Socioeconomic deprivation and premature mortality in Germany, 1998-2021 : An ecological study with what-if scenarios of inequality reduction
© 2024. The Author(s)..
BACKGROUND: Earlier mortality in socioeconomically disadvantaged population groups represents an extreme manifestation of health inequity. This study examines the extent, time trends, and mitigation potentials of area-level socioeconomic inequalities in premature mortality in Germany.
METHODS: Nationwide data from official cause-of-death statistics were linked at the district level with official population data and the German Index of Socioeconomic Deprivation (GISD). Age-standardized mortality rates before the age of 75 were calculated stratified by sex and deprivation quintile. A what-if analysis with counterfactual scenarios was applied to calculate how much lower premature mortality would be overall if socioeconomic mortality inequalities were reduced.
RESULTS: Men and women in the highest deprivation quintile had a 43% and 33% higher risk of premature death, respectively, than those in the lowest deprivation quintile of the same age. Higher mortality rates with increasing deprivation were found for cardiovascular and cancer mortality, but also for other causes of death. Socioeconomic mortality inequalities had started to increase before the COVID-19 pandemic and further exacerbated in the first years of the pandemic. If all regions had the same mortality rate as those in the lowest deprivation quintile, premature mortality would be 13% lower overall.
DISCUSSION: The widening gap in premature mortality between deprived and affluent regions emphasizes that creating equivalent living conditions across Germany is also an important field of action for reducing health inequity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz - (2024) vom: 08. Apr. |
| Sprache: |
Deutsch |
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| Weiterer Titel: |
Sozioökonomische Deprivation und vorzeitige Sterblichkeit in Deutschland 1998–2021 : Eine ökologische Studie mit What-if-Szenarien der Ungleichheitsreduktion |
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| Beteiligte Personen: |
Hoebel, Jens [VerfasserIn] |
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| Links: |
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| Themen: |
Area deprivation |
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| Anmerkungen: |
Date Revised 08.04.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1007/s00103-024-03862-0 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM370770536 |
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| 245 | 1 | 0 | |a Socioeconomic deprivation and premature mortality in Germany, 1998-2021 |b An ecological study with what-if scenarios of inequality reduction |
| 246 | 3 | 3 | |a Sozioökonomische Deprivation und vorzeitige Sterblichkeit in Deutschland 1998–2021 : Eine ökologische Studie mit What-if-Szenarien der Ungleichheitsreduktion |
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| 500 | |a Date Revised 08.04.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a © 2024. The Author(s). | ||
| 520 | |a BACKGROUND: Earlier mortality in socioeconomically disadvantaged population groups represents an extreme manifestation of health inequity. This study examines the extent, time trends, and mitigation potentials of area-level socioeconomic inequalities in premature mortality in Germany | ||
| 520 | |a METHODS: Nationwide data from official cause-of-death statistics were linked at the district level with official population data and the German Index of Socioeconomic Deprivation (GISD). Age-standardized mortality rates before the age of 75 were calculated stratified by sex and deprivation quintile. A what-if analysis with counterfactual scenarios was applied to calculate how much lower premature mortality would be overall if socioeconomic mortality inequalities were reduced | ||
| 520 | |a RESULTS: Men and women in the highest deprivation quintile had a 43% and 33% higher risk of premature death, respectively, than those in the lowest deprivation quintile of the same age. Higher mortality rates with increasing deprivation were found for cardiovascular and cancer mortality, but also for other causes of death. Socioeconomic mortality inequalities had started to increase before the COVID-19 pandemic and further exacerbated in the first years of the pandemic. If all regions had the same mortality rate as those in the lowest deprivation quintile, premature mortality would be 13% lower overall | ||
| 520 | |a DISCUSSION: The widening gap in premature mortality between deprived and affluent regions emphasizes that creating equivalent living conditions across Germany is also an important field of action for reducing health inequity | ||
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Area deprivation | |
| 650 | 4 | |a Health inequalities | |
| 650 | 4 | |a Premature mortality | |
| 650 | 4 | |a Social determinants | |
| 650 | 4 | |a Socioeconomic factors | |
| 700 | 1 | |a Nowossadeck, Enno |e verfasserin |4 aut | |
| 700 | 1 | |a Michalski, Niels |e verfasserin |4 aut | |
| 700 | 1 | |a Baumert, Jens |e verfasserin |4 aut | |
| 700 | 1 | |a Wachtler, Benjamin |e verfasserin |4 aut | |
| 700 | 1 | |a Tetzlaff, Fabian |e verfasserin |4 aut | |
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