Background <p>There is a&#xa0;close correlation between socioeconomic status and the burden of disease and mortality. Determinants such as education, income, migration background among others play significant roles in influencing mortality rates. In a&#xa0;family physician’s office located in a&#xa0;socioeconomically disadvantaged area of Bremen (Bremen–Tenever), the causes of death for all deceased patients were recorded. On the basis of this data, the development of the average age at death from 1992–2023 should be calculated and presented. Additionally the impact of the country of origin on age and cause of death and the early mortality (death before the age of&#xa0;65) should be determined.</p> Methods <p>In the context of this observational study, the time, cause, age of death, country of origin, and relevant diseases were documented. The median age of death in the three largest groups (patients from Germany, Poland, and the former Soviet Union) was calculated and presented using linear regression. The percentage of early mortality and the causes of death in their development over time were also calculated.</p> Results and discussion <p>The median age of death in the investigated district is lower than the German average. Over the observation period, the median age of death increased by 5.6&#xa0;years in Germany and by 12.6 years in the study group. Country of origin and gender significantly influence age of death. In the observed district, 32% of patients died before age&#xa0;65. Neoplasia was more frequent in the study group compared to the general population of Bremen.</p> Conclusion <p>Statistics on mortality causes provide insight into the social conditions of the patient’s environment. Variations in countries of origin result in differing disease burdens and mortality causes.</p>

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Todesursachen bei Patient*innen einer Bremer Hausarztpraxis

  • Klaus Gebhardt,
  • Guido Schmiemann

摘要

Background

There is a close correlation between socioeconomic status and the burden of disease and mortality. Determinants such as education, income, migration background among others play significant roles in influencing mortality rates. In a family physician’s office located in a socioeconomically disadvantaged area of Bremen (Bremen–Tenever), the causes of death for all deceased patients were recorded. On the basis of this data, the development of the average age at death from 1992–2023 should be calculated and presented. Additionally the impact of the country of origin on age and cause of death and the early mortality (death before the age of 65) should be determined.

Methods

In the context of this observational study, the time, cause, age of death, country of origin, and relevant diseases were documented. The median age of death in the three largest groups (patients from Germany, Poland, and the former Soviet Union) was calculated and presented using linear regression. The percentage of early mortality and the causes of death in their development over time were also calculated.

Results and discussion

The median age of death in the investigated district is lower than the German average. Over the observation period, the median age of death increased by 5.6 years in Germany and by 12.6 years in the study group. Country of origin and gender significantly influence age of death. In the observed district, 32% of patients died before age 65. Neoplasia was more frequent in the study group compared to the general population of Bremen.

Conclusion

Statistics on mortality causes provide insight into the social conditions of the patient’s environment. Variations in countries of origin result in differing disease burdens and mortality causes.