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Dementia - Prevalence, trends and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.
Pub Date : 2025-03-31 eCollection Date: 2025-03-01 DOI: 10.25646/13079
Alexander Rommel, Beate Gaertner, Hannelore Neuhauser, Dinara Yessimova, Helmut Schröder, Gabriela Brückner, Katrin Schüssel, Michael Porst

Background: As part of the German Burden of Disease Study, population-based prevalences of important diseases are estimated. This allows regional patterns and temporal trends to be identified.

Methods: The prevalence of dementia in the population was estimated cross-sectionally for the years 2017 to 2022 at the level of the Spatial Planning Regions using routine data of persons insured in the statutory health insurance AOK, adjusted for age, sex and morbidity (administrative prevalence).

Results: In 2022, the prevalence of dementia in Germany was 2.8% of the population aged 40 and over. In women the prevalence was 3.3 %, in men 2.4 %. The prevalence of dementia rises sharply with age. For example, the prevalence among people aged 65 and over was 6.9 %. A slight downward trend was observed between 2017 and 2022. The age-standardised regional distribution shows a clear pattern of higher prevalence in eastern Germany and the eastern part of Bavaria.

Conclusions: Measured by administrative prevalence, the public health significance of dementia remains largely stable. However, demographic change is expected to increase the number of people affected by dementia. Prevention of modifiable risk factors is therefore essential, especially in middle age.

{"title":"Dementia - Prevalence, trends and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.","authors":"Alexander Rommel, Beate Gaertner, Hannelore Neuhauser, Dinara Yessimova, Helmut Schröder, Gabriela Brückner, Katrin Schüssel, Michael Porst","doi":"10.25646/13079","DOIUrl":"10.25646/13079","url":null,"abstract":"<p><strong>Background: </strong>As part of the German Burden of Disease Study, population-based prevalences of important diseases are estimated. This allows regional patterns and temporal trends to be identified.</p><p><strong>Methods: </strong>The prevalence of dementia in the population was estimated cross-sectionally for the years 2017 to 2022 at the level of the Spatial Planning Regions using routine data of persons insured in the statutory health insurance AOK, adjusted for age, sex and morbidity (administrative prevalence).</p><p><strong>Results: </strong>In 2022, the prevalence of dementia in Germany was 2.8% of the population aged 40 and over. In women the prevalence was 3.3 %, in men 2.4 %. The prevalence of dementia rises sharply with age. For example, the prevalence among people aged 65 and over was 6.9 %. A slight downward trend was observed between 2017 and 2022. The age-standardised regional distribution shows a clear pattern of higher prevalence in eastern Germany and the eastern part of Bavaria.</p><p><strong>Conclusions: </strong>Measured by administrative prevalence, the public health significance of dementia remains largely stable. However, demographic change is expected to increase the number of people affected by dementia. Prevention of modifiable risk factors is therefore essential, especially in middle age.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 1","pages":"e13079"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parkinson disease - Prevalence, trends and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.
Pub Date : 2025-03-31 eCollection Date: 2025-03-01 DOI: 10.25646/13070
Alexander Rommel, Günter Deuschl, Richard Dodel, Dinara Yessimova, Hannelore Neuhauser, Gabriela Brückner, Helmut Schröder, Katrin Schüssel, Michael Porst

Background: As part of the German Burden of Disease Study, population-based prevalences of important diseases are estimated. This allows regional patterns and temporal trends to be identified.

Methods: The prevalence of Parkinson disease in the population was estimated cross-sectionally for the years 2017 to 2022 at the level of the Spatial Planning Regions using routine data of persons insured in the statutory health insurance AOK, adjusted for age, sex and morbidity (administrative prevalence).

Results: In 2022, the prevalence of Parkinson disease in Germany was 0.35 % of the population. This represents approximately 295,000 people. The prevalence is 0.34 % in women and 0.36 % in men. The prevalence of Parkinson disease increases with age. It is 0.61 % from the age of 40 and 1.42 % from the age of 65. There is a slight downward trend over time. The age-standardised regional distribution shows no clear pattern.

Conclusions: Measured by administrative prevalence, the significance of Parkinson disease for population health remains largely stable with a slight downward trend.

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引用次数: 0
Prevalence of obesity and smoking among adults in Germany - trends from 2003 to 2023.
Pub Date : 2025-03-26 eCollection Date: 2025-03-01 DOI: 10.25646/13038
Anne Starker, Anja Schienkiewitz, Stefan Damerow, Ronny Kuhnert

Background: Non-communicable diseases (NCDs) are a significant public health challenge. Obesity and smoking are among the major risk factors for their development. In addition to individual behavioural changes, public health measures can help prevent NCDs by creating health-promoting conditions for the population. The aim of this paper is to analyse trends in obesity and smoking prevalence in Germany over time and place these trends in the context of existing public health measures for structural prevention.

Method: The prevalence of obesity and smoking over the last 20 years was examined using data from the Robert Koch Institute Telephone Health Surveys and the German Health Update.

Results: Between 2003 and 2023, the prevalence of obesity increased from 12.2 % to 19.7 % among women and men, for all age and education groups. The prevalence of smoking decreased from 32.1 % to 28.8 %, especially among younger people and in the highly educated group, but the decline has slowed in recent years.

Conclusions: The continuous increase in obesity prevalence between 2003 and 2023 indicates that measures taken so far to prevent obesity have been insufficient. It is therefore imperative not only to address behavioural change at the individual level, but also to implement population-wide, settings-based prevention measures. In addition, more consistent implementation of regulatory measures is needed to further reduce tobacco consumption.

{"title":"Prevalence of obesity and smoking among adults in Germany - trends from 2003 to 2023.","authors":"Anne Starker, Anja Schienkiewitz, Stefan Damerow, Ronny Kuhnert","doi":"10.25646/13038","DOIUrl":"10.25646/13038","url":null,"abstract":"<p><strong>Background: </strong>Non-communicable diseases (NCDs) are a significant public health challenge. Obesity and smoking are among the major risk factors for their development. In addition to individual behavioural changes, public health measures can help prevent NCDs by creating health-promoting conditions for the population. The aim of this paper is to analyse trends in obesity and smoking prevalence in Germany over time and place these trends in the context of existing public health measures for structural prevention.</p><p><strong>Method: </strong>The prevalence of obesity and smoking over the last 20 years was examined using data from the Robert Koch Institute Telephone Health Surveys and the German Health Update.</p><p><strong>Results: </strong>Between 2003 and 2023, the prevalence of obesity increased from 12.2 % to 19.7 % among women and men, for all age and education groups. The prevalence of smoking decreased from 32.1 % to 28.8 %, especially among younger people and in the highly educated group, but the decline has slowed in recent years.</p><p><strong>Conclusions: </strong>The continuous increase in obesity prevalence between 2003 and 2023 indicates that measures taken so far to prevent obesity have been insufficient. It is therefore imperative not only to address behavioural change at the individual level, but also to implement population-wide, settings-based prevention measures. In addition, more consistent implementation of regulatory measures is needed to further reduce tobacco consumption.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 1","pages":"e13038"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11973604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143805038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The life expectancy gap: Socioeconomic differences in life expectancy between areas in Germany.
Pub Date : 2025-03-17 eCollection Date: 2025-03-01 DOI: 10.25646/13026
Jens Hoebel, Niels Michalski, Jens Baumert, Enno Nowossadeck, Fabian Tetzlaff

Background: This study examines differences in life expectancy between Germany's most affluent and most deprived areas.

Methods: Nationwide data from the cause-of-death statistics from 2003 to 2022 were linked with official population data to calculate the average life expectancy of females and males in each of Germany's districts. Regression analysis was used to assess the association with the German Index of Socioeconomic Deprivation (GISD) at district level and calculate the life expectancy gap between the most and least deprived areas.

Results: In the period 2020 - 2022, life expectancy in the most deprived areas was 4.3 years (females) and 7.2 years (males) lower than in the least deprived areas. In the period 2003 - 2005, this life expectancy gap was still 2.6 and 5.7 years. The widening of the life expectancy gap resulted from a less favourable development of life expectancy in the most deprived areas. It was already evident before and intensified during the COVID-19 pandemic.

Conclusions: The increasing life expectancy gap indicates that health inequality in Germany is increasing. As a result, the development of a strategy to improve health equity is more important than ever to be placed on the policy agenda.

{"title":"The life expectancy gap: Socioeconomic differences in life expectancy between areas in Germany.","authors":"Jens Hoebel, Niels Michalski, Jens Baumert, Enno Nowossadeck, Fabian Tetzlaff","doi":"10.25646/13026","DOIUrl":"10.25646/13026","url":null,"abstract":"<p><strong>Background: </strong>This study examines differences in life expectancy between Germany's most affluent and most deprived areas.</p><p><strong>Methods: </strong>Nationwide data from the cause-of-death statistics from 2003 to 2022 were linked with official population data to calculate the average life expectancy of females and males in each of Germany's districts. Regression analysis was used to assess the association with the German Index of Socioeconomic Deprivation (GISD) at district level and calculate the life expectancy gap between the most and least deprived areas.</p><p><strong>Results: </strong>In the period 2020 - 2022, life expectancy in the most deprived areas was 4.3 years (females) and 7.2 years (males) lower than in the least deprived areas. In the period 2003 - 2005, this life expectancy gap was still 2.6 and 5.7 years. The widening of the life expectancy gap resulted from a less favourable development of life expectancy in the most deprived areas. It was already evident before and intensified during the COVID-19 pandemic.</p><p><strong>Conclusions: </strong>The increasing life expectancy gap indicates that health inequality in Germany is increasing. As a result, the development of a strategy to improve health equity is more important than ever to be placed on the policy agenda.</p>","PeriodicalId":73767,"journal":{"name":"Journal of health monitoring","volume":"10 1","pages":"e13026"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of the corona measures on the life of children and adolescents: Results of the German HBSC study 2022.
Pub Date : 2025-03-05 eCollection Date: 2025-03-01 DOI: 10.25646/13002
Franziska Reiß, Veronika Ottová-Jordan, Ludwig Bilz, Irene Moor, Kevin Dadaczynski, Ronja Maren Helmchen, Theresa Schierl, Saskia Sendatzki, Katharina Rathmann, Anne Kaman, Ulrike Ravens-Sieberer

Background: The containment measures of the COVID-19 pandemic have changed many people's daily lives. The study examines how children and adolescents assess the impact of the coronavirus measures on various areas of life.

Methods: Overall, N = 6,475 students (11 - 15 years) in Germany took part in the representative 'Health Behavior in School-aged Children (HBSC)' study in 2022. Logistic regressions were performed to investigate the relationships between the perceived impact of the coronavirus measures on various areas of their lives by age, gender and family wealth.

Results: Two years after the onset of the pandemic, children and adolescents reported both, positive and negative effects of the coronavirus measures. About a half of those surveyed perceived positive effects regarding social relationships. In contrast, approximately one in three respondents reported a deterioration in mental health and school performance. In particular, 11-year-olds, boys and wealthy students reported more often positive effects.

Conclusions: The positive effects of the pandemic on the lives of children and adolescents in individual areas and the resilience (resistance) that is emerging here, as well as the results on more negative assessments of adolescents, girls and respondents with lower family wealth, can be used as a starting point for a needs-oriented and target group-specific health promotion in times of crisis. Future research should focus on the pandemic's long-term effects on young people's development.

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引用次数: 0
Surveillance of non-communicable diseases: What matters to users? A qualitative interview study. 非传染性疾病监测:对用户来说什么重要?定性访谈研究。
Pub Date : 2024-12-18 eCollection Date: 2024-12-01 DOI: 10.25646/12919
Robyn Kettlitz, Maike Buchmann, Oktay Tuncer, Laura Krause, Thomas Ziese, Lukas Reitzle

Background: Surveillance systems for diseases serve as an early warning system and orientation for decision-makers. As part of the National Diabetes Surveillance at the Robert Koch Institute (RKI), existing formats of information transfer were evaluated and an analysis of users' requirements regarding the dissemination of results of surveillance for non-communicable diseases (NCD) was carried out.

Methods: 13 semi-structured guided interviews were conducted with persons from health politics, healthcare, media and science and analysed in a qualitative content analysis (interview survey period: 10/2022 - 01/2023).

Results: For all respondents, the frequency of diseases and their determinants, care and consequences were the focus of NCD surveillance. Wider determinants of health and illness situation were also considered relevant. Requirements regarding the presentation of these contents differed between the user groups. Factors that facilitate and inhibit the use of NCD surveillance information were consistent across the user groups.

Conclusions: There is a need for the presentation of options for action, especially for users involved in health politics and healthcare. Diabetes surveillance showed that many requirements are already met by the existing formats. Many of the users also wanted the content to be expanded to include other NCD.

背景:疾病监测系统可作为决策者的早期预警系统和指导。作为罗伯特·科赫研究所(RKI)全国糖尿病监测的一部分,评估了现有的信息传递格式,并分析了用户对传播非传染性疾病监测结果的要求。方法:对卫生政治、卫生保健、媒体和科学界人士进行13次半结构化引导访谈,并采用定性内容分析(访谈调查期:2022年10月- 2023年1月)。结果:对所有答复者来说,疾病的发生频率及其决定因素、护理和后果是非传染性疾病监测的重点。健康和疾病状况的更广泛决定因素也被认为是相关的。不同的用户组对这些内容的表示有不同的要求。促进和抑制使用非传染性疾病监测信息的因素在各用户群体中是一致的。结论:有必要提出行动方案,特别是对参与卫生政治和卫生保健的用户。糖尿病监测显示,现有格式已经满足了许多要求。许多用户还希望将内容扩展到包括其他非传染性疾病。
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引用次数: 0
Towards a sustainable set of European Core Health Indicators (ECHI). 制定一套可持续的欧洲核心健康指标。
Pub Date : 2024-12-11 eCollection Date: 2024-12-01 DOI: 10.25646/12918
Mariken J Tijhuis, Eveline A van der Wilk, Sarka Dankova, Angela Fehr, Silvia Ghirini, Mika Gissler, Romana Haneef, Heidi Lyshol, Emanuele Scafato, Stefanie Seeling, Hanna Tolonen, Thomas Ziese, Irisa Zīle-Velika, Peter W Achterberg

Background: The European Core Health Indicators (ECHI) are a set of 88 indicators that provide a compact overview of the extensive field of European public health and healthcare. The ECHI set adds value to European Union health information systems (HIS) for both Member States and EU-associated countries and the European Commission by providing a solid, comparable information base on national public health and healthcare trends and developments. The indicators allow for learning by comparison and the list supports the organisation of national health information systems. As the ECHI set was defined more than ten years ago, it is time to review its current needs and readiness for the future.

Methods: In this article, we reflect on the sustainability of the ECHI set and explore directions for improving future use, based on the activities in the Joint Action on Health Information (2018 - 2021). There, we looked into ECHI governance and reviewed the set's metadata, content and link with other indicator sets in the wider European health information landscape.

Conclusions: We conclude that in order to remain relevant and keep up with technical and policy developments, the ECHI set needs maintenance and updates. This cannot be achieved in a non-systematic project-based manner; it requires sustainable funding, governance and formalised activities in a permanent structure. We call on the European Commission, Member States, research networks and individual users of the ECHI to take action in this.

背景:欧洲核心健康指标(ECHI)是一套88个指标,提供了欧洲公共卫生和保健广泛领域的简明概述。欧盟卫生信息系统(HIS)为成员国和欧盟相关国家以及欧盟委员会提供了一个关于国家公共卫生和医疗保健趋势和发展的可靠的、可比较的信息基础,从而增加了欧盟卫生信息系统(HIS)的价值。这些指标允许通过比较学习,清单支持国家卫生信息系统的组织。由于ECHI是在十多年前定义的,现在是时候审查其当前需求和未来准备情况了。方法:在本文中,我们根据卫生信息联合行动(2018 - 2021)中的活动,反思了ECHI设置的可持续性,并探讨了改善未来使用的方向。在那里,我们研究了ECHI治理,并审查了该集的元数据、内容以及与更广泛的欧洲卫生信息领域的其他指标集的联系。结论:我们的结论是,为了保持相关性并跟上技术和政策的发展,需要对ECHI进行维护和更新。这不能以非系统的项目为基础的方式实现;它需要可持续的资金、治理和固定结构下的正式活动。我们呼吁欧盟委员会、成员国、研究网络和个人用户在这方面采取行动。
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引用次数: 0
A healthy Europe through data, information and cooperation. 通过数据、信息和合作建设健康的欧洲。
Pub Date : 2024-12-11 eCollection Date: 2024-12-01 DOI: 10.25646/12947
Franziska Prütz, Nicole Rosenkötter, Thomas Ziese
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引用次数: 0
Towards a European health information system: The BRIDGE Health, InfAct and PHIRI projects. 迈向欧洲卫生信息系统:BRIDGE health、InfAct和PHIRI项目。
Pub Date : 2024-12-11 eCollection Date: 2024-12-01 DOI: 10.25646/12943
Martin Thißen, Angela Fehr, Aline Anton, Stefanie Seeling, Thomas Ziese

Background: National health systems in Europe are facing similar challenges - demographic change, a rising burden of disease due to chronic non-communicable diseases, and health inequalities. Comparable health data and knowledge sharing between countries are therefore an important basis for policy decision-making. However, health information in the European Union (EU) is fragmented and approaches to establishing a comprehensive system are largely project-based.

Methods: This contribution describes the European projects BRIDGE Health (2015 - 2017), InfAct (Information for Action, 2018 - 2021) and PHIRI (Population Health Information Research Infrastructure, 2020 - 2023), which aimed at developing a sustainable health information infrastructure.

Results: The projects, which build on one another, laid the groundwork for an EU-wide health information system. For example, a health information portal was established, a federated research infrastructure was implemented, handouts were created and training on capacity building was provided.

Conclusions: An integrated EU-wide health information system is an important basis for policy decision-making and a prerequisite for a rapid and coordinated response to health crises. A sustainable structure or institution with a mandate for non-communicable diseases (NCD) and their determinants at the EU level would be desirable.

背景:欧洲的国家卫生系统正面临着类似的挑战——人口结构变化、慢性非传染性疾病造成的疾病负担不断增加以及卫生不平等。因此,国家间可比较的卫生数据和知识共享是决策的重要基础。然而,欧盟(EU)的卫生信息是碎片化的,建立一个综合系统的方法主要是基于项目的。方法:本文描述了旨在发展可持续卫生信息基础设施的欧洲项目BRIDGE Health(2015 - 2017)、InfAct(信息促进行动,2018 - 2021)和PHIRI(人口健康信息研究基础设施,2020 - 2023)。结果:这些互为基础的项目为欧盟范围内的卫生信息系统奠定了基础。例如,建立了一个卫生信息门户网站,实施了一个联合研究基础设施,编写了讲义,并提供了能力建设方面的培训。结论:全欧盟一体化卫生信息系统是政策决策的重要基础,也是快速协调应对卫生危机的先决条件。最好在欧盟一级建立一个具有非传染性疾病及其决定因素任务授权的可持续结构或机构。
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引用次数: 0
Diabetes mellitus, cardiovascular and chronic respiratory diseases in Germany and Europe - results of the European Health Interview Survey (EHIS 3, 2018 - 2020). 德国和欧洲的糖尿病、心血管和慢性呼吸系统疾病——欧洲健康访谈调查(EHIS 3, 2018 - 2020)的结果
Pub Date : 2024-12-04 eCollection Date: 2024-12-01 DOI: 10.25646/12920
Jens Baumert, Giselle Sarganas, Ronny Kuhnert, Roma Thamm, Henriette Steppuhn, Julia Waldhauer, Jens Hoebel, Hannelore Neuhauser, Christin Heidemann

Background: In Europe, the health situation is primarily influenced by non-communicable diseases. Comparable information on key indicators for the European region can highlight potential areas for improvement in prevention and care.

Method: Based on EHIS 3, age-standardised prevalences of three disease groups and two indicators of self-assessed health among those affected were presented for Germany (n = 22,708) and the average of 29 European countries (n = 301,960).

Results: The disease prevalence estimates in Germany were higher compared to the European average: diabetes 8.4 % vs. 7.4 %, cardiovascular diseases 6.8 % vs. 5.7 %, chronic respiratory diseases 11.4 % vs. 7.9 %. Likewise, the proportion with self-assessed very good or good general health among those affected was also higher in Germany (diabetes 35.8 % vs. 30.7 %, cardiovascular diseases 25.3 % vs. 18.9 %, chronic respiratory diseases 44.7 % vs. 41.9 %). For limitations in everyday activities, higher proportions were found in Germany for diabetes (65.6 % vs. 60.6 %) and chronic respiratory diseases (64.5 % vs. 57.6 %). Germany showed similar gender-, age- and education-specific differences for disease prevalence, but in part less pronounced differences for the indicators of self-assessed health than the European average.

Conclusions: Further analysis of the differences for the indicators considered between Germany and the European average and the possible underlying factors, such as differences in prevention, diagnosis, disease severity and care, is required. The educational inequalities observed across Europe suggest considerable potential for promoting health equity.

背景:在欧洲,卫生状况主要受到非传染性疾病的影响。关于欧洲区域关键指标的可比信息可以突出在预防和护理方面有待改进的潜在领域。方法:以EHIS 3为基础,对德国(n = 22,708)和欧洲29个国家(n = 301,960)患者的三种疾病组和两项自我评估健康指标的年龄标准化患病率进行分析。结果:德国的疾病患病率估计高于欧洲平均水平:糖尿病8.4%对7.4%,心血管疾病6.8%对5.7%,慢性呼吸系统疾病11.4%对7.9%。同样,在受影响的人群中,自我评估为非常好或一般健康状况良好的比例在德国也较高(糖尿病35.8%对30.7%,心血管疾病25.3%对18.9%,慢性呼吸系统疾病44.7%对41.9%)。在日常活动受限方面,德国发现糖尿病(65.6%对60.6%)和慢性呼吸系统疾病(64.5%对57.6%)的比例更高。在疾病流行方面,德国在性别、年龄和教育程度上也有类似的差异,但在某种程度上,自我评估健康指标的差异低于欧洲平均水平。结论:需要进一步分析德国与欧洲平均水平之间所考虑的指标的差异以及可能的潜在因素,例如预防、诊断、疾病严重程度和护理方面的差异。欧洲各地观察到的教育不平等现象表明,在促进卫生公平方面有很大的潜力。
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引用次数: 0
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Journal of health monitoring
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