Universität zu Köln

Stock, Stephanie ORCID: 0000-0002-1726-9300, Ihle, Peter, Simic, Dusan ORCID: 0000-0002-7325-9481, Rupprecht, Christoph, Schubert, Ingrid ORCID: 0000-0002-2191-1773, Lappe, Veronika, Kalbe, Elke, Tebest, Ralf and Lorrek, Kristina (2018). Prevalence of dementia of insured persons with and without German citizenship. A study based on statuatory health insurance data. Bundesgesundheitsblatt-Gesund., 61 (4). S. 404 - 412. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Elderly people with a non-German background are a fast growing population in Germany. Is administrative prevalence of dementia and uptake of nursing-home care similar in the German and non-German insured? Based on routine data, administrative prevalence rates for dementia were calculated for 2013 from a full census of data from one large sickness fund. Patients with dementia (PWD) were identified via ICD-10 codes (F00; F01; F03; F05; G30). Administrative prevalence of dementia was 2.67% in the study population; 3.06% in Germans, and 0.96% in non-Germans (p value < 0.001). Age and sex adjusted prevalence was comparable in the insured with and without German citizenship, except in women aged 80-84 (17.2 vs. 15.4) and for men in the age groups 80-84 (16.5 vs. 14.2), 85-89 years (23.4 vs. 21.5), and above 90 years of age (32.3 vs. 26.3). Standardized to the population of all investigated insured, 31.4% of all Germans with dementia had no longterm care entitlement vs. 35.5% of all patients without German citizenship. Of German patients, 55.1% were institutionalized vs. 39.5% of all patients without German citizenship. There was a higher prevalence of dementia in the very old insured without German citizenship compared to those with German citizenship, especially in men. Non-Germans showed lower uptake of nursing home care compared to Germans. Additionally, Germans had slightly higher nursing care entitlements. It should be investigated further how much of the difference is due to underdiagnosis, cultural differences, or lack of adequate diagnostic work-up.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Stock, Stephanie UNSPECIFIED orcid.org/0000-0002-1726-9300 UNSPECIFIED Ihle, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Simic, Dusan UNSPECIFIED orcid.org/0000-0002-7325-9481 UNSPECIFIED Rupprecht, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Schubert, Ingrid UNSPECIFIED orcid.org/0000-0002-2191-1773 UNSPECIFIED Lappe, Veronika UNSPECIFIED UNSPECIFIED UNSPECIFIED Kalbe, Elke UNSPECIFIED UNSPECIFIED UNSPECIFIED Tebest, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Lorrek, Kristina UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-191045
DOI:	10.1007/s00103-018-2711-5
Journal or Publication Title:	Bundesgesundheitsblatt-Gesund.
Volume:	61
Number:	4
Page Range:	S. 404 - 412
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1588
Language:	German
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Sonstiges > Zentrum für Versorgungsforschung Köln
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language IMMIGRANTS; PEOPLE; NEEDS; CARE Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19104