ArticlePloS one2020
Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed, 32 citations in OpenAlex.
- Getting better or worse? How trends in healthy life expectancy within working age are shaped by diverging trends among age groups.European journal of public health · 2026Article
- More Drugs and Fewer Strokes? Time Trends in CVD Medication and Incidence of Stroke With German Health Insurance Data.Pharmacoepidemiology and drug safety · 2025Article
- Socio-Demographic and Disability Disparities in Stroke by Citizenship Status: A Cross-Sectional Analysis.Journal of immigrant and minority health · 2024Article
- Healthy enough to work up to age 67 and beyond? A longitudinal population-based study on time trends in working life expectancy free of cardiovascular diseases based on German health insurance data.BMJ public health · 2024Article
- [How has life expectancy without functional limitations developed in Germany? An analysis with data from the German Ageing Survey (DEAS)].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Cumulative Systolic Blood Pressure and Incident Stroke Type Variation by Race and Ethnicity.JAMA network open · 2024Article
- [Healthier at work for longer? Trends in life years free of cardiovascular and musculoskeletal diseases in the employed and general population based on health insurance claims data].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Disability-Related Mortality Inequity in South Korea: Comparison in Terms of Seoul Metropolitan/Non-Metropolitan Areas and Income Levels.Healthcare (Basel, Switzerland) · 2024Article
- The relationship of income on stroke incidence in Finland and China.European journal of public health · 2023Article
- Is the socioeconomic inequality in stroke prognosis changing over time and does quality of care play a role?European stroke journal · 2023Article
- Living longer, working longer: analysing time trends in working life expectancy in Germany from a health perspective between 2002 and 2018.European journal of ageing · 2022Article
- Compression and Expansion of Morbidity—Secular Trends Among Cohorts of the Same AgeDeutsches Arzteblatt international · 2022Review
- Temporal trend of first-ever ischaemic stroke incidence from 2010 to 2019 in South Korea: a nationwide retrospective cohort study.BMJ open · 2022Article
- Hemodynamic signal changes and swallowing improvement of repetitive transcranial magnetic stimulation on stroke patients with dysphagia: A randomized controlled study.Frontiers in neurology · 2022Article
- Time Trends and Income Inequalities in Cancer Incidence and Cancer-Free Life Expectancy - a Cancer Site-Specific Analysis of German Health Insurance Data.Frontiers in oncology · 2022Article
- Widening or narrowing income inequalities in myocardial infarction? Time trends in life years free of myocardial infarction and after incidence.Population health metrics · 2021Article
- Development of comorbidities in type 2 diabetes between 2005 and 2017 using German claims data.Scientific reports · 2021Article
- Socioeconomic inequalities in lung cancer - a time trend analysis with German health insurance data.BMC public health · 2021Article
- Social inequalities in mild and severe myocardial infarction: how large is the gap in health expectancies?BMC public health · 2021Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to substantial improvements in prevention and therapy, stroke incidence and mortality rates have decreased during the last decades, but evidence is still lacking on whether all socioeconomic groups benefited equally and how the length of life affected by stroke developed over time. Our study investigates time trends in stroke-free life years and life years affected by stroke. Special emphasis is given to the question whether trends differ between income groups, leading to decreasing or increasing social inequalities.
methodsThe analyses are based on claims data of a German statutory health insurance company of the two time periods 2006-2008 and 2014-2016. Income inequalities and time trends in incidence and mortality risks were estimated using multistate survival models. Trends in stroke-free life years and life years affected by stroke are analysed separately for income groups by applying multistate life table analyses.
resultsStroke incidence and mortality risks decreased in men and women in all income groups. While stroke-free lifetime could be gained in men having higher incomes, improvements in mortality counterbalanced decreasing incidences, leading to increases in life years affected by stroke among men of the lower and higher income group. Among women, no significant changes in life years could be observed.
conclusionsChanges in stroke-affected life years occur among men in all income groups, but are more pronounced in the higher income group. However, irrespective of the income group the proportion of stroke-affected life years remains quite stable over time, pointing towards constant inequalities. Further research is needed on whether impairments due to stroke reduced over time and whether all socioeconomic groups are affected equally.
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