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Title of Journal: Int J Public Health

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Abbravation: International Journal of Public Health

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SP Birkhäuser Verlag Basel

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DOI

10.1016/0043-1648(80)90023-x

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1420-911X

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Social Epidemiology after the German Reunification

Authors: Oliver Razum Thomas Altenhöner Jürgen Breckenkamp Sven Voigtländer
Publish Date: 2007/11/30
Volume: 53, Issue: 1, Pages: 13-22
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Abstract

Social epidemiology has consistently demonstrated an association between socioeconomic 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 timeHealth 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 comparedSmallarea analyses are required to disentangle the association between socioeconomic inequalities and health in Germany In such analyses not only individual but also contextual eg 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


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