University of St Andrews


Genevieve Cezard 


Supervisors: Prof Hill Kulu, Dr Alan Marshall & Dr Nissa Finney 


Research Title

Ethnic inequalities in health at the older ages in Scotland


My research explore ethnic inequalities in health in later life in the Scottish context. After conducting a literature review I identified two key ideas which I explore in my PhD. First, I will explore what I have termed the ethnic morbidity-mortality paradox in which some ethnic groups live longer but experience poorer health outcomes than the majority population in the UK. My analysis will use the Scottish Health and Ethnicity Linkage Study (SHELS), a link between Scottish census 2001 and death and hospitalisation records, to explore the nature of the ethnic mortality-morbidity paradox using various health indicators including subjective and objective measures of morbidity. My analysis is stratified by sex, ethnic group and migrant generations. The second key idea the project will address the need to go beyond the cross-sectional approach and understand how ethnic inequalities in mortality/morbidity are shaped through the life course. I use longitudinal data analysis and the Scottish Longitudinal Study (SLS) to investigate how health trajectories vary and evolve across ethnic group, and how differential in health by ethnicity are influenced by cohort, time since migration and other risk factors such as socio-economic status.


I graduated in 2005 with a Masters degree in Applied Mathematics and Statistics along with a Statistician diploma from the Institute of Statistics (ISUP) at the University Pierre et Marie Currie (Paris VI). As a statistician for health agencies in France and in Canada (2005-2009), I developed my interest in public health and health inequalities as a result of researching inequalities in mortality by occupational categories in France (ESTEV: Health, work and ageing survey) and producing analysis and assisting research related to Chronic Kidney Disease (CKD) in Canada. I worked as a researcher/statistician in epidemiology at the University of Edinburgh between 2010 and 2016 under Professor Raj Bhopal (PI) and I explored ethnic inequalities in health in the UK context using multiple data sources in England and Scotland. My work was primarily based on the Scottish Health and Ethnicity Linkage Study (SHELS; In September 2016, I started a 3 year PhD programme (funded by St Leonard's and Geography & Sustainable Development PhD studentships) to pursue my interest in ethnicity, health and ageing.

Most recent publications:


Cezard, G., Douglas, A., Gill, J., McKnight, J., Sheikh, A., Wallia, S. & Bhopal, R. Did the weight loss in the Prevention of diabetes and Obesity in South Asians (PODOSA) trial differ by sex? An exploratory analysis. Apr 2017 In : Public Health. 145, p. 67-69 3 p.


Gruer, L., Cezard, G., Clark, E., Douglas, A., Steiner, M., Millard, A., Buchanan, D., Katikireddi, S. V., Sheikh, A. & Bhopal, R. Life expectancy of different ethnic groups using death records linked to population census data for 4.62 million people in Scotland. 29 Jul 2016 In : Journal of Epidemiology & Community Health. jech-2016-207426.

Welsh, P., Cezard, G., Gill, J. M., Wallia, S., Douglas, A., Sheikh, A., Wild, S. H., Tuomilehto, J., McKnight, J., Murray, G., Bhopal, R., Lean, M. E. & Sattar, N. Associations between weight change and biomarkers of cardiometabolic risk in South Asians: secondary analyses of the PODOSA trial. 1 Jun 2016 In : International Journal of Obesity.

Bhala, N., Cézard, G., Ward, H. J. T., Bansal, N., Bhopal, R. & Scottish Health and Ethnicity Linkage Study (SHELS) Collaboration. Ethnic Variations in Liver- and Alcohol-Related Disease Hospitalisations and Mortality: The Scottish Health and Ethnicity Linkage Study. 6 May 2016 In : Alcohol and alcoholism.

Cezard, G., Bansal, N., Bhopal, R., Pallan, M., Gill, P., Barrett, T. & Adab, P. Adiposity and response to an obesity prevention intervention in Pakistani and Bangladeshi primary school boys and girls: a secondary analysis using the BEACHeS feasibility study. 9 Feb 2016 In : BMJ Open. 6, 2, e007907.

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