicity and there is a report on equality results as well. See the population composition page in our ethnicity data section. There is a summary of 2011 census results relating to ethnicity and allied topics, an Analysis of Equality results from the 2011 Census produced by the Scottish Government and an Overview of Equality Results from the 2011 Census Release 2, giving a useful comparison to England for  ethnic distribution by deprivation.

Which ethnic groups have the poorest health? (Hunter 2015) showed Gypsy travellers and Pakistani people had the worst self-assessed health. Older females (age 65+ years) had worse health than older males in almost all ethnic groups. except for 'Caribbean or Black', 'White: Polish', 'Other Asian' and 'White: Gypsy/Traveller'. The largest differences were for 'Indian', 'Bangladeshi' 'Pakistani' and 'Other Ethnic Group', where older women's health was much worse than older men's.

Survey data

A number of periodic or ongoing surveys with national coverage have the potential to provide information about the health of minority ethnic groups. However, in many cases the numbers of people from minority ethnic groups included in the survey are too small to produce reliable information.

Specialist databases

Ethnic group is recorded in some specialised databases, but not all use standardised definitions of ethnic group.

Data standards

Classifications of ethnic group based on the 2001 Census are included in the Scottish Health and social care data dictionary. Note that this has been superseded by the new ethnicity classification introduced for official statistics in Scotland.

Research

As described in our Policy page on ethnic minorities the Scottish Migrant and Ethnic Health Research Strategy group (SMEHRS) provides an overview of Scottish research and a set of research priorities in this area.

The Centre for Population Health Science at the University of Edinburgh plays a leading role in Scottish research on ethnicity and health, and publications, including those produced through the Scottish Health and Ethnicity Linkage Study (SHELS). Further phases of work have extended the topics covered to cancer, mental health, the health of women and children, primary care consultations, infectious diseases, respiratory infections, cancer screening, Work on all-cause hospitalisations and mortality is progressing.

At the University of Glasgow, the Glasgow Refugee Asylum and Migration Network (GRAMNet) has developed a range of ongoing research projects. 

Diabetes

The former National Resource Centre for Ethnic Minority Health (NRCEMH) and the Scottish Diabetes Group produced a report on diabetes in minorities ethnic groups. It includes data from a survey of diabetes service users in Glasgow and describes the pattern of services in Scotland. It makes recommendations about improving the quality of care for people with diabetes from minority ethnic groups in Scotland.

By registering (for free) on the Diabetes UK website  access to a number of useful papers can be gained, for example Shahid S (2013) This suggests that clinicians should use a clinical CVD risk calculator which incorporates ethnicity and diabetes as variables.

Comparative data for England and Wales

Data sources on the health of minority ethnic groups in England and Wales are much more extensive and may be useful as a general guide to the likely issues in Scotland. A comprehensive review of data from England and Wales has been published by Gill et al 2007  (843 KB)

Mental health among ethnic minorities in England was covered in the EMPIRIC report (2002) see EMPIRIC: Ethnic Minority Psychiatric Illness Rates in the Community report.

Page last updated: 03 November 2017

© Scottish Public Health Observatory 2014