ArticleDeutsches Arzteblatt international2020
District-Level Life Expectancy in Germany.
Article in Deutsches Arzteblatt international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed.
- Article
- The geography of American longevity: structural determinants of a 20-year life expectancy divide and a federal policy blueprint.Frontiers in public health · 2026Review
- Unravelling the determinants of life expectancy during and after the COVID-19 pandemic: a qualitative comparative analysis.Journal of global health · 2025Article
- The life expectancy gap: Socioeconomic differences in life expectancy between areas in Germany.Journal of health monitoring · 2025Article
- Evaluation of a validated questionnaire to assess the need for prevention or rehabilitation by preventive health examinations: a cross-sectional study of German employees aged 45 to 59 years (Ü45-check).Frontiers in public health · 2025Article
- Estimation and probabilistic projection of age- and sex-specific mortality rates across Brazilian municipalities between 2010 and 2030.Population health metrics · 2024Article
- [Regional differences and trends in healthy life expectancy in Germany].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- [Socioeconomic deprivation and premature mortality in Germany, 1998-2021 : An ecological study with what-if scenarios of inequality reduction].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024Article
- Subnational estimates of life expectancy at birth in India: evidence from NFHS and SRS data.BMC public health · 2024Article
- Article
- Reality of treatment for severely injured patients: are there age-specific differences?BMC emergency medicine · 2024Article
- The underwhelming German life expectancy.European journal of epidemiology · 2023Article
- Different health systems - Different mortality outcomes? Regional disparities in avoidable mortality across German-speaking Europe, 1992-2019.Social science & medicine (1982) · 2023Article
- Diabetes in all hospitalized cases in Germany 2015-2019 and impact of the first COVID-19 year 2020.Endocrine connections · 2023Article
- German Index of Socioeconomic Deprivation (GISD): Revision, update and applications.Journal of health monitoring · 2022Article
- Quantifying the contribution of smoking to regional mortality disparities in Germany: a cross-sectional study.BMJ open · 2022Article
- Social Determinants of Remaining Life Expectancy at Age 60: A District-Level Analysis in Germany.International journal of environmental research and public health · 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
- Redistributing ill-defined causes of death - a case study from the BURDEN 2020-project in Germany.Archives of public health = Archives belges de sante publique · 2021Article
- Years of Life Lost to Death—A Comprehensive Analysis of Mortality in Germany Conducted as Part of the BURDEN 2020 ProjectDeutsches Arzteblatt international · 2021Article
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIdentifying regions with low life expectancy is important to policy makers, in particular for allocating resources in the health system. Life expectancy estimates for small regions are, however, often unreliable and lead to statistical uncertainties when the underlying populations are relatively small.
methodsWe combine the most recent German data available (2015-2017) with a Bayesian model that includes several methodological advances. This allows us to estimate male and female life expectancy with good precision for all 402 German districts and to quantify the uncertainty of those estimates.
resultsAcross districts, life expectancy varies between 75.8 and 81.2 years for men and from 81.8 to 85.7 years for women. The spatial pattern is similar for women and men. Rural districts in eastern Germany and some districts of the Ruhr region have relatively low life expectancy. Districts with relatively high life expectancies cluster in Baden-Wuerttemberg and southern Bavaria. Exploratory analysis shows that average income, population density, and number of physicians per 100 000 inhabitants are not strongly correlated with life expectancy at district level. In contrast, indicators that point to particularly disadvantaged segments of the population (unemployment rate, welfare benefits) are better predictors of life expectancy.
conclusionsWe do not find a consistent urban-rural gap in life expectancy. Our results suggest that policies that improve living standards for poorer segment of the population are the most likely to reduce the existing differences in life expectancy.
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