Belau, Matthias and Becher, Heiko and Riefflin, Maya and Bartig, Dirk and Schwettmann, Lars and Schwarzbach, Christopher Jan and Grau, Armin J. (2024) Deprivation and stroke incidence, treatment and mortality in Germany. European Journal of Public Health, 34 (Supp.3). ISSN 1101-1262 - 1464-360X

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Abstract

Background: Previous research suggests that regional deprivation significantly influences the risk of stroke. However, little is known about regional differences in stroke incidence and mortality within Germany. Methods: We utilized data from the Diagnosis Related Groups statistics (2016-2019) and the German Federal Register of Physicians (2019). We used negative binomial regression analysis to investigate the relationship between the German Index of Multiple Deprivation 2015, covering 401 districts and district-free cities in Germany, and stroke incidence, treatment, and mortality. Results: The adjusted rate ratios of stroke incidence and mortality with the highest deprivation level compared with the least deprived area were 1.16 (95% CI [1.14, 1.17]) and 1.19 (95% CI [1.14, 1.23]), respectively. Furthermore, this study showed that the density of physicians was higher in district-free cities than in districts. Conclusions: The findings document a relationship between regional deprivation and stroke incidence and mortality, and call for a more targeted approach to stroke prevention in deprived regions.

Item Type:	Article
Subjects:	Technology, medicine, applied sciences > Medicine and health
Divisions:	Faculty of Medicine and Health Sciences > Department of Public Health and Medical Education
Date Deposited:	12 Mar 2025 09:07
Last Modified:	12 Mar 2025 09:07
URI:	https://oops.uni-oldenburg.de/id/eprint/7149
URN:	urn:nbn:de:gbv:715-oops-72307
DOI:	10.1093/eurpub/ckae144.1439
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