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Regionale Unterschiede des Gesundheitsverhaltens in Bayern - Mehrebenenanalyse einer bevölkerungsrepräsentativen Befragung in Verbindung mit sozioökonomischen Strukturdaten.
Regional differences in health behaviour in Bavaria - A multilevel analysis of a representative population questionnaire in combination with socioeconomic structural data
Gesundheitswesen 70, 28-37 (2008)
Es bestehen regionale Unterschiede der Sterblichkeit in Bayern. Eine vorangegangene Studie legte Verhaltensfaktoren und sozioökonomische Faktoren als Ursachen nahe. Ziel der vorliegenden Arbeit ist es, den Einfluss von verhaltensbedingten Risikofaktoren, sozioökonomischen Faktoren und regionalen Strukturen auf den individuellen Gesundheitszustand als Prädiktor der Sterblichkeit zu quantifizieren.
Objectives: There are regional differences in mortality in Bavaria. Although these regional differences in mortality were associated with behavioural risk factors and socioeconomic factors in a study conducted for this reason, the quantitative effect of behavioural risk factors and socioeconomic factors as well as the regional structure on the individual health as a predictor of mortality were not known. Methods: Persons between the age of 18 and 80 were interviewed with the Behavioral Risk Factor Surveillance System (BRFSS) in two Bavarian regions with high mortality, two Bavarian regions with low mortality and in the capital of Bavaria, Munich. For regional structural data, the INKAR database was used. Data were analysed descriptively, with a multivariable-adjusted logistic regression and with a multilevel analysis. Results: There were lower proportions of persons with a good or very good state of health as well as adverse results for overweight/adipositas, the behavioural risk factors for doing sports, smoking and consuming fruits and vegetables and the socioeconomic factors education and unemployment in the two regions with high mortality "Ostbayerische Grenzregion" and "Oberfranken" . In a multivariable adjusted logistic regression, the body mass index, smoking, doing sports, climbing stairs, consuming alcohol, being satisfied with the job and the interaction between education and marital status were found to have an influence on the individual health. The small remaining regional component could be explained in the multilevel analysis by different variables which describe the economical situation of the regions. Conclusions: In accordance with the study hypotheses, a consistency between behavioural risk factors and regional differences in mortality could be observed. Socioeconomic influences and a small regional component are involved. In addition to specific prevention programmes for the target groups, structural support is also meaningful with regard to its potential health impact.
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Publication type
Article: Journal article
Document type
Scientific Article
Keywords
Bayern; Mortalität; Multilevelanalyse; Gesundheitsverhalten; sozioökonomische Faktoren
ISSN (print) / ISBN
0941-3790
e-ISSN
1439-4421
Journal
Gesundheitswesen, Das
Quellenangaben
Volume: 70,
Issue: 1,
Pages: 28-37
Publisher
Thieme
Publishing Place
Stuttgart
Non-patent literature
Publications
Reviewing status
Peer reviewed