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Closing the life expectancy gap: An ecological study of the factors associated with smaller regional health inequalities in post-reunification Germany

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Listed:
  • Simpson, Julija
  • Albani, Viviana
  • Kingston, Andrew
  • Bambra, Clare

Abstract

Regional health inequalities are rising globally. The case of German reunification offers a unique opportunity to explore how such inequalities can be reduced, or even eliminated: following reunification, a long-standing life expectancy gap between East and West Germany was closed for women and markedly reduced for men in less than 15 years.

Suggested Citation

  • Simpson, Julija & Albani, Viviana & Kingston, Andrew & Bambra, Clare, 2024. "Closing the life expectancy gap: An ecological study of the factors associated with smaller regional health inequalities in post-reunification Germany," Social Science & Medicine, Elsevier, vol. 362(C).
    • Handle: RePEc:eee:socmed:v:362:y:2024:i:c:s0277953624008906
    DOI: 10.1016/j.socscimed.2024.117436
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    1. Vogt, Tobias C. & Kluge, Fanny A., 2015. "Can public spending reduce mortality disparities? Findings from East Germany after reunification," The Journal of the Economics of Ageing, Elsevier, vol. 5(C), pages 7-13.
    2. Alan B. Krueger & Jorn-Steffen Pischke, 1995. "A Comparative Analysis of East and West German Labor Markets: Before and After Unification," NBER Chapters, in: Differences and Changes in Wage Structures, pages 405-446, National Bureau of Economic Research, Inc.
    3. John Hall & Udo Ludwig, 1994. "East Germany’s Transitional Economy," Challenge, Taylor & Francis Journals, vol. 37(5), pages 26-32, September.
    4. Nolte, Ellen & Scholz, Rembrandt & Shkolnikov, Vladimir & McKee, Martin, 2002. "The contribution of medical care to changing life expectancy in Germany and Poland," Social Science & Medicine, Elsevier, vol. 55(11), pages 1905-1921, December.
    5. Pavel Grigoriev & Markéta Pechholdová, 2017. "Health Convergence Between East and West Germany as Reflected in Long-Term Cause-Specific Mortality Trends: To What Extent was it Due to Reunification?," European Journal of Population, Springer;European Association for Population Studies, vol. 33(5), pages 701-731, December.
    6. Simpson, Julija & Albani, Viviana & Bell, Zoe & Bambra, Clare & Brown, Heather, 2021. "Effects of social security policy reforms on mental health and inequalities: A systematic review of observational studies in high-income countries," Social Science & Medicine, Elsevier, vol. 272(C).
    7. Sascha O. Becker & Lukas Mergele & Ludger Woessmann, 2020. "The Separation and Reunification of Germany: Rethinking a Natural Experiment Interpretation of the Enduring Effects of Communism," Journal of Economic Perspectives, American Economic Association, vol. 34(2), pages 143-171, Spring.
    8. Mackenbach, Johan P., 2013. "Political conditions and life expectancy in Europe, 1900–2008," Social Science & Medicine, Elsevier, vol. 82(C), pages 134-146.
    9. Beckfield, Jason & Bambra, Clare, 2016. "Shorter lives in stingier states: Social policy shortcomings help explain the US mortality disadvantage," Social Science & Medicine, Elsevier, vol. 171(C), pages 30-38.
    10. Tulchinsky, T.H. & Varavikova, E.A., 1996. "Addressing the epidemiologic transition in the former Soviet Union: Strategies for health system and public health reform in Russia," American Journal of Public Health, American Public Health Association, vol. 86(3), pages 313-320.
    11. Bambra, Clare & Smith, Katherine E. & Pearce, Jamie, 2019. "Scaling up: The politics of health and place," Social Science & Medicine, Elsevier, vol. 232(C), pages 36-42.
    12. Michael C. Burda & Jennifer Hunt, 2001. "From Reunification to Economic Integration: Productivity and the Labor Market in Eastern Germany," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 32(2), pages 1-92.
    13. repec:fth:prinin:307 is not listed on IDEAS
    14. Alan Krueger & Jorn-Steffen Pischke, 1992. "A Comparative Analysis of East and West German Labor Markets: Before and After Unification," Working Papers 686, Princeton University, Department of Economics, Industrial Relations Section..
    15. Goebel Jan & Grabka Markus M. & Liebig Stefan & Kroh Martin & Richter David & Schröder Carsten & Schupp Jürgen, 2019. "The German Socio-Economic Panel (SOEP)," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 239(2), pages 345-360, April.
    16. Arjan Gjonca & Heiner Maier & Hilke Brockmann, 2000. "Old-Age Mortality in Germany prior to and after Reunification," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 3(1).
    17. Paul Frijters & John P. Haisken-DeNew & Michael A. Shields, 2004. "Investigating the Patterns and Determinants of Life Satisfaction in Germany Following Reunification," Journal of Human Resources, University of Wisconsin Press, vol. 39(3).
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