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Publications (2)0.9 Total impact

  • G Doblhammer, D Kreft, A Dethloff
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    ABSTRACT: In Germany life expectancy is continuously increasing. Differently to the increases in the nineteenth century, which were mainly driven by decreasing mortality from infectious diseases, the recent rise in life expectancy is the result of a mortality decline in all major groups of causes of death. Contrary to mortality, the incidence and prevalence of a large number of diseases, in particular cancer and cardiovascular diseases (CVD), is rising. However, this increase is mainly the result of changes in the population's age structure, differences in lifestyle, improvements in diagnostic techniques, and increasing prevention. Age-standardized death rates and survival rates indicate significant improvements in most of the diseases over the last decades. Important exceptions are cancer of the lung and bronchia for females as well as mental diseases for both sexes. Therefore, these diseases will grow in importance for public health measures in the next decades. A major potential for a further increase in female life expectancy lies in the reduction of CVD mortality. In contrast, decreases in mortality due to various types of cancer, diseases of the respiratory system, and diseases of the digestive system in addition to CVD mortality may lead to a significant rise in male life expectancy. Although declining mortality is strongly linked to an increase in the prevalence of multi-morbidity and the number of years with disability, it is also paralleled by an increase in healthy life years.
    Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz 04/2012; 55(4):448-58. · 0.72 Impact Factor
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    ABSTRACT: Embedded in the Rostock research group of historical demography "A History of Aging Societies", the authors examined the demographic transition of Mecklenburg in the 19th century. On the basis of statistical population data from the late 18th up to the early 20th century, which survived in the form of statistics manuals and census listings, the increase of life expectancy and mortality decline was analysed for the Grand Duchy of Mecklenburg-Schwerin. In an optimization procedure the mortality conditions were calculated with the "Generalised Inverse Projection" (GIP), a mathematic and statistic method using the historical birth, death and population totals. The results gained from the study allowed an integration of this north German province into the European context and was used for the comparison with its Scandinavian neighbours Denmark and Sweden, which were the forerunner countries of historical mortality decline. The study showed that 19th century Mecklenburg rather followed the Scandinavian scheme of low mortality, in contrast to other German regions. Little correlation exists between the favourable historical development of mortality in Mecklenburg-Schwerin and the relatively high mortality rates in today's Mecklenburg-Western Pomerania.
    Historical Social Research / Historische Sozialforschung 01/2011; 36(3):297-329. · 0.18 Impact Factor