Cited by 40Health disparities and outcomesPublic Health and Social InequalitiesHealth and Medical Studies

Health inequalities in Germany and in international comparison: trends and developments over time

Open access
Robert Koch-Institut·2018·RKI-Bib1 (Robert Koch-Institut)

Abstract

Social epidemiological research has consistently demonstrated that people with a low socioeconomic status are particularly at risk of diseases, health complaints and functional limitations, and die at younger ages than those with a higher socioeconomic status. Greater stresses and strains in the workplace, family and living environment are under discussion as possible explanations. Health-related behaviours, psycho-social factors and personal resources, which are important in coping with everyday demands, certainly also play a role. From a public health and health policy perspective, reducing these health inequalities is an important goal. Insights into developments and trends in health inequalities over time can contribute towards highlighting new and emerging problems, and can thus help identify possible target groups and settings for relevant interventions. At the same time, these insights provide a basis upon which the success of policies and programmes that have already been implemented can be analysed and measured. Against this background, this review examines how health inequalities in Germany have developed over the last 20 to 30 years and places its findings within the context of the latest international research in this field.

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  1. [1]Siegrist J Marmot MG (Eds) (2006) Social inequalities in health: new evidence and policy implications. Oxford University Press, Oxford; New York
  2. [34]Hoebel J Kuntz B Kroll LE (2018) Trends in absolute and relative educational inequalities in adult smoking since the early 2000s: the case of Germany. Nicotine Tob Res 20(3): 295- 302 28431153
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  6. [90]Deboosere P Gadeyne S Van Oyen H (2009) The 1991–2004 evolution in life expectancy by educational level in Belgium based on linked census and population register data. Eur J Popul 25(2): 175- 196
  7. [93]Lampert T Mielck A (2008) Gesundheit und soziale Ungleichheit. Eine Herausforderung für Forschung und Politik. G+G Wissenschaft 8(2): 7- 16
  8. [102]Department of Health (2009) Tackling Health Inequalities: 10 Years On - A review of developments in tackling health inequalities in England over the last 10 years Department of Health, London

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Authors
Koch-Institut, R.
Affiliations
Robert Koch Institute (DE)
Corresponding author
Robert Koch-Institut
Venue
RKI-Bib1 (Robert Koch-Institut)
Publisher
RKI-Bib1 (Robert Koch-Institut)
Published
2018
Volume
3
Issue
Suppl 1
Pages
1-24
OpenAlex
W2797581473
Cited by
40
References
75
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 6 · 2022: 10 · 2021: 4 · 2020: 6 · 2019: 5
FWCI
4.02
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Publication server of the Robert Koch Institute (Robert Kock Institute) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • Research Data Centre at the Robert Koch Institute
  • PubMed
Topics
  • Social Sciences › Health › Health disparities and outcomes
  • Social Sciences › Health › Public Health and Social Inequalities
  • Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
Keywords
health disparities, socioeconomic status, temporal trends, Germany, cross-national comparison, health policy, health behavior, psychosocial factors, coping resources

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