The Scottish excess in mortality compared to the English and Welsh. Is it a country of residence or country of birth excess?

Health Place. 2010 Jul;16(4):759-62. doi: 10.1016/j.healthplace.2010.03.007. Epub 2010 Mar 23.


Scotland has a higher mortality rate than England and Wales, which is only partially explained by differences in socio-economic deprivation. Within Scotland those born in England and Wales have a lower mortality rate than the Scottish born. Within England and Wales, Scottish born immigrants have a higher mortality rate than those born in England and Wales. These results raise the question of whether the greater Scottish mortality is a country of birth rather than a country of residence excess. Our analysis, around the 2001 Census, suggests that country of birth is more important than country of residence, indicating that early life factors may be important for the Scottish excess.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Distribution
  • Aged, 80 and over
  • Censuses
  • Death Certificates
  • Emigrants and Immigrants / statistics & numerical data*
  • England / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical
  • Mortality* / ethnology
  • Poisson Distribution
  • Residence Characteristics* / statistics & numerical data
  • Risk Factors
  • Scotland / epidemiology
  • Sex Distribution
  • Socioeconomic Factors
  • Wales / epidemiology