Evidence map›Paper›PMID 36628258›Full record

ArticleJournal of health monitoring2022

German Index of Socioeconomic Deprivation (GISD): Revision, update and applications.

Niels Michalski, Marvin Reis, Fabian Tetzlaff, Meik Herber, Lars Eric Kroll, Claudia Hövener, Enno Nowossadeck, Jens Hoebel

Abstract read
In one paragraph

Article in Journal of health monitoring, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed.

  1. Article
  2. Article
  3. [The very elderly in Germany: demography, regional inequalities, and health-an overview].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026
    Review
  4. Article
  5. Article
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  7. Article
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  9. Article
  10. Article
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  12. Observational
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  16. Article
  17. BMJ open · 2026
    Article
  18. Article
  19. Article
  20. Social inequalities in cancer in Germany: a call to action.Journal of cancer research and clinical oncology · 2026
    Review

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Niels MichalskiRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Marvin ReisRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Fabian TetzlaffRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Meik HerberRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Lars Eric KrollZentralinstitut für die kassenärztliche Versorgung in Deutschland, Fachbereich Data Science und Versorgungsanalysen.
Claudia HövenerRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Enno NowossadeckRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.
Jens HoebelRobert Koch Institute, Berlin Department of Epidemiology and Health Monitoring.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Regional deprivation indices enable researchers to analyse associations between socioeconomic disadvantages and health outcomes even if the health data of interest does not include information on the individuals' socioeconomic position. This article introduces the recent revision of the German Index of Socioeconomic Deprivation (GISD) and presents associations with life expectancy as well as age-standardised cardiovascular mortality rates and cancer incidences as applications. Methods: The GISD measures the level of socioeconomic deprivation using administrative data of education, employment, and income situations at the district and municipality level from the INKAR database. The indicators are weighted via principal component analyses. The regional distribution is depicted cartographically, regional level associations with health outcomes are presented. Results: The principal component analysis indicates medium to high correlations of the indicators with the index subdimensions. Correlation analyses show that in districts with the lowest deprivation, the average life expectancy of men is approximately six years longer (up to three years longer for women) than for those from districts with the highest deprivation. A similar social gradient is observed for cardiovascular mortality and lung cancer incidence. Conclusions: The GISD provides a valuable tool to analyse socioeconomic inequalities in health conditions, diseases, and their determinants at the regional level.

Indexed as

GISDHEALTH INEQUALITYINKARREGIONAL INEQUALITYSOCIAL DEPRIVATION

Identifiers

PMID36628258
PMCPMC9768633

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.