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:
CreatorsEmailORCIDORCID Put Code
Stock, StephanieUNSPECIFIEDorcid.org/0000-0002-1726-9300UNSPECIFIED
Ihle, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Simic, DusanUNSPECIFIEDorcid.org/0000-0002-7325-9481UNSPECIFIED
Rupprecht, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schubert, IngridUNSPECIFIEDorcid.org/0000-0002-2191-1773UNSPECIFIED
Lappe, VeronikaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kalbe, ElkeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tebest, RalfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lorrek, KristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
IMMIGRANTS; PEOPLE; NEEDS; CAREMultiple languages
Public, Environmental & Occupational HealthMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/19104

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