Public Health
Volume 123, Issue 4 , Pages 316-320 , April 2009

The problem with using computer programmes to assign ethnicity: Immigration decreases sensitivity

  • L.J. Brant

      Affiliations

    • Immunization Department, Health Protection Agency, Centre for Infections, 61 Colindale Avenue, London NW9 5EQ, UK
    • Transfusion Microbiology, NHS Blood and Transplant, Colindale Avenue, London NW9 5BG, UK
    • Corresponding Author InformationCorresponding author. Immunization Department, Health Protection Agency, Centre for Infections, 61 Colindale Avenue, London NW9 5EQ, UK. Tel.: +44 20 8327 7496; fax: +44 20 8327 7404.
  • ,
  • E. Boxall

      Affiliations

    • Medical Department, NHS Blood and Transplant, Vincent Drive, Edgbaston, Birmingham B15 2SG, UK
    • West Midlands Public Health Laboratory, Health Protection Agency, Heart of England Foundation Trust, Birmingham B9 5SS, UK

Received 7 August 2008 ,Revised 12 January 2009 ,Accepted 3 February 2009.

References 

  1. Senior PA, Bhopal R. Ethnicity as a variable in epidemiological research. BMJ. 1994;309:327–330
  2. Cummins C, Winter H, Cheng KK, Maric R, Silcocks P, Varghese C. An assessment of the Nam Pehchan computer program for the identification of names of south Asian ethnic origin. J Public Health Med. 1999;21:401–406
  3. Nanchahal K, Mangtani P, Alston M, dos SSI. Development and validation of a computerized South Asian Names and Group Recognition Algorithm (SANGRA) for use in British health-related studies. J Public Health Med. 2001;23:278–285
  4. Gungabissoon U, Andrews N, Crowcroft NS. Hepatitis A virus infection in people of South Asian origin in England and Wales: analysis of laboratory reports between 1992 and 2004. Epidemiol Infect. 2007;135:549–554
  5. Hahne S, Ramsay M, Soldan K, Balogun K, Mortimer P. Hepatitis B incidence among South Asian children in England and Wales: implications for immunisation policy. Arch Dis Child. 2003;88:1082–1083
  6. World Health Organization. Hepatitis B. World Health Organisation, Geneva. 2002. Available at: www.who.int/csr/disease/hepatitis/hepatitisB_whocdscsrlyo2002_2.pdf [accessed 28.06.06].
  7. Hahne S, Ramsay M, Balogun K, Edmunds WJ, Mortimer P. Incidence and routes of transmission of hepatitis B virus in England and Wales, 1995–2000: implications for immunisation policy. J Clin Virol. 2004;29:211–220
  8. Gay NJ, Hesketh LM, Osborne KP, Farrington CP, Morgan-Capner P, Miller E. The prevalence of hepatitis B infection in adults in England and Wales. Epidemiol Infect. 1999;122:133–138
  9. Newell ML, Thorne C, Pembrey L, Nicoll A, Goldberg D, Peckham C. Antenatal screening for hepatitis B infection and syphilis in the UK. Br J Obstet Gynaecol. 1999;106:66–71
  10. Boxall EH, Flewett TH. Prevalence of HBsAg in UK population. BMJ. 1987;294:57
  11. Boxall E. Screening of pregnant women for hepatitis B. Vaccine. 1998;16(Suppl.):S30–S33
  12. Lavanchy D. Hepatitis B virus epidemiology, disease burden, treatment, and current and emerging prevention and control measures. J Viral Hepat. 2004;11:97–107
  13. Department of Health. Screening for infectious diseases in pregnancy. Standards to support the UK antenatal screening programme. DH circular. Department of Health, London, 2003. p. 1–14.
  14. Wheeley SM, Jackson PT, Boxall EH, Tarlow MJ, Gatrad AR, Anderson J, et al. Prevention of perinatal transmission of hepatitis B virus (HBV): a comparison of two prophylactic schedules. J Med Virol. 1991;35:212–215
  15. Boxall EH, Sira J, Standish RA, Davies P, Sleight E, Dhillon AP, et al. Natural history of hepatitis B in perinatally infected carriers. Arch Dis Child Fetal Neonatal Ed. 2004;89:F456–F460
  16. Health Protection Agency Centre for Infections. National monitoring of antenatal infection screening, Report on 2005 data. 2007, London, Unpublished.
  17. Macfarlane GJ, Lunt M, Palmer B, Afzal C, Silman AJ, Esmail A. Determining aspects of ethnicity amongst persons of South Asian origin: the use of a surname-classification programme (Nam Pehchan). Public Health. 2007;121:231–236
  18. Harding S, Dews H, Simpson SL. The potential to identify South Asians using a computerised algorithm to classify names. Popul Trends. 1999;97:46–49
  19. Large P, Ghosh K. Estimates of the population by ethnic group for areas within England. Popul Trends. 2006;124:8–17
  20. Office for National Statistics. Focus on ethnicity & identity. 2005. Office for National Statistics, London. Available at: http://www.statistics.gov.uk/downloads/theme_compendia/foe2004/ethnicity.pdf. [Last accessed 17/02/2009].
  21. Department of Health, Health and Social Care Information Centre, NHS Employers. A practical guide to ethnic monitoring in the NHS and Social Care. 2005, Department of Health, London.
  22. Merican I, Guan R, Amarapuka D, Alexander MJ, Chutaputti A, Chien RN, et al. Chronic hepatitis B virus infection in Asian countries. J Gastroenterol Hepatol. 2000;15:1356–1361
  23. Nicoll A, Catchpole M, Watson JM. Improving ethnic data within surveillance must be priority. BMJ. 1997;315:1160
  24. De Cock KM, Low N. HIV and AIDS, other sexually transmitted diseases, and tuberculosis in ethnic minorities in United Kingdom: is surveillance serving its purpose?. BMJ. 1997;314:1747–1751
  25. Healthcare Commission. Performing better? A focus on sexual health services in England. 2007. Commission for Healthcare Audit and Inspection, London. Available at: http://www.healthcarecommission.org.uk/_db/_documents/Sexual_Health_full_report_v3.pdf. [Last accessed 17/02/2009].
  26. Healthcare Commission. Healthcare Commission Race Equality scheme. Scoping study to assess the measurability of the Department of Health's national targets from by ethnicity. 2007. Health Care Commission, London. Available at: www.healthcarecommission.org.uk/_db/_documents/Measuring_ethnicity_RES_background_paper.pdf [accessed 13.11.07].

PII: S0033-3506(09)00036-5

doi: 10.1016/j.puhe.2009.02.002

Public Health
Volume 123, Issue 4 , Pages 316-320 , April 2009