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International Journal of Public Health

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01.03.2019 | Original article

Health inequalities in terms of myocardial infarction and all-cause mortality: a study with German claims data covering 2006 to 2015

verfasst von: Siegfried Geyer, Juliane Tetzlaff, Sveja Eberhard, Stefanie Sperlich, Jelena Epping

Erschienen in: International Journal of Public Health | Ausgabe 3/2019

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Abstract

Objectives

International comparisons are suggesting that mortality inequalities may have changed in the last years, although not always into the same direction. Only a few studies examined myocardial infarction (MI). In our study, long-term developments of MI and all-cause mortality were considered by analysing social gradients by income.

Methods

German claims data covering 2006 to 2015 (N = 2,474,448) were used with myocardial infarction and all-cause mortality as outcomes. Socio-economic position was depicted by individual income. Health inequalities were measured by hazard ratios between and within income groups for 10 consecutive calendar years.

Results

In men, income gradients of MI and all-cause mortality were decreasing. In women, no income gradients emerged for MI, and they disappeared in mortality. In men, hazard ratios of MI and mortality decreased in the intermediate and in the lowest income thirds, thus leading to a reduction of MI-related health inequalities.

Conclusions

Income inequalities in terms of myocardial infarction and of mortality have narrowed in men, and those in the lowest income third were profiting most. No such changes were observed in women.

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Titel: Health inequalities in terms of myocardial infarction and all-cause mortality: a study with German claims data covering 2006 to 2015
verfasst von: Siegfried Geyer
Juliane Tetzlaff
Sveja Eberhard
Stefanie Sperlich
Jelena Epping
Publikationsdatum: 01.03.2019
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 3/2019
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-019-01224-1

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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