RT Journal Article
SR Electronic
T1 Risk of death from cardiovascular disease and chronic bronchitis determined by place of birth in England and Wales.
JF Journal of Epidemiology and Community Health
JO J Epidemiol Community Health
FD BMJ Publishing Group Ltd
SP 139
OP 141
DO 10.1136/jech.44.2.139
VO 44
IS 2
A1 C Osmond
A1 D J Barker
A1 J M Slattery
YR 1990
UL http://jech.bmj.com/content/44/2/139.abstract
AB STUDY OBJECTIVE--The aim of the study was to examine the relation between place of birth within England and Wales and cause of death. DESIGN--The study was a population survey using data provided by the Office of Population Censuses and Surveys which, for a trial period between 1969 and 1972, coded place of birth on death certificates. SETTING--The survey involved almost 2 million people who died in England and Wales between April 1969 and December 1972. MAIN RESULTS--Persons born in northern counties and industrial towns, and in Wales, had increased risk of ischaemic heart disease and stroke, which persisted whether or not they had moved to other parts of the country. A low risk of cardiovascular disease among people born in and around London went with them when they moved. People born in cities and large towns had an increased and persisting risk of chronic bronchitis. CONCLUSIONS--These findings are evidence that past geographical differences in fetal and infant growth, and in exposure to respiratory infection in early childhood, partly determine today's differences in adult death rates.