Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment

Reiss K, Berger U, Winkler V, Voigtländer S, Becher H, Razum O (2013)
Journal of epidemiology and community health 67(3): 213-218.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
Reiss, KatharinaUniBi; Berger, Ursula; Winkler, Volker; Voigtländer, Sven; Becher, Heiko; Razum, OliverUniBi
Abstract / Bemerkung
BACKGROUND AND OBJECTIVE: We assessed the effect of regional deprivation on individual mortality by making use of a natural experiment: we followed up ethnic German resettlers from Former Soviet Union countries who were quasi-randomly distributed across the socioeconomically heterogeneous counties of Germany's federal state North Rhine-Westphalia (NRW). METHODS: We used data from the retrospective cohort study 'AMOR' on the mortality of resettlers in NRW (n=34 393). Based on the postcode of the last known residence we linked study participants to the 54 counties of NRW, which were aggregated in six deprivation clusters. Mortality rates and standardised mortality ratios (SMRs) were calculated for each cluster. After a mean follow-up of 10 years, 2580 resettlers were deceased. RESULTS: For male and female cohort members, mortality rates and SMRs were highest in the cluster 'poverty poles' (SMR men: 1.21, 95% CI 1.04 to 1.41; SMR women: 1.17, 95% CI 0.99 to 1.37), whereas they were lowest in the cluster 'prospering regions and suburban counties' (SMR women: 0.86, 95% CI 0.70 to 1.05) as well as in the cluster 'heterogeneous counties' (SMR men: 0.73, 95% CI 0.61 to 0.88). CONCLUSIONS: The population which was quasi-randomly distributed to counties of differing socioeconomic status experienced different levels of mortality. It was highest in regions with the highest level of regional deprivation. Previous studies describing this positive relationship between mortality and regional deprivation could not differentiate between compositional and contextual effects. Thus, our findings indicate that in terms of mortality, regional deprivation does matter.
Erscheinungsjahr
2013
Zeitschriftentitel
Journal of epidemiology and community health
Band
67
Ausgabe
3
Seite(n)
213-218
ISSN
0143-005X
Page URI
https://pub.uni-bielefeld.de/record/2561024

Zitieren

Reiss K, Berger U, Winkler V, Voigtländer S, Becher H, Razum O. Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment. Journal of epidemiology and community health. 2013;67(3):213-218.
Reiss, K., Berger, U., Winkler, V., Voigtländer, S., Becher, H., & Razum, O. (2013). Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment. Journal of epidemiology and community health, 67(3), 213-218. doi:10.1136/jech-2012-201336
Reiss, K., Berger, U., Winkler, V., Voigtländer, S., Becher, H., and Razum, O. (2013). Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment. Journal of epidemiology and community health 67, 213-218.
Reiss, K., et al., 2013. Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment. Journal of epidemiology and community health, 67(3), p 213-218.
K. Reiss, et al., “Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment”, Journal of epidemiology and community health, vol. 67, 2013, pp. 213-218.
Reiss, K., Berger, U., Winkler, V., Voigtländer, S., Becher, H., Razum, O.: Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment. Journal of epidemiology and community health. 67, 213-218 (2013).
Reiss, Katharina, Berger, Ursula, Winkler, Volker, Voigtländer, Sven, Becher, Heiko, and Razum, Oliver. “Assessing the effect of regional deprivation on mortality avoiding compositional bias: a natural experiment”. Journal of epidemiology and community health 67.3 (2013): 213-218.

3 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

Aussiedler Mortality (AMOR): cohort studies on ethnic German migrants from the Former Soviet Union.
Winkler V, Kaucher S, Deckert A, Leier V, Holleczek B, Meisinger C, Razum O, Becher H., BMJ Open 9(2), 2019
PMID: 30798314
Healthy Migrants in an Unhealthy City? The Effects of Time on the Health of Migrants Living in Deprived Areas of Glasgow.
Kearns A, Whitley E, Egan M, Tabbner C, Tannahill C., J Int Migr Integr 18(3), 2017
PMID: 28804271
Explaining health inequalities: the role of space and time.
Razum O, Voigtländer S, Berger U., Int J Public Health 59(3), 2014
PMID: 24687449

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