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2019-08-30Zeitschriftenartikel DOI: 10.25646/6550
Trends in socioeconomic inequalities in self-rated health in Germany: a time-trend analysis of repeated cross-sectional health surveys between 2003 and 2012
dc.contributor.authorWachtler, Benjamin
dc.contributor.authorHoebel, Jens
dc.contributor.authorLampert, Thomas
dc.date.accessioned2020-03-17T10:36:59Z
dc.date.available2020-03-17T10:36:59Z
dc.date.issued2019-08-30none
dc.identifier.other10.1136/bmjopen-2019-030216
dc.identifier.urihttp://edoc.rki.de/176904/6519
dc.description.abstractObjectives This study assessed the extent of educational and income inequalities in self-rated health (SRH) in the German adult population between 2003 and 2012 and how these inequalities changed over time. Design Repeated cross-sectional health interview surveys conducted in 2003, 2009, 2010 and 2012. Setting and participants The study population was the German adult population aged 25–69, living in private households in Germany. In total 54 197 randomly selected participants (2003: 6890; 2009: 16 418; 2010: 17 145; 2012: 13 744) were included. Main outcome measures SRH was assessed with one single question. Five answer categories were dichotomised into good (‘very good’ and ‘good’) versus poor (‘moderate’, ‘poor’, ‘very poor’) SRH. To estimate the extent of the correlation between absolute and relative inequalities in SRH on the one hand, and income and education on the other; slope indices of inequality (SII) and relative indices of inequality (RII) were estimated using linear probability and log-binomial regression models. Results There were considerable and persisting educational and income inequalities in SRH in every survey year. Absolute educational inequalities were largely stable (2003: SII=0.25, 95% CI 0.21 to 0.30; 2012: 0.29, 95% CI 0.25 to 0.33; p trend=0.359). Similarly, absolute income inequalities were stable (2003: SII=0.22, 95% CI 0.17 to 0.27; 2012: SII=0.26, 95% CI 0.22 to 0.30; p trend=0.168). RII by education (2003: 2.53, 95% CI 2.11 to 3.03; 2012: 2.72, 95% CI 2.36 to 3.13; p trend=0.531) and income (2003: 2.09. 95% CI 1.75 to 2.49; 2012: 2.53, 95% CI 2.19 to 2.92; p trend=0.051) were equally stable over the same period. Conclusions We found considerable and persisting absolute and relative socioeconomic inequalities in SRH in the German adult population between 2003 and 2012, with those in lower socioeconomic position reporting poorer SRH. These findings should be a concern for both public health professionals and political decision makers.eng
dc.language.isoengnone
dc.publisherRobert Koch-Institut
dc.rights(CC BY 3.0 DE) Namensnennung 3.0 Deutschlandger
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/de/
dc.subjecthealth inequalitieseng
dc.subjectself-rated healtheng
dc.subjectsocioeconomic inequalitieseng
dc.subjecttime trendseng
dc.subject.ddc610 Medizin und Gesundheitnone
dc.titleTrends in socioeconomic inequalities in self-rated health in Germany: a time-trend analysis of repeated cross-sectional health surveys between 2003 and 2012none
dc.typearticle
dc.identifier.urnurn:nbn:de:kobv:0257-176904/6519-7
dc.identifier.doihttp://dx.doi.org/10.25646/6550
dc.type.versionpublishedVersionnone
local.edoc.container-titleBMJ Opennone
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttps://bmjopen.bmj.com/content/9/9/e030216.infonone
local.edoc.container-publisher-nameBMJ Publishingnone
local.edoc.container-volume9none
local.edoc.container-issue9none
local.edoc.container-year2019none
local.edoc.container-firstpage1none
local.edoc.container-lastpage10none
local.edoc.rki-departmentEpidemiologie und Gesundheitsmonitoringnone
dc.description.versionPeer Reviewednone

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