Heterogeneity among Indians, Pakistanis, and Bangladeshis is key to racial inequities

doi:10.1136/bmj.325.7369.903/a

BMJ 2002;325:903 ( 19 October )

Letters

Heterogeneity among Indians, Pakistanis, and Bangladeshis is key to racial inequities

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EDITOR $---$ Feder et al recently confirmed and extended observations pointing to inequity in the invasive management of coronarydisease.¹ They conclude that the inequity is not due to physicianbias or socioeconomic status and emphasise as explanations patients'understanding of risks and benefits, and barriers in the healthcaresystem after placement on a waitinglist.

Similar observations in the United States have led to intense debate, particularly on the potential role of racism. In myoverview on racism, which focused on the extensive data on racialinequalities in treating heart disease in the United States, Iconcluded that the emerging, somewhat reluctant, interpretationis that racism is important.² Whittle et al included racismas a component of the explanation for their findings in a US studyon the same theme.³ I also wrote that even if patients' preferencesare partly responsible for the disparities, racism will not bewholly . . . [Full text of this article]

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Ethnic differences in invasive management of coronary disease: prospective cohort study of patients undergoing angiography: Gene Feder, Angela M Crook, Patrick Magee, Shrilla Banerjee, Adam D Timmis, and Harry Hemingway
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Mindell, J., Klodawski, E., Fitzpatrick, J. (2008). Using routine data to measure ethnic differentials in access to coronary revascularization. J Public Health (Oxf) 30: 45-53 [Abstract] [Full text]