Indebtedness and mortality: analysis at county and city levels in Germany

Das Gesundheitswesen
P Brzoska, O Razum

Abstract

Little is known about the influence of individual debts on health inequalities in Germany. Studies from English-language countries have shown that indebtedness is a great burden in every-day life that leads to mental stress and is related to negative health outcomes. Our paper, for the first time, analyses the role of indebtedness on mortality in Germany. Using ecological level data of Germany's 439 administrative districts, we assessed the role of unemployment, income, educational level, population density, regional prosperity, number of hospital beds and of the independent effect of indebtedness on mortality. The variance explained by indebtedness was determined by means of multiple linear regression models. Data were provided by the Federal Statistical Office of Germany and Schufa Holding AG. Indebtedness and unemployment are moderately correlated. Even so, a significant independent effect of indebtedness on mortality can be shown. Indebtedness contributes to the explanation of health inequalities and, together with other socioeconomic factors and the federal state, explains 59% of the variance in age-standardised district level mortality. Indebtedness explains 6% of variance. For the first time in Germany, this study shows ...Continue Reading

Citations

Jun 3, 2014·BMC Public Health·Elina Turunen, Heikki Hiilamo
Oct 22, 2010·Zeitschrift für Psychosomatische Medizin und Psychotherapie·Stefanie WagnerManfred E Beutel
Apr 11, 2015·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·T BrandHajo Zeeb
Dec 30, 2014·Public Health·P Brzoska, O Razum
Aug 6, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Taryn E TravisJeffrey W Shupp
Aug 30, 2013·Chronic Illness·Yüce Yilmaz-AslanOliver Razum
Sep 29, 2015·Kölner Zeitschrift für Soziologie und Sozialpsychologie·Eva U B KibeleRembrandt D Scholz
Jun 16, 2017·Zeitschrift für Gerontologie und Geriatrie·Patrick BrzoskaStephan Probst
Nov 11, 2019·International Journal of Public Health·Belén Sanz-BarberoMaría Victoria Zunzunegui

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