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Introduction

  • Eva U. B. Kibele
Chapter
Part of the Demographic Research Monographs book series (DEMOGRAPHIC)

Abstract

Since reunification, great efforts have been made in Germany to achieve comparable social and economic conditions in the two parts of the country, including in the area of health. By the 2000s, the East-west life expectancy gap had closed among women, though it persisted among men. Amid these ambitious campaigns to equalize social and economic conditions at the macro level, the small-scale differences that remained attracted less attention. Although Germany is a country with a federal system, attempts were nonetheless made to create comparable living conditions (gleichwertige Lebensverhältnisse) throughout the country, as is prescribed in the German Constitution (Barlösius 2006).

Keywords

Federal State Health Equity Mortality Difference Population Composition German Federal State 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Anand, S. (2002). The concern for equity in health. Journal of Epidemiology and Community Health, 56(7), 485–487.CrossRefGoogle Scholar
  2. Antonovsky, A. (1967). Social class, life expectancy and overall mortality. The Milbank Memorial Fund Quarterly, 45(2, Part 1), 31–73.CrossRefGoogle Scholar
  3. Barlösius, E. (2006). Gleichwertig ist nicht gleich. Aus Politik und Zeitgeschichte, 37, 16–23.Google Scholar
  4. Bertelsmann Stiftung (Ed.). (2006). Wegweiser Demographischer Wandel 2020. Analysen und Handlungskonzepte für Städte und Gemeinden. Gütersloh: Verlag Bertelsmann Stiftung.Google Scholar
  5. Christensen, K., Doblhammer, G., Rau, R., & Vaupel, J. W. (2009). Ageing populations: The challenges ahead. The Lancet, 374(9696), 1196–1208.CrossRefGoogle Scholar
  6. Cromm, J., & Scholz, R. (Eds.). (2002). Regionale Sterblichkeit in Deutschland. Augsburg/Göttingen: WiSoMed.Google Scholar
  7. Dahlgren, G, & Whitehead, M. (2007). Policies and strategies to promote social equity in health. Background document to WHO–Strategy paper for Europe. Working Paper Institutet för Framtidsstudier 14.Google Scholar
  8. Diehl, K. (2008). Mögliche Faktoren für die rasche Reduktion der ostdeutschen Übersterblichkeit nach der Wiedervereinigung. Warum leben Ostdeutsche seit der Wiedervereinigung länger? Zeitschrift für Bevölkerungswissenschaft, 33(1), 89–110.CrossRefGoogle Scholar
  9. Dinkel, R. H. (2000). Fertilität und Mortalität als Bestimmungsfaktoren der Bevölkerungsentwicklung in Mecklenburg-Vorpommern. In Schweriner Wissenschafstage 2000(pp. 16–30). Schwerin.Google Scholar
  10. European Communities. (2009). Health statistics–Atlas on mortality in the European Union. Luxembourg: Office for Official Publications of the European Communities.Google Scholar
  11. Ezzati, M., Friedman, A. B., Kulkarni, S. C., & Murray, C. J. L. (2008). The reversal of fortunes: Trends in county mortality and cross-county mortality disparities in the United States. PLoS Medicine, 5(4), e66.CrossRefGoogle Scholar
  12. Gans, P. (2008). Klare regionale Unterschiede der Lebenserwartung. In Nationalatlas aktuell. Leipzig: Leibniz-Institut für Länderkunde (IfL).Google Scholar
  13. Geyer, S., & Peter, R. (1999). Occupational status and all-cause mortality. A study with health insurance data from Nordrhein-Westfalen, Germany. European Journal of Public Health, 9(2), 114–118.CrossRefGoogle Scholar
  14. Gjonça, A., Brockmann, H., & Maier, H. (2000). Old-Age mortality in Germany prior to and after reunification. Demographic Research, 3(1).Google Scholar
  15. Helmert, U. (2005). The impact of occupation and family status on overall mortality in a cohort of male members of a health insurance fund in Germany. Journal of Public Health, 13(3), 138–143.CrossRefGoogle Scholar
  16. Human Mortality Database. (2008b). Data for all countries in the Human Mortality Database. University of California, Berkeley (USA), and Max Planck Institute for Demographic Research (Germany). Available at www.mortality.orgor www.humanmortality.de. Data downloaded on 22 Oct 2008.
  17. Kröhnert, S., Medicus, F., & Klingholz, R. (2006). Die demografische Lage der Nation. Wie zukunftsträchtig sind Deutschlands Regionen?München: Deutscher Taschenbuch Verlag.Google Scholar
  18. Kunst, A. E., Bos, V., Santana, P., Valkonen, T., Mackenbach, J. P., Andersen, O., Cardano, M., Costa, G., Harding, S., Örjan Hemström, R., Layte, E. R., & Reid, A. (2004). Monitoring of trends in socioeconomic inequalities in mortality. Experiences from a European project. Demographic Research (Special Collection), 2(9), 229–254.CrossRefGoogle Scholar
  19. Lampert, T., & Kroll, L. E. (2006). Einkommensdifferenzen in der Gesundheit und Lebenserwartung–Quer- und Längsschnittbefunde des Sozio-oekonomischen Panels (SOEP). Das Gesundheitswesen, 68(4), 219–230.CrossRefGoogle Scholar
  20. Leon, D. A. (2001). Common threads: Underlying components of inequalities in mortality between and within countries. In D. Leon & G. Walt (Eds.), Poverty, inequality, and health: An international perspective(pp. 58–87). Oxford: Oxford University Press.Google Scholar
  21. Leon, D. A., & Walt, G. (2001). Poverty, inequality, and health in international perspective: A divided world? In D. Leon & G. Walt (Eds.), Poverty, inequality, and health: An international perspective(pp. 1–17). Oxford: Oxford University Press.Google Scholar
  22. Luy, M. (2004). Verschiedene Aspekte der Sterblichkeitsentwicklung in Deutschland von 1950-2000. Zeitschrift für Bevölkerungswissenschaft, 29(1), 3–62.Google Scholar
  23. Luy, M. (2006). Differentielle Sterblichkeit: die ungleiche Verteilung der Lebenserwartung in Deutschland (Rostocker Zentrum–Diskussionspapier 6).Google Scholar
  24. Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104.Google Scholar
  25. Marmot, M., Friel, S., Bell, R., Houweling, T. A. J., Taylor, S., & on behalf of the Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. The Lancet, 372(9650), 1661–1669.CrossRefGoogle Scholar
  26. Mielck, A. (2005). Soziale Ungleichheit und Gesundheit. Einführung in die aktuelle Diskussion. Bern: Huber.Google Scholar
  27. Mielck, A. (2007). Erklärungsmodelle regionaler Gesundheitsunterschiede; Fachinformation Gesundheit; Zusammenstellung der wissenschaftlichen Evidenz für das Projekt Gesundheit regional–Eine bevölkerungsrepräsentative Befragung zum Gesundheitsverhalten in Bayern. Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit.Google Scholar
  28. Mielck, A. (2008). Soziale Ungleichheit und Gesundheit in Deutschland. Die internationale Perspektive. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 51(3), 345–352.CrossRefGoogle Scholar
  29. Murray, C. J. L., Kulkarni, S. C., Michaud, C., Tomijima, N., Bulzacchelli, M. T., Iandiorio, T. J., & Ezzati, M. (2006). Eight Americas: Investigating mortality disparities across races, counties, and race-counties in the United States. PLoS Medicine, 3(9), 1513–1524.CrossRefGoogle Scholar
  30. Neu, C. (2006). Territoriale Ungleichheit–eine Erkundung. Aus Politik und Zeitgeschichte, 37, 8–15.Google Scholar
  31. Pickett, K. E., & Pearl, M. (2001). Multilevel analyses of neighbourhood socioeconomic context and health outcomes: A critical review. Journal of Epidemiology and Community Health, 55(2), 111–122.CrossRefGoogle Scholar
  32. Razum, O., Altenhöner, T., Breckenkamp, J., & Voigtländer, S. (2008). Social epidemiology after the German reunification: East vs. West or poor vs. rich? International Journal of Public Health, 53(1), 13–22.CrossRefGoogle Scholar
  33. Reil-Held, A. (2000). Einkommen und Sterblichkeit in Deutschland: Leben Reiche länger? Beiträge zur angewandten Wirtschaftsforschung, Universität Mannheim 580-00.Google Scholar
  34. Riva, M., Gauvin, L., & Barnett, T. A. (2007). Toward the next generation of research into small area effects on health: A synthesis of multilevel investigations published since July 1998. Journal of Epidemiology and Community Health, 61(10), 853–861.CrossRefGoogle Scholar
  35. Sen, A. (2002). Why health equity? Health Economics, 11(8), 659–666.CrossRefGoogle Scholar
  36. Shkolnikov, V. M., Scholz, R., Jdanov, D. A., Stegmann, M., & von Gaudecker, H.-M. (2008). Length of life and the pensions of five million retired German men. European Journal of Public Health, 18(3), 264–269.CrossRefGoogle Scholar
  37. Statistisches Bundesamt. (Ed.) (2006). Datenreport 2006. Bundeszentrale für politische Bildung.Google Scholar
  38. Swiaczny, F., Graze, P., & Schlömer, C. (2009). Spatial impacts of demographic change in Germany. Urban population processes reconsidered. Zeitschrift für Bevölkerungswissenschaft, 33(2), 181–205.CrossRefGoogle Scholar
  39. Townsend, P., & Davidson, N. (Eds.). (1992). Inequalities in health: The black report and the health divide. London: Penguin.Google Scholar
  40. Valkonen, T. (2001). Trends in differential mortality in European countries. In J. Vallin, F. Meslé, & T. Valkonen (Eds.), Trends in mortality and differential mortality(Population studies, Vol. 36, pp. 185–321). Strasbourg: Council of Europe.Google Scholar
  41. Voigtländer, S., Berger, U., & Razum, O. (2010). Zunehmende regionale Unterschiede bei den Lebensverhältnissen in Deutschland und ihre Bedeutung für die Erklärung gesundheitlicher Ungleichheit. Das Gesundheitswesen, 72(5), 301–308.CrossRefGoogle Scholar
  42. Weber, A., & Klingholz, R. (2009). Demografischer Wandel. Ein Politikvorschlag unter besonderer Berücksichtigung der Neuen Länder. Bundesministerium für Verkehr, Bau und Stadtentwicklung.Google Scholar
  43. WHO Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization.Google Scholar
  44. World Health Organization Europe. (1998). HEALTH21: an introduction to the health for all policy framework for the WHO European Region. Copenhagen: World Health Organization.Google Scholar
  45. Zöllner, H. (2002). National policies for reducing social inequalities in health in Europe. Scandinavian Journal of Public Health, 30(6), 6–11.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht. 2012

Authors and Affiliations

  1. 1.Population Research Centre, Faculty of Spatial Sciences & Healthy Ageing: Population and Society (HAPS)University of GroningenGroningenThe Netherlands

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