Colin Fischbacher
Biographic Data
| ID | 4332872 |
|---|---|
| NAME | Colin Fischbacher |
| GIVEN NAMES | Colin |
| FAMILY NAME | Fischbacher |
| SIGNATURE | FISCHBACHER C |
| AFFILIATIONS | National Health Service Scotland |
| ORCID | 0000-0003-3090-1857 |
| VERIFIED | Yes |
| TOTAL WORKS | 16 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 16 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2002 |
| LATEST PUBLICATION YEAR | 2016 |
| H-INDEX | 1 |
Scottish Keep Well health check programme
BACKGROUND: Effective interventions are available to reduce cardiovascular risk. Recently, health check programmes have been implemented to target those at high risk of cardiovascular disease (CVD), but there is much debate whether these are likely to be effective at population level. This paper evaluates the impact of wave 1 of Keep Well, a Scottish health check programme, on cardiovascular outcomes. METHODS: Interrupted time series analyses wer…
Cardiovascular disease and air pollution in Scotland
This study suggests that in small cities, where air quality is relatively good, then either PM10 concentrations have no effect on cardiovascular ill health, or that the routinely available data and the corresponding study design are not sufficient to detect an association
Pilot ethnic analysis of routine hospital admissions data and comparison with census linked data
Purpose Routine data are needed to monitor ethnic health inequalities. The proportion of hospital discharge records with ethnicity information has been improving in Scotland. The aim of this paper is to assess whether routine data can provide valid comparisons of admission rates by ethnic group. Design/methodology/approach Routine hospital admissions data in four NHS Boards were analysed by ethnic group and sex to compare incidence rate ratios (I…
P2-101 Prisoner mortality in Scotland 1996–2007
Introduction Mortality is substantially increased among those who have been imprisoned but there is little information about the extent to which excess mortality might be explained by deprivation. All cause mortality among Scottish prisoners has not previously been described. Methods Standard record linkage methods were used to link Scottish Prison Service and mortality data for individuals imprisoned in Scotland for the first time between 1 Janu…
P2-21 Ethnic inequalities in myocardial infarction incidence, interventions and survival in Scotland
Introduction Ethnic variations in coronary heart disease are large with a 50–70% excess consistently observed in South Asians. It is not clear whether this is attributable to increased incidence, poor survival, or both. We compared incidence and outcome of first acute myocardial infarction (AMI) by ethnic group in Scotland in relation to cardiac intervention uptake, socioeconomic factors and proximity to hospital. Methods We used linkage methods …
P1-28 Linkage of primary and secondary care data to identify risk factors for emergency hospital admission for COPD
Introduction We aimed to identify modifiable risk factors in primary care associated with emergency hospital admissions with Chronic Obstructive Pulmonary Disease in Lothian, Scotland. We sought permission to obtain data from primary to secondary care databases in a way that would allow the required analyses while ensuring that patient confidentiality was protected. Methods The research protocol proposed an “anonymised linkage” method that linked…
O3-2.1 Linkage of data in the study of ethnic inequalities and inequities in health outcomes in Scotland
Background There are striking ethnic variations in health status, outcomes, and health service utilisation. Quantifying and understanding this variation is essential to identify the health needs of ethnically diverse populations and assess the extent to which healthcare is equitable. Incomplete ethnic coding in routine data collection in Scotland undermines these efforts. Methods We examined ethnic variations in cardiovascular, cancer, maternal a…
P1-22 Which measures of socio-economic position perform most consistently across ethnic groups? Retrospective cohort study using census data linkage
Introduction Ethnic health inequalities are substantial but incompletely understood. Some studies have attributed ethnic inequalities to socio-economic status (SES) and adjusted ethnic comparisons SES measures. In the absence of individual level data, area level deprivation measures are routinely used for this purpose. However it is not clear whether these or other available SES measures perform similarly across ethnic groups. We examined the ass…
Is the Scottish population living dangerously? Prevalence of multiple risk factors
The prevalence of multiple behavioural risk factors was high and the prevalence of absence of all risk factors very low. These behavioural patterns were strongly associated with poorer socioeconomic circumstances. Policy to address factors needs to be joined up and better consider underlying socioeconomic circumstances
Differences in body composition and cardiovascular and Type 2 diabetes risk factors between migrant and British‐born British Pakistani women
There is a high prevalence of cardiovascular disease and Type 2 diabetes in people of South Asian origin living in affluent western countries. We do not know whether or how risk factors for these diseases change in subsequent generations born in the west. Findings that birth‐weight is inversely associated with abdominal obesity and risk of cardiovascular disease and Type 2 diabetes in later life suggest that those born in the west may have lower …
Total estradiol levels in migrant and British‐born British Pakistani women
The purpose of this study was to test the hypothesis that women who grow up in energetically stressed environments have later menarche and lower total estradiol levels during their reproductive years than do women who grow up in less energetically stressed environments. We assessed total estradiol in a serum sample taken 9-11 days after the start of the menstrual cycle in 26 women who grew up in Pakistan and migrated to the UK as adults, in 28 Br…
Record linked retrospective cohort study of 4.6 million people exploring ethnic variations in disease
The technique met ethical, professional and legal concerns about the linkage of census and health data and is transferable internationally wherever the census (or population register) contains ethnic group or race data. The outcome is a retrospective cohort study. Our results point to increased incidence rather than increased case fatality in explaining high CHD mortality rate. The findings open up new methods for researchers and health planners
Sex hormone-binding globulin and androgen levels in immigrant and British-born premenopausal British Pakistani women
In women, raised insulin levels are associated with low sex hormone-binding globulin (SHBG) and high androgen levels, which are in turn linked to infertility. Since insulin resistance and hyperinsulinemia are major health problems for South Asians living in Western countries, we predicted that British Pakistani women would have low SHBG and raised androgen levels compared to European women. Given low birth weights in Pakistan, and known links bet…
Self-Reported Work Strain is Lower in South Asian than European People
In a representative population sample the overall balance of job demand and control was similar in South Asian and European people, though South Asian people tended to be in jobs characterised by low skill and high decision latitude. These findings do not support the suggestion that increased work strain contributes to the increased risk of CHD in UK South Asian people
Social networks and coronary heart disease risk factors in South Asians and Europeans in the UK
The results provided only partial support for the hypothesis that South Asians in the UK are socially isolated, and suggest that South Asians and Europeans in the UK utilise different sources of social support. Future work should acknowledge variation in sources of social support between ethnic groups, and should explore the possibility that different mechanisms link social support and health in different ethnic groups
Newcastle Heart Project
In our recently published analysis of Newcastle Heart Project data we concluded that in South Asians diabetes or impaired glucose tolerance was associated with an increased likelihood of reporting sibling but not parental diabetes.1 By contrast, in Europeans diabetes or impaired glucose tolerance were associated with both sibling and parental diabetes. In response to feedback, we re-analysed our data to assess whether awareness of a diagnosis of …
Social networks and coronary heart disease risk factors in South Asians and Europeans in the UK
The results provided only partial support for the hypothesis that South Asians in the UK are socially isolated, and suggest that South Asians and Europeans in the UK utilise different sources of social support. Future work should acknowledge variation in sources of social support between ethnic groups, and should explore the possibility that different mechanisms link social support and health in different ethnic groups
Self-Reported Work Strain is Lower in South Asian than European People
In a representative population sample the overall balance of job demand and control was similar in South Asian and European people, though South Asian people tended to be in jobs characterised by low skill and high decision latitude. These findings do not support the suggestion that increased work strain contributes to the increased risk of CHD in UK South Asian people
Newcastle Heart Project
In our recently published analysis of Newcastle Heart Project data we concluded that in South Asians diabetes or impaired glucose tolerance was associated with an increased likelihood of reporting sibling but not parental diabetes.1 By contrast, in Europeans diabetes or impaired glucose tolerance were associated with both sibling and parental diabetes. In response to feedback, we re-analysed our data to assess whether awareness of a diagnosis of …
Social networks and coronary heart disease risk factors in South Asians and Europeans in the UK
The results provided only partial support for the hypothesis that South Asians in the UK are socially isolated, and suggest that South Asians and Europeans in the UK utilise different sources of social support. Future work should acknowledge variation in sources of social support between ethnic groups, and should explore the possibility that different mechanisms link social support and health in different ethnic groups
Self-Reported Work Strain is Lower in South Asian than European People
In a representative population sample the overall balance of job demand and control was similar in South Asian and European people, though South Asian people tended to be in jobs characterised by low skill and high decision latitude. These findings do not support the suggestion that increased work strain contributes to the increased risk of CHD in UK South Asian people
Sex hormone-binding globulin and androgen levels in immigrant and British-born premenopausal British Pakistani women
In women, raised insulin levels are associated with low sex hormone-binding globulin (SHBG) and high androgen levels, which are in turn linked to infertility. Since insulin resistance and hyperinsulinemia are major health problems for South Asians living in Western countries, we predicted that British Pakistani women would have low SHBG and raised androgen levels compared to European women. Given low birth weights in Pakistan, and known links bet…
Record linked retrospective cohort study of 4.6 million people exploring ethnic variations in disease
The technique met ethical, professional and legal concerns about the linkage of census and health data and is transferable internationally wherever the census (or population register) contains ethnic group or race data. The outcome is a retrospective cohort study. Our results point to increased incidence rather than increased case fatality in explaining high CHD mortality rate. The findings open up new methods for researchers and health planners
Differences in body composition and cardiovascular and Type 2 diabetes risk factors between migrant and British‐born British Pakistani women
There is a high prevalence of cardiovascular disease and Type 2 diabetes in people of South Asian origin living in affluent western countries. We do not know whether or how risk factors for these diseases change in subsequent generations born in the west. Findings that birth‐weight is inversely associated with abdominal obesity and risk of cardiovascular disease and Type 2 diabetes in later life suggest that those born in the west may have lower …
Total estradiol levels in migrant and British‐born British Pakistani women
The purpose of this study was to test the hypothesis that women who grow up in energetically stressed environments have later menarche and lower total estradiol levels during their reproductive years than do women who grow up in less energetically stressed environments. We assessed total estradiol in a serum sample taken 9-11 days after the start of the menstrual cycle in 26 women who grew up in Pakistan and migrated to the UK as adults, in 28 Br…
Is the Scottish population living dangerously? Prevalence of multiple risk factors
The prevalence of multiple behavioural risk factors was high and the prevalence of absence of all risk factors very low. These behavioural patterns were strongly associated with poorer socioeconomic circumstances. Policy to address factors needs to be joined up and better consider underlying socioeconomic circumstances
P2-101 Prisoner mortality in Scotland 1996–2007
Introduction Mortality is substantially increased among those who have been imprisoned but there is little information about the extent to which excess mortality might be explained by deprivation. All cause mortality among Scottish prisoners has not previously been described. Methods Standard record linkage methods were used to link Scottish Prison Service and mortality data for individuals imprisoned in Scotland for the first time between 1 Janu…
P2-21 Ethnic inequalities in myocardial infarction incidence, interventions and survival in Scotland
Introduction Ethnic variations in coronary heart disease are large with a 50–70% excess consistently observed in South Asians. It is not clear whether this is attributable to increased incidence, poor survival, or both. We compared incidence and outcome of first acute myocardial infarction (AMI) by ethnic group in Scotland in relation to cardiac intervention uptake, socioeconomic factors and proximity to hospital. Methods We used linkage methods …
P1-28 Linkage of primary and secondary care data to identify risk factors for emergency hospital admission for COPD
Introduction We aimed to identify modifiable risk factors in primary care associated with emergency hospital admissions with Chronic Obstructive Pulmonary Disease in Lothian, Scotland. We sought permission to obtain data from primary to secondary care databases in a way that would allow the required analyses while ensuring that patient confidentiality was protected. Methods The research protocol proposed an “anonymised linkage” method that linked…
O3-2.1 Linkage of data in the study of ethnic inequalities and inequities in health outcomes in Scotland
Background There are striking ethnic variations in health status, outcomes, and health service utilisation. Quantifying and understanding this variation is essential to identify the health needs of ethnically diverse populations and assess the extent to which healthcare is equitable. Incomplete ethnic coding in routine data collection in Scotland undermines these efforts. Methods We examined ethnic variations in cardiovascular, cancer, maternal a…
P1-22 Which measures of socio-economic position perform most consistently across ethnic groups? Retrospective cohort study using census data linkage
Introduction Ethnic health inequalities are substantial but incompletely understood. Some studies have attributed ethnic inequalities to socio-economic status (SES) and adjusted ethnic comparisons SES measures. In the absence of individual level data, area level deprivation measures are routinely used for this purpose. However it is not clear whether these or other available SES measures perform similarly across ethnic groups. We examined the ass…
Cardiovascular disease and air pollution in Scotland
This study suggests that in small cities, where air quality is relatively good, then either PM10 concentrations have no effect on cardiovascular ill health, or that the routinely available data and the corresponding study design are not sufficient to detect an association
Pilot ethnic analysis of routine hospital admissions data and comparison with census linked data
Purpose Routine data are needed to monitor ethnic health inequalities. The proportion of hospital discharge records with ethnicity information has been improving in Scotland. The aim of this paper is to assess whether routine data can provide valid comparisons of admission rates by ethnic group. Design/methodology/approach Routine hospital admissions data in four NHS Boards were analysed by ethnic group and sex to compare incidence rate ratios (I…
Scottish Keep Well health check programme
BACKGROUND: Effective interventions are available to reduce cardiovascular risk. Recently, health check programmes have been implemented to target those at high risk of cardiovascular disease (CVD), but there is much debate whether these are likely to be effective at population level. This paper evaluates the impact of wave 1 of Keep Well, a Scottish health check programme, on cardiovascular outcomes. METHODS: Interrupted time series analyses wer…
Medicine (16 works) · Demography (13 works) · Population (13 works) · Environmental health (12 works) · Internal Medicine (9 works) · Gerontology (8 works) · Ethnic group (7 works) · Health disparities and outcomes (7 works) · Public health (6 works) · Demography (5 works)