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

BMC Public Health

Werner Maier²  Martin Siegel³  Andreas Mielck²  Nina Grundmann¹ 

[1]Bavarian Health and Food Safety Authority, Erlangen, Germany

[2]Helmholtz Zentrum München – German Research Center for Environmental Health (GmbH), Institute of Health Economics and Health Care Management, Neuherberg, Germany

[3]Berlin Centre of Health Economics Research (BerlinHECOR), Department of Health Care Management, Technische Universität Berlin, Berlin, Germany

关键词: Germany;    Municipalities;    Social inequalities;    Obesity;    Type 2 diabetes;    Area deprivation;   

Others  :  1092455
DOI  :  10.1186/1471-2458-14-1264

 received in 2014-08-26, accepted in 2014-12-04,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Grundmann et al.; licensee BioMed Central.

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