Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich?

Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and ho...
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Autor*in:	Razum, Oliver [verfasserIn] Altenhöner, Thomas Breckenkamp, Jürgen Voigtländer, Sven

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2007

Anmerkung:	© Birkhaeuser 2007

Übergeordnetes Werk:	Enthalten in: Sozial- und Präventivmedizin - Basel : Birkhäuser, 1956, 53(2007), 1 vom: 30. Nov., Seite 13-22
Übergeordnetes Werk:	volume:53 ; year:2007 ; number:1 ; day:30 ; month:11 ; pages:13-22

Links:	Volltext

DOI / URN:	10.1007/s00038-007-6116-8

Katalog-ID:	SPR000334871

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allfields	10.1007/s00038-007-6116-8 doi (DE-627)SPR000334871 (SPR)s00038-007-6116-8-e DE-627 ger DE-627 rakwb eng Razum, Oliver verfasserin aut Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich? 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Birkhaeuser 2007 Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. Altenhöner, Thomas aut Breckenkamp, Jürgen aut Voigtländer, Sven aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 53(2007), 1 vom: 30. Nov., Seite 13-22 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:53 year:2007 number:1 day:30 month:11 pages:13-22 https://dx.doi.org/10.1007/s00038-007-6116-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 53 2007 1 30 11 13-22
spelling	10.1007/s00038-007-6116-8 doi (DE-627)SPR000334871 (SPR)s00038-007-6116-8-e DE-627 ger DE-627 rakwb eng Razum, Oliver verfasserin aut Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich? 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Birkhaeuser 2007 Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. Altenhöner, Thomas aut Breckenkamp, Jürgen aut Voigtländer, Sven aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 53(2007), 1 vom: 30. Nov., Seite 13-22 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:53 year:2007 number:1 day:30 month:11 pages:13-22 https://dx.doi.org/10.1007/s00038-007-6116-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 53 2007 1 30 11 13-22
allfields_unstemmed	10.1007/s00038-007-6116-8 doi (DE-627)SPR000334871 (SPR)s00038-007-6116-8-e DE-627 ger DE-627 rakwb eng Razum, Oliver verfasserin aut Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich? 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Birkhaeuser 2007 Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. Altenhöner, Thomas aut Breckenkamp, Jürgen aut Voigtländer, Sven aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 53(2007), 1 vom: 30. Nov., Seite 13-22 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:53 year:2007 number:1 day:30 month:11 pages:13-22 https://dx.doi.org/10.1007/s00038-007-6116-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 53 2007 1 30 11 13-22
allfieldsGer	10.1007/s00038-007-6116-8 doi (DE-627)SPR000334871 (SPR)s00038-007-6116-8-e DE-627 ger DE-627 rakwb eng Razum, Oliver verfasserin aut Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich? 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Birkhaeuser 2007 Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. Altenhöner, Thomas aut Breckenkamp, Jürgen aut Voigtländer, Sven aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 53(2007), 1 vom: 30. Nov., Seite 13-22 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:53 year:2007 number:1 day:30 month:11 pages:13-22 https://dx.doi.org/10.1007/s00038-007-6116-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 53 2007 1 30 11 13-22
allfieldsSound	10.1007/s00038-007-6116-8 doi (DE-627)SPR000334871 (SPR)s00038-007-6116-8-e DE-627 ger DE-627 rakwb eng Razum, Oliver verfasserin aut Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich? 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Birkhaeuser 2007 Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. Altenhöner, Thomas aut Breckenkamp, Jürgen aut Voigtländer, Sven aut Enthalten in Sozial- und Präventivmedizin Basel : Birkhäuser, 1956 53(2007), 1 vom: 30. Nov., Seite 13-22 (DE-627)350258902 (DE-600)2082216-9 1420-911X nnns volume:53 year:2007 number:1 day:30 month:11 pages:13-22 https://dx.doi.org/10.1007/s00038-007-6116-8 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 53 2007 1 30 11 13-22
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author	Razum, Oliver
spellingShingle	Razum, Oliver Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich?
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topic_title	Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich?
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title	Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich?
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title_sort	social epidemiology after the german reunification: east vs. west or poor vs. rich?
title_auth	Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich?
abstract	Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. © Birkhaeuser 2007
abstractGer	Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. © Birkhaeuser 2007
abstract_unstemmed	Objective: Social epidemiology has consistently demonstrated an association between socio-economic disadvantage and ill health. Seventeen years after reunification, economic disparities persist between former “East” and “West” Germany. We examine whether there are according health disparities and how they developed over time. Methods: Secondary analysis of socio-economic and health data for Germany. Results: Health disparities, for example in life expectancy, are decreasing between East and West. Throughout Germany, however, differences in living conditions and demographic trends are widening at city and county level. This development is easily missed when only East and West are compared. Conclusion: Small-area analyses are required to disentangle the association between socio-economic inequalities and health in Germany. In such analyses, not only individual but also contextual (e.g. area level) characteristics need to be included. Contextual variables can be used to group smaller areas such as counties into clusters with similar properties. Thus, individual survey data can be linked with contextual characteristics while maintaining data protection and at the same time achieving sufficiently large case numbers. Concurrently, theoretical models explaining health inequalities need to be further developed so that they embrace contextual characteristics. © Birkhaeuser 2007
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title_short	Social Epidemiology after the German Reunification: East vs. West or Poor vs. Rich?
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