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Generational health improvement or decline? Exploring generational differences of British ethnic minorities in six physical health outcomes

Wang, S; Mak, H-W; (2020) Generational health improvement or decline? Exploring generational differences of British ethnic minorities in six physical health outcomes. Ethnicity & Health , 25 (7) pp. 1041-1054. 10.1080/13557858.2018.1469736. Green open access

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Abstract

OBJECTIVES: To explore ethnic and generational differences in six physical health outcomes and whether these differences can be explained by health-related behaviors and socio-economic status. DESIGN: Multivariate analyses using nationally representative data in 2010–2011 on self-assessed general health, activity-limiting illness, doctor-diagnosed diabetes, doctor-diagnosed high blood pressure, doctor-diagnosed asthma and body mass index from 21,651 White British, 997 Pakistanis, 695 Bangladeshis, 1,126 Indians, 573 Black Caribbeans and 873 Black Africans, adjusted for age, gender, health-related behaviors and socio-economic status. RESULTS: While ethnicity is of great importance in patterning health differences, we find that ethnic differences in activity-limiting illness, diabetes, asthma and body mass index vary across generations. Health-related behaviors and socio-economic status are shown to partly explain ethnic and generational differences in some health outcomes. CONCLUSIONS: This study enables a better understanding of more nuanced patterns of ethnic and generational differences in health, highlighting the need to understand ethnicity as a fluid and changing characteristic, and the importance of socio-economic status and health-related behaviors in shaping ethnic differences in certain health outcomes.

Type: Article
Title: Generational health improvement or decline? Exploring generational differences of British ethnic minorities in six physical health outcomes
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/13557858.2018.1469736
Publisher version: https://doi.org/10.1080/13557858.2018.1469736
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Ethnic minorities, immigrants, minority generation, health, health-related behavior, socio-economic status
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10068081
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