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German Index of Socioeconomic Deprivation (GISD): Revision, update and applications.
Michalski, Niels; Reis, Marvin; Tetzlaff, Fabian; Herber, Meik; Kroll, Lars Eric; Hövener, Claudia; Nowossadeck, Enno; Hoebel, Jens.
Afiliação
  • Michalski N; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
  • Reis M; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
  • Tetzlaff F; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
  • Herber M; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
  • Kroll LE; Zentralinstitut für die kassenärztliche Versorgung in Deutschland, Fachbereich Data Science und Versorgungsanalysen.
  • Hövener C; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
  • Nowossadeck E; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
  • Hoebel J; Robert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
J Health Monit ; 7(Suppl 5): 2-23, 2022 Dec.
Article em En | MEDLINE | ID: mdl-36628258
ABSTRACT

Background:

Regional deprivation indices enable researchers to analyse associations between socioeconomic disadvantages and health outcomes even if the health data of interest does not include information on the individuals' socioeconomic position. This article introduces the recent revision of the German Index of Socioeconomic Deprivation (GISD) and presents associations with life expectancy as well as age-standardised cardiovascular mortality rates and cancer incidences as applications.

Methods:

The GISD measures the level of socioeconomic deprivation using administrative data of education, employment, and income situations at the district and municipality level from the INKAR database. The indicators are weighted via principal component analyses. The regional distribution is depicted cartographically, regional level associations with health outcomes are presented.

Results:

The principal component analysis indicates medium to high correlations of the indicators with the index subdimensions. Correlation analyses show that in districts with the lowest deprivation, the average life expectancy of men is approximately six years longer (up to three years longer for women) than for those from districts with the highest deprivation. A similar social gradient is observed for cardiovascular mortality and lung cancer incidence.

Conclusions:

The GISD provides a valuable tool to analyse socioeconomic inequalities in health conditions, diseases, and their determinants at the regional level.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2022 Tipo de documento: Article