Where Are the Irish in Research on Ethnic Health Inequalities in Britain? A State-Of-The-Art Literature Review

Overview

Journal Sociol Health Illn

Specialty Social Sciences

Date 2025 Jan 2

PMID 39744775

Authors

Rosalind Willis

Affiliations

Soon will be listed here.

Abstract

Decisions about ethnic groups studied in health research shape recommendations. If a group is not included in research, its ability to call for policy change is limited. Despite health inequalities for the Irish in Britain in the 20th century, recent research on health is likely to combine the White Irish with White British, whereas Irish people of colour are not mentioned at all. This paper aims to understand why the interest in this group has declined. A state-of-the-art literature review of 140 papers on Irish health in Britain from 2001 to 2023 was conducted. Findings show the Irish are still disadvantaged in mortality, mental health and suicide, with important socioeconomic status and gender disparities. The shifting way the Irish are constructed over time is critically examined, paying attention to historical depictions and postcolonial identities. Sociological theories of migration are challenged by the Irish because this migrant group does not conform to theoretical assumptions. The Irish may have dropped from the agenda because of incorrect assumptions about assimilation and the relationship between Ireland and the UK. Given that the health outcomes of the Irish in Britain differ from those of the White British population, they should be recognised in health research as a distinct group.

References

Bhopal R, Steiner M, Cezard G, Bansal N, Fischbacher C, Simpson C . Risk of respiratory hospitalization and death, readmission and subsequent mortality: scottish health and ethnicity linkage study. Eur J Public Health. 2015; 25(5):769-74. DOI: 10.1093/eurpub/ckv064. View

Twamley K, Puthussery S, Harding S, Baron M, Macfarlane A . UK-born ethnic minority women and their experiences of feeding their newborn infant. Midwifery. 2010; 27(5):595-602. DOI: 10.1016/j.midw.2010.06.016. View

Scally G . 'The very pests of society': the Irish and 150 years of public health in England. Clin Med (Lond). 2004; 4(1):77-81. PMC: 4954283. DOI: 10.7861/clinmedicine.4-1-77. View

Das-Munshi J, Becares L, Dewey M, Stansfeld S, Prince M . Understanding the effect of ethnic density on mental health: multi-level investigation of survey data from England. BMJ. 2010; 341:c5367. PMC: 2962884. DOI: 10.1136/bmj.c5367. View

Wallace M, Kulu H . Mortality among immigrants in England and Wales by major causes of death, 1971-2012: A longitudinal analysis of register-based data. Soc Sci Med. 2015; 147:209-21. DOI: 10.1016/j.socscimed.2015.10.060. View

Raftery J, Jones D, Rosato M . The mortality of first and second generation Irish immigrants in the U.K. Soc Sci Med. 1990; 31(5):577-84. DOI: 10.1016/0277-9536(90)90093-8. View

Barry E, Merkebu J, Varpio L . State-of-the-art literature review methodology: A six-step approach for knowledge synthesis. Perspect Med Educ. 2022; 11(5):281-288. PMC: 9582072. DOI: 10.1007/s40037-022-00725-9. View

Karlsen S, Nazroo J . Religious and ethnic differences in health: evidence from the Health Surveys for England 1999 and 2004. Ethn Health. 2010; 15(6):549-68. DOI: 10.1080/13557858.2010.497204. View

Moore J . Perceived Functional Social Support and Self-Rated Health: The Health Promoting Effects of Instrumental Support for the Irish Community in London. J Immigr Minor Health. 2018; 21(5):1004-1011. DOI: 10.1007/s10903-018-0831-5. View

10.

Livingston G, Leavey G, Kitchen G, Manela M, Sembhi S, Katona C . Mental health of migrant elders--the Islington study. Br J Psychiatry. 2001; 179:361-6. DOI: 10.1192/bjp.179.4.361. View

11.

Berlin J, Smith D, Newton P . "It's because it's cancer, not because you're a Traveller"-exploring lay understanding of cancer in English Romany Gypsy and Irish Traveller communities. Eur J Oncol Nurs. 2018; 34:49-54. DOI: 10.1016/j.ejon.2018.02.010. View

12.

Walls P, Williams R . Accounting for Irish Catholic ill health in Scotland: a qualitative exploration of some links between 'religion', class and health. Sociol Health Illn. 2004; 26(5):527-56. DOI: 10.1111/j.0141-9889.2004.00404.x. View

13.

Pickett K, Ajebon M, Hou B, Kelly B, Bird P, Dickerson J . Vulnerabilities in child well-being among primary school children: a cross-sectional study in Bradford, UK. BMJ Open. 2022; 12(6):e049416. PMC: 9247690. DOI: 10.1136/bmjopen-2021-049416. View

14.

Karlsen S, Nazroo J, McKenzie K, Bhui K, Weich S . Racism, psychosis and common mental disorder among ethnic minority groups in England. Psychol Med. 2005; 35(12):1795-803. DOI: 10.1017/S0033291705005830. View

15.

Aran N, Card K, Lee K, Hogg R . Patterns of Suicide and Suicidal Ideation in Relation to Social Isolation and Loneliness in Newcomer Populations: A Review. J Immigr Minor Health. 2022; 25(2):415-426. PMC: 9643969. DOI: 10.1007/s10903-022-01422-9. View

16.

Condon L, Salmon D . 'You likes your way, we got our own way': Gypsies and Travellers' views on infant feeding and health professional support. Health Expect. 2014; 18(5):784-95. PMC: 5060882. DOI: 10.1111/hex.12214. View

17.

Amininia M, Bernabe E, Delgado-Angulo E . Ethnicity, Social Support and Oral Health Among English Individuals. Community Dent Health. 2023; 40(1):60-66. DOI: 10.1922/CDH_00277Amininia07. View

18.

Bhala N, Bhopal R, Brock A, Griffiths C, Wild S . Alcohol-related and hepatocellular cancer deaths by country of birth in England and Wales: analysis of mortality and census data. J Public Health (Oxf). 2009; 31(2):250-7. DOI: 10.1093/pubmed/fdp014. View

19.

Bhala N, Cezard G, Ward H, Bansal N, Bhopal R . Ethnic Variations in Liver- and Alcohol-Related Disease Hospitalisations and Mortality: The Scottish Health and Ethnicity Linkage Study. Alcohol Alcohol. 2016; 51(5):593-601. DOI: 10.1093/alcalc/agw018. View

20.

Harding S, Balarajan R . Mortality of third generation Irish people living in England and Wales: longitudinal study. BMJ. 2001; 322(7284):466-7. PMC: 26563. DOI: 10.1136/bmj.322.7284.466. View