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von dem Knesebeck, O.* ; Mielck, A.

Soziale Ungleichheit und gesundheitliche Versorgung im höheren Lebensalter.

Z. Gerontol. Geriatr. 42, 39-46 (2009)
DOI PMC
Open Access Green as soon as Postprint is submitted to ZB.
In this article the association between social inequality and selected aspects of health care among the aged is analysed. Analyses are based on German data ( release 1) of the 'Survey of Health, Ageing and Retirement in Europe' ( SHARE) in 2004. Data from 1921 respondents aged 50 years or more are analysed. Three indicators of social inequality are used ( education, income, and financial assets). In terms of health care, indicators of geriatric assessment by the general practitioner of the respondent ( questions about balance, physical exercise, and drugs as well as examination of balance and weight control) and secondary prevention ( mammogram, endoscopic examination of colon, eye examination) are included. Results of cross-tabs and logistic regression analyses show that geriatric assessment is less comprehensive among people in a comparatively high socioeconomic position. On the other hand, people in a higher socioeconomic position use screening examinations more often than those in a lower position. Inconsistency of results indicates the necessity to distinguish different areas of health care when analysing social inequalities. Moreover, results indicate that no simple answer can be given to the question whether and to what extent social inequalities in health among older people can be explained by inequalities in medical care.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords social inequality; health care; geriatric assessment; screenings; socioeconomic-status; screening programs; management; access
ISSN (print) / ISBN 0948-6704
e-ISSN 1435-1269
Journal Zeitschrift für Gerontologie und Geriatrie
Quellenangaben Volume: 42, Issue: 1, Pages: 39-46 Article Number: , Supplement: ,
Publisher Springer
Publishing Place Heidelberg
Non-patent literature Publications
Reviewing status Peer reviewed
Institute(s) Institute of Health Economics and Health Care Management (IGM)