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Grundmann, N. ; Mielck, A. ; Siegel, M.* ; Maier, W.

Area deprivation and the prevalence of type 2 diabetes and obesity: Analysis at the municipality level in Germany.

BMC Public Health 14:1264 (2014)
Verlagsversion DOI
Open Access Gold
Creative Commons Lizenzvertrag
Background The objective of this study was to analyse the association between area deprivation at municipality level and the prevalence of type 2 diabetes (T2D) and obesity across Germany, controlling for individual socioeconomic status (SES). Methods The analyses are based on a large survey conducted in 2006. Information was included from 39,908 adults aged 20 years or above. Area deprivation was assessed using the German Index of Multiple Deprivation (GIMD) at municipality level. About 4,700 municipalities could be included and assigned to a deprivation quintile. Individual SES was assessed by income and educational level. Multilevel logistic models were used to control for individual SES and other potential confounders such as age, sex and physical activity. Results We found a positive association of area deprivation with T2D and obesity. Controlling for all individual-level variables, the odds ratios for municipalities in the most deprived quintile were significantly increased for T2D (OR 1.35; 95% CI 1.12-1.64) as well as for obesity (OR 1.14; 95% CI 1.02-1.26). Further analyses showed that these associations were relatively similar for both men and women. Conclusions Based on a nationwide dataset, we were able to show that area deprivation at municipality level is significantly associated with the prevalence of T2D and obesity. It will be important to focus preventive efforts on very deprived municipalities.
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Publikationstyp Artikel: Journalartikel
Dokumenttyp Wissenschaftlicher Artikel
Schlagwörter Area Deprivation ; Type 2 Diabetes ; Obesity ; Social Inequalities ; Municipalities ; Germany; Cardiovascular Risk-factors; Socioeconomic-status; Neighborhood Deprivation; Multilevel Analysis; Multiple Deprivation; Regional Deprivation; Health; Population; Mellitus; Inequalities
ISSN (print) / ISBN 1471-2458
e-ISSN 1471-2458
Zeitschrift BMC Public Health
Quellenangaben Band: 14, Heft: , Seiten: , Artikelnummer: 1264 Supplement: ,
Verlag BioMed Central
Verlagsort London