Skip to main content

Table 3 Studies reporting MLTCs across ethnic groups specifying index condition

From: Ethnic inequalities in multiple long-term health conditions in the United Kingdom: a systematic review and narrative synthesis

CANCERS

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Gathani et al., 2020 [81]

Retrospective study

National

National Cancer Registration & Analysis Service data

164,143

Mean Age SD):

59 (11.3)

100

white, Indian, Black Caribbean, Pakistani, Black African

Breast cancer

none

Samy et al., 2015 [71]

Retrospective study

National

The National Cancer Data Repository

24,361

Age: 83% of sample > 60

46

white, Black, South Asian, other

Myeloma

none

Nimako et al., 2013 [83]

Retrospective study

Local

Specialist services

423

Mean Age: 64

35

Western European, Afro-Caribbean, Indian Sub-Continent, South East Asian, other

Lung cancer

none

DIABETES

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Mathur et al., 2020 [75]

Observational cohort study

National

Clinical Practice Research Datalink

179,886

Age at diagnosis:

62(13)

45

white, South Asian, Black, other/mixed

Diabetes

age at diagnosis, sex, deprivation

Mathur et al., 2020b [84]

Observational cohort study

National

Clinical Practice Research Datalink

162,238

Age at diagnosis: 62(13)

45

white, South Asian, Black

Diabetes

none

Mathur et al., 2018 [85]

Observational cohort study (2006–2016) with nested casecontrol study

local

Primary records

6274

Age range:

25–84

56

white, South Asian, Black

Diabetes

none

Owusu Adjah et al., 2018 [86]

Matched case control

National

The Health Improvement Network

341,626

Age: ≥ 18

43

white European, African-Caribbean, South Asia

Diabetes

age, sex

Malavige et al., 2013 [63]

Cross-sectional study

Local

primary care records

510

Mean Age(SD): 57(8)

0

South Asian, Europid

Diabetes

none

Sivaprasad et al., 2012 [56]

Cross-sectional study

Local

Diabetes register

50,285

Mean Age (SD): 62(15)

47

white European, African/Afro-Caribbean, South Asian, mixed, other

Diabetes

age, gender, region, type of diabetes

Mehta et al., 2011 [53]

Cross-sectional study

Local

Clinical workstation

5664

Mean Age (SD): 60(17)

46

South Asian, white European

Diabetes

none

Ali et al., 2009 [54]

Cross-sectional study

Local

The clinical workstation

6230

Age: 55% of sample ≥ 60

46

South Asian, white European

Diabetes

age, gender, comorbidities and complications

Fischbacher et al., 2009 [52]

Retrospective study

Local

The Diabetes Audit and Research in Tayside

9833

Age:95% of sample > 45

47

South Asian, Non-South Asian

Diabetes

age, sex

Baskar et al., 2006 [87]

Cross-sectional study

Local

Diabetes register

6047

Age: ≥ 18

46

African Caribbean, Caucasian, Indo-Asian

Diabetes

age, gender, Duration of diabetes (year), BMI, Type 2 Diabetes, Ever smoked, Systolic Blood Pressure

Earle et al., 2001 [88]

Retrospective case note review

Local

Hospital records

45

Mean Age (SD): 66 (8.5)

36

Indo-Asian, African-Caribbean, Caucasian

Diabetes

age, gender, blood pressure, baseline proteinuria, antihypertensive treatment and smoking habit

Nagi et al., 1994 [61]

Cross-sectional study

Local

Specialist services

89

Age range: 35–70

24

Caucasian, Asian

Diabetes

none

Hawthorne et al., 1990 [24]

Cross-sectional study

Local

diabetes register

71

Age: NR

59

Asian, British

Diabetes

none

CONDITIONS AFFECTING THE HEART AND BLOOD VESSELS

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Lawson et al., 2020 [18]

Retrospective study

National

Clinical Practice Research Datalink

108,638

Mean Age (SD): 78(12)

50

white, South Asian, Black

Heart Failure

none

Gill et al., 2017 [89]

Cross-sectional study

Regional

Primary care records

551

Age range: 40–75

50

white British, African Caribbean, South Asian

hypertension status

none

Gorantla et al., 2015 [90]

Retrospective study

Regional

Hospital records

42,685

Mean age: 74

49

Caucasian, South Asian, Afro-Caribbean, Oriental, mixed, other

Atrial fibrillation

none

Sosin et al., 2008 [91]

Cross-sectional study

Local

Hospital records

243

Age: 34% of sample ≥ 65

28

white European, African Caribbean, South Asian

Heart failure

age, gender, diabetes status, smoking status, or BNP vitamin B12, folate, healthy control status

Patel et al., 2007 [62]

Cross-sectional study

Local

Specialist services

212

Mean Age(SD): 61(13)

33

South Asian, Caucasian

Chronic Heart Failure

none

Conway et al., 2004 [92]

Retrospective study

Local

Hospital records

388

Mean Age (SD): 70(12)

41

Indo-Asian, Afro-Caribbean, Caucasian

Peripheral artery disease

age, gender

Blackledge et al., 2003 [73]

Historical cohort study

Local

Hospital records

5789

Age: ≥ 40

50

white, South Asian, other

Heart failure

none

Lear et al., 1994 [26]

Retrospective study

Local

Specialist services

403

Age range: 33–93

35

Indian, European

Myocardial infarction

none

Lowry et al., 1984 [59]

Retrospective study

Local

Specialist services

102

Mean Age (SD):50(8)

9

Asian, white

Coronary artery disease

none

CONDITIONS AFFECTING THE KIDNEY

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Steenkamp et al., 2016 [48]

Retrospective study

National

UK Renal Registry

7786

Age: ≥ 18

NR

white, South Asian, Black, other

Renal disease

none

Hull et al., 2014 [72]

Cross-sectional study

Local

Patient survey

12,011

Mean Age: 71

57

white, South Asian, Black, other

Chronic Kidney Disease

none

Cole et al., 2014 [64]

Retrospective study

Local

Specialist services

1340

Mean Age (SD): 60(16)

39

white, Black

End stage Renal disease

none

Jesky et al., 2013 [93]

Retrospective cohort study

Local

Primary care records

31,254

Median age (IQR):59 (50,71)

49

white, South Asian, Black

Chronic Kidney Disease

none

Rao et al., 2013 [46]

Retrospective study

National

UK Renal Registry

6979

Age: ≥ 18

NR

white, South Asian, Black, other

Renal disease

none

Udayaraj et al., 2013 [94]

Retrospective study

National

UK Renal Registry

53,565

Age: ≥ 18

38

South Asian, Black, white

Renal disease

none

Shaw et al., 2012 [47]

Retrospective study

National

UK Renal Registry

5783

Age: ≥ 18

NR

white, South Asian, Black, other

Renal disease

none

Webb et al., 2011 [50]

Retrospective study

National

UK Renal Registry

4877

Age: ≥ 18

NR

white, South Asian, Black, other

Renal disease

none

Caskey et al., 2010 [49]

Observational study

National

UK Renal Registry

12,943

Age: ≥ 18

NR

white, South Asian, Black, other

Renal disease

none

Roderick et al., 2009 [55]

Prospective cohort

National

Renal Registry

5901

Age:82% of sample > 45

38

Caucasian, South Asian, Black

Established Renal failure

age

Jain et al., 2009 [82]

Prospective study

Regional

Hospital records

755

Age range: 16–86

37

white, Black, South Asian, other

Renal disease

none

Udayaraj et al., 2009 [51]

Retrospective study

National

UK Renal Registry

11,399

Age: ≥ 18

NR

South Asian, Black, Chinese, other, white

Renal disease

none

Tomson et al., 2007 [45]

Retrospective study

National

UK Renal Registry

10,579

Age: ≥ 18

NR

South Asian, Black, Chinese, other, white

Renal disease

none

Bakewell et al., 2001 [60]

Observational study

Local

Specialist services

120

Age: ≥ 18

32

Asian, white

End-stage renal disease

none

Roderick et al., 1996 [25]

Cross-sectional retrospective study

National

Specialist services

5901

Age: ≥ 16

NR

white, Asian, Black

End stage renal disease

none

MENTAL HEALTH CONDITIONS

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Downs et al., 2017 [77]

Historical cohort study

Local

Clinical Record Interactive Search system

638

Age range: 10–17

50

white British, white Other, Black, Asian, Mixed

Psychosis

none

Nicholl et al., 2015 [28]

Cross-sectional study

National

UK Biobank

144,139

Mean age (SD): 57(8.1)

53

white, Asian, Black

Depression

age, sex, quintiles of Townsend score, smoking status, frequency of alcohol consumption, BMI, morbidity count

Bruce et al., 2012 [76]

Cross-sectional study

Local

Specialist services

165

Mean age (SD): 39(10)

0

African, Caribbean, white British

Severe mental illness

none

Mazzoncini et al., 2010 [95]

Retrospective study

Local

Specialist services

511

Age range: 16–64

41

white British, white other, Black Caribbean, Black African, Asian, other

Psychosis

none

Pinto et al., 2010 [67]

Cross-sectional study

Local

Lambeth DataNet

903

Age range: 16–74

40

white, Black

Psychosis

age, gender, obesity and deprivation

Afuwape et al., 2006 [35]

Retrospective cohort study

Local

COMO study

213

Mean Age: 37

16

white, Black Caribbean, Black African, Black British

Psychotic illness

age

Bhui et al., 2004 [58]

Cross-sectional study

Local

Primary care records

389

Age: ≥ 16.5

56

Punjabi, English

Depression

age, gender, social class, employment, marital status, number of body systems affected by physical illness

Kennedy et al., 2004 [96]

Epidemiologically-based study

Local

Specialist services

246

Age: > 16

54

white European, African–Caribbean, African, other

Severe mental illness

none

Miles et al., 2003 [34]

Cross-sectional study

Local

COMO study

214

Age range:

17–77

17

white, Black, other

Psychotic illness

none

McKenzie et al., 2002 [43]

Cross-sectional design

Local

Hospital records

337

Mean Age(SD):

33 (13)

44

white, African-Caribbean, Mixed African-Caribbean and white, African, South Asian, Other

Psychosis

age, sex, social class, RDC diagnosis and referral status

Graham et al., 2001 [41]

Cross-sectional study

Local

Mental Health and Substance Misuse services survey

498

Age range:

18–71

22

white UK, African-Caribbean, Asian, European, Irish, mixed, Black other, other

Severe mental illness

none

Weaver et al., 2001 [97]

Cross-sectional study

Local

Specialist services

851

Mean Age(SD):

45(14)

44

white UK/European, Black, Irish, Other

Psychotic disorders

age, sex, diagnosis

NEUROLOGICAL CONDITIONS

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Bhanu et al., 2020 [74]

Retrospective cohort study

National

The Health Improvement Network database

10,570

Mean Age: 80

64

white, Asian, Black

Dementia

none

Taylor et al., 2020 [31]

Longitudinal cohort study

National

UK Biobank

1568

Age range: 40–69

72

white, BAME, other/unknown

Multiple sclerosis

none

Jordan et al., 2017 [39]

Longitudinal study

National

Millennium Cohort Study

7224

Age: < 18

49

Caucasian, Non-Caucasian

Dyslexia

none

Liew et al., 2016 [98]

Retrospective study

Regional

Hospital records

3275

Mean Age: 71

53

Caucasian, South Asian, Afro-Caribbean, Oriental, mixed, other

Transient ischemic attack

none

Eastwood et al., 2015 [40]

Longitudinal study

Local

The SABRE study

4196

Age range: 45–58

0

South Asian, European

Stroke

age, smoking status, waist/hip ratio, total/HDL-cholesterol ratio, diabetes mellitus, fasting glucose, physical activity, heart rate

Potluri et al., 2015 [99]

Retrospective study

Regional

Hospital records

17,415

Mean Age: 74

50

Caucasian, South Asian, Afro-Caribbean, Oriental, mixed, other

Ischaemic stroke

none

Sarker et al., 2008 [100]

Prospective study

Local

The South London Stroke Register

566

Mean Age(SD): 62(17)

46

white, Black, other/missing

Haemorrhagic stroke

none

Patel et al., 2001 [101]

Prospective study

Local

South London Stroke Register

235

Mean Age(SD): 71(14)

51

white, Black, other

Stroke

none

RESPIRATORY CONDITIONS

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Sapey et al., 2020 [57]

Observational cohort study

Local

Hospital records

2217

Median Age(IQR): 73(58–84)

42

white, mixed, South Asian/South Asian British, Black/African/Caribbean/Black British, other

COVID-19 infection

none

Zakeri et al., 2020 [70]

Cohort observational study

local

Lambeth DataNet

872

Age: ≥ 18

44

Black, white, mixed/other, Asian

COVID-19 infection

none

Perez-Guzman et al., 2020 [44]

Retrospective study

Local

Hospital records

559

Median Age(IQR): 69(25)

38

white, Black, Asian, other

SARS-CoV-2 infection

none

Marshall et al., 1999 [102]

Retrospective study

Local

Specialist services

157

Age:94% of sample > 20

34

European, African, Asian, Americans

Tuberculosis

none

OTHER HEALTH CONDITIONS

       

Study ID

Study design

Geographical reach

Data Source

Sample size

Age in years

%Female

Ethnic categories

Index condition

Covariates adjusted for in analysis of the prevalence of multiple conditions

Ali et al., 2020 [103]

Observational study

Regional

Specialist services

313

Mean Age(SD): 52(11)

25

Asian/Asian British, white, Black/African/Caribbean/Black British, mixed, other ethnic group

Hepatitis C infection

none

Eendebak et al., 2017 [33]

Cross-sectional observational study

Local

HUSERMET Study

642

Age range: 40–48

0%

South Asian, white European, African Caribbean

Reproductive hormone levels

none

Misra et al., 2016 [69]

Retrospective cohort study

National

Hospital records

71,966

Age range:2–104

52

White European, Indian, Pakistani, Bangladeshi, Black, Chinese,

Ulcerative colitis

none

Patel et al., 2016 [66]

Cross-sectional observational study

Local

Specialist services

299

Mean Age(SD): 58(2)

5

white, other

HIV

none

Nisar et al., 2015 [104]

Retrospective study

Local

Specialist services

299

Mean Age at start of therapy:51

64

Caucasian, Asian, Afro-Caribbean, Mixed

Inflammatory arthritis

none

Chackayil et al., 2013 [105]

Retrospective, cross-sectional study

Regional

Hospital records

3563

Age: NR

59

white, South Asian, African Caribbean

Iron deficiency Anaemia

none

Kitley et al., 2012 [65]

Retrospective study

Local

Specialist services

106

Mean Age at onset:41

87

Caucasian, Afro-Caribbean, Japanese

Neuromyelitis optical

none

Mann et al., 2008 [106]

Retrospective

National

Hospital records

40,488

Mean Age(SD): 42(13)

39

white, Black African, Black Caribbean, Pakistani, Bangladeshi, Other, Mixed, Indian, Chinese

Hepatitis C

age, sex, year

Mohsen et al., 2005 [68]

Cross-sectional design

Local

Specialist services

1017

Median age at presentation(IQR):32.6(29–38)

35

white, Black African, Black Caribbean, Black Other, South Asian, Other, Oriental

HIV

gender, HIV risk group, Place of birth, History of Injecting Drug Use, Blood factor

Dragovic et al., 2002 [78]

Retrospective study

Local

Specialist services

153

Age: 97% aged ≥ 17

19.6

white, Black Caribbean, Black African,

Gonococcal infection

age, sex

Rose et al., 2002 [37]

Retrospective study

National

National TB survey database & HIV/AIDS patient database

3432

Age range: 16–54

45

white, Black African, Indian sub-continent, other/unknown

HIV

year, sex, geographical area