Siegfried Geyer
Biographic Data
| ID | 269483 |
|---|---|
| NAME | Siegfried Geyer |
| GIVEN NAMES | Siegfried |
| FAMILY NAME | Geyer |
| SIGNATURE | GEYER S |
| AFFILIATIONS | Medizinische Hochschule Hannover |
| ORCID | 0000-0002-2384-8237 |
| VERIFIED | Yes |
| TOTAL WORKS | 42 |
| TOTAL CITATIONS | 148 |
| AUTHOR COUNT | 42 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 6 |
Socioeconomic Inequalities in Diabetes Prevalence in Europe
Diabetes prevalence is steadily increasing in Europe. This study aims to compare diabetes prevalence and the existence of related socioeconomic inequalities between 19 European countries. Using data from The European Social Survey (ESS), there were 31,178 participants (53.06% women) aged 25+ years from Austria, Belgium, Czechia, Denmark, Finland, France, Germany, Hungary, Ireland, Lithuania, Netherlands, Norway, Poland, Portugal, Slovenia, Spain,…
Work stress trends in Germany: Stable qualitative work overload but rising quantitative work overload across socio-demographic groups in a repeated cross-sectional study
These findings show that perceived work overload has increased over time in Germany, but mostly regarding work quantity. The study highlights the public health need for managing workload to alleviate stress and enhance health and well-being in the workplace
Socioeconomic differences in limited lung function: A cross-sectional study of middle-aged and older adults in Germany
Thus, overall and severely limited lung function are highly prevalent health conditions. Men and women with a low occupational position and those with low income are the most affected. Socioeconomic indicators cannot be used interchangeably when studying health inequalities in lung functioning. Occupational hazards and physical working conditions are likely to constitute major risks of health inequalities in limited lung functioning and should be…
Type 2 diabetes in the employed population: Do rates and trends differ among nine occupational sectors? An analysis using German health insurance claims data
The study displayed different vulnerability levels among occupational sectors with respect to T2D prevalence overall and for its rising trend among the younger age group. Specific occupations within the vulnerable sectors need to be focused upon in further research to define specific target groups to which T2D prevention interventions should be tailored
Trends of Antidiabetic and Cardiovascular Diseases Medication Prescriptions in Type 2 Diabetes between 2005 and 2017—A German Longitudinal Study Based on Claims Data
Results point towards an increase in medication prescriptions in T2D, which is in line with the evidence of the increase in most comorbidities indicating morbidity expansion. The increase in CVD medication prescriptions, especially lipid-lowering agents, could explain the specific development of severe and less severe T2D comorbidities observed in this population
Socioeconomic inequalities in diabetes prevalence: The case of Egypt between 2008 and 2015
Diabetes prevalence in Egypt has increased between the years 2008 and 2015 and evident social inequalities were found. Women had more diabetes than men and were more affected with low SES. Unlike women, highly educated men had higher chance of developing diabetes in 2015 compared to 2008. This might be attributed to behavioral and sociocultural factors
Socioeconomic inequalities in diabetes prevalence: The case of South Africa between 2003 and 2016
Diabetes prevalence increased in South Africa between 2003 and 2016. Main risk factors were age, gender and living in urban areas. Men with high educational level were more at risk of developing diabetes in 2016. Vulnerable groups in 2016 were participants 40 years and older, particularly with high SES. This was followed by younger participants who were obese or overweight
Trends of healthy and unhealthy working life expectancy in Germany between 2001 and 2020 at ages 50 and 60: A question of educational level
BACKGROUND: Extending the number of active working years is an important goal both for maintaining individual quality of life and safeguarding social security systems. Against this background, we examined the development of healthy and unhealthy working life expectancy (HWLE/UHWLE) in the general population and for different educational groups. METHODS: The study is based on data from the German Socio-Economic Panel study, including 88 966 women …
A pyramid model to describe changing decision making under high uncertainty during the Covid-19 pandemic
The COVID-19 pandemic put healthcare systems, hospitals and medical personal under great pressure. Based on observations in Germany, we theorise a general model of rapid decision-making that makes sense of the growing complexity, risks and impact of missing evidence. While adapting decision-making algorithms, management, physicians, nurses and other healthcare professionals had to move into uncharted territory while addressing practical challenge…
Estimating trends in working life expectancy based on health insurance data from Germany – Challenges and advantages
Against the backdrop of population aging and growing strain on pension systems, monitoring the development of Working Life Expectancy (WLE) is vital to assess whether the policies taken are effective. This is the first study investigating time trends and educational inequalities in WLE based on German health insurance data. The analyses are based on the data of the AOK Lower Saxony (N = 3,347,912) covering three time periods (2006-08, 2011-13, an…
Getting Better or Getting Worse? A Population-Based Study on Trends in Self-Rated Health among Single Mothers in Germany between 1994 and 2018
The alarming rise in socioeconomic and health disadvantages among single mothers in Germany shows that action is needed to counter this trend
Secular Improvements in Cognitive Aging: Contribution of Education, Health, and Routine Activities
Cognitive speed increased in both age groups over historical time. Education, employment, volunteering, routine activities, and health were all important in explaining these changes, but their importance differed between age groups
Trends in Activity Limitations From an International Perspective: Differential Changes Between Age Groups Across 30 Countries
Objectives: Examine trends in limitations among young (15-39), middle-aged (40-64) and older age-groups (>=65) and their socioeconomic differences. Methods: Population-based European Social Survey data ( N = 396,853) were used, covering 30 mostly European countries and spanning the time-period 2002-2018. Limitations were measured using a global activity limitations indicator. Results: Age-differential trends in limitations were found. Activity li…
Availability and Accessibility of Primary Care for the Remote, Rural, and Poor Population of Indonesia
Background: Adopting Universal Health Coverage for implementation of a national health insurance system [Jaminan Kesehatan Nasional (JKN)/Badan Penyelenggara Jaminan Sosial or the Indonesian National Social Health Insurance Scheme (BPJS)] targets the 255 million population of Indonesia. The availability, accessibility, and acceptance of healthcare services are the most important challenges during implementation. Referral behavior and the utilizat…
Trends in healthy life expectancy between 2002 and 2018 in Germany - Compression or expansion of health-related quality of life (HRQOL)
The question of whether rising life expectancy has led to additional life years spent in good health or poor health is of major public health relevance. We tested the theories of compression or expansion of morbidity for Germany with respect to the mental and physical component summary scales (MCS/PCS) of the health-related quality of life (HRQOL) questionnaire (SF-12). Data of 90,758 women and 81,400 men were obtained from the German Socio-Econo…
Trends and equity in the use of health services in Spain and Germany around austerity in Europe
In both Spain and Germany, service use decreased between 2009 and 2017. In the first few years, this reduction coincided with a period of austerity in Spain. In general, we did not find socioeconomic differences in health service use
Social inequalities in mild and severe myocardial infarction: How large is the gap in health expectancies
Social inequalities in MI incidence and mortality risks led to clear disparities in the length of life free of MI with men with low incomes being most disadvantaged. Our findings stress the importance of primary and secondary prevention focusing especially on socially disadvantaged groups
Socioeconomic inequalities in lung cancer – a time trend analysis with German health insurance data
The findings reveal considerable inequalities in LC and that trends vary with respect to SES, sex and age. Widening income inequalities were found in the retired population, while educational and occupational inequalities tend to narrow among the working-age population
Socioeconomic inequalities in type 2 diabetes in employed individuals, nonworking spouses and pensioners
Type 2 diabetes (T2D) is a rising global epidemic with lower socioeconomic groups being more affected. Considering specific population subgroups to examine prevalence and socioeconomic inequalities in T2D is rare. Moreover, using one indicator to depict socioeconomic inequalities in health is a common practice despite evidence on differences in what different socioeconomic indicators ought to measure. This study has two aims: 1. Examine the preva…
Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity
The increase of regular LTPA accounted for improved SRH from 1995 to 2015 among the elderly, indicating that promoting LTPA might be a key factor to raise healthy working life expectancy
Are Disability Rates among People with Diabetes Increasing in Germany? A Decomposition Analysis of Temporal Change between 2004 and 2015
Objectives: We investigated changes in the prevalence of disabilities among individuals with type 2 diabetes and analyzed the contribution of comorbidities on this change. Methods: Data were drawn from the Survey of Health, Ageing, and Retirement in Europe (SHARE). We estimated predicted probabilities of impaired (instrumental) activities of daily living (IADL and ADL) by means of logistic regression. Multivariate decomposition was employed for a…
Trends in grip strength: Age, period, and cohort effects on grip strength in older adults from Germany, Sweden, and Spain
Grip strength is seen as an objective indicator of morbidity and disability. However, empirical knowledge about trends in grip strength remains incomplete. As trends can occur due to effects of aging, time periods and birth cohorts, we used hierarchical age-period-cohort models to estimate and disentangle putative changes in grip strength. To do this, we used population-based data of older adults, aged 50 years and older, from Germany, Sweden, an…
Social Causation Versus Health Selection in the Life Course: Does Their Relative Importance Differ by Dimension of SES
Widening inequalities in multimorbidity? Time trends among the working population between 2005 and 2015 based on German health insurance data
The increases in multimorbidity prevalence among the working population are accompanied by widening social inequalities, pointing towards a growing disadvantage for men and women in lower SES groups. The rising burden and the increasing inequalities among the working population stress the importance of multimorbidity as a major public health concern
Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain
The results suggest that elimination of the copayment in Germany did not change the frequency of physician consultations, whereas after the restriction of universal health coverage in Spain, subjects with lower incomes had a higher frequency of physician consultations
Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice
Study objective: Education, income, and occupational class are often used interchangeably in studies showing social inequalities in health. This procedure implies that all three characteristics measure the same underlying phenomena. This paper questions this practice. The study looked for any independent effects of education, income, and occupational class on four health outcomes: diabetes prevalence, myocardial infarction incidence and mortality…
Social Causation Versus Health Selection in the Life Course: Does Their Relative Importance Differ by Dimension of SES
Some conceptual considerations on the sense of coherence
Income, occupational position, qualification and health inequalities—competing risks? (Comparing indicators of social status)
STUDY OBJECTIVE: The debate on health inequalities has shifted from the consequences of occupational position, as expressed in the Registrar General's classification, to consequences of material living conditions. This change in interest occurred without comparative analyses of different sources of health inequalities. Thus this study investigated the relative contribution of "material resources" (income), "qualification" and "occupational positi…
Income, income, or income? The effects of different income measures on health in a national survey
BACKGROUND: The effects of six income types (household post-government income, Organisation for Economic Cooperation and Development-weighted household post-government income, individual net income, corrected monthly household income and household net income from wages) on subjective health were compared in order to examine to what extent their effects are different. METHODS: Data from the German Socio-Economic Panel 2007 were used. The analyses …
Socioeconomic status, status inconsistency and risk of ischaemic heart disease: A prospective study among members of a statutory health insurance company
Background: Inconsistency in social status and its impact on health have been a focus of research 30–40 years ago. Yet, there is little recent information on it’s association with ischaemic heart disease (IHD) morbidity and IHD is still defined as one of the major health problems in socioeconomically developed societies. Methods: A secondary analysis of prospective historical data from 68 805 male and female members of a statutory German health i…
Coping with breast cancer and relapse: Stability of coping and long-term outcomes in an observational study over 10 years
Life events, chronic difficulties and vulnerability factors preceding breast cancer
Trends of healthy and unhealthy working life expectancy in Germany between 2001 and 2020 at ages 50 and 60: A question of educational level
BACKGROUND: Extending the number of active working years is an important goal both for maintaining individual quality of life and safeguarding social security systems. Against this background, we examined the development of healthy and unhealthy working life expectancy (HWLE/UHWLE) in the general population and for different educational groups. METHODS: The study is based on data from the German Socio-Economic Panel study, including 88 966 women …
Socioeconomic differences in children's and adolescents' hospital admissions in Germany: A report based on health insurance data on selected diagnostic categories
Study objective: The extent of social inequalities in children's hospitalisation risks was examined in terms of socioeconomic status and parents' nationality. This was considered in terms of inpatient treatment attributable to a number of diagnoses (ICD-9), especially infectious diseases and psychiatric disorders. Design and setting: Analyses were performed with records of a German statutory health insurance comprising 48 412 (52.8% male and 47.2…
Secular Improvements in Cognitive Aging: Contribution of Education, Health, and Routine Activities
Cognitive speed increased in both age groups over historical time. Education, employment, volunteering, routine activities, and health were all important in explaining these changes, but their importance differed between age groups
The mediating effect of effort-reward imbalance in household and family work on the relationship between education and women's health
Wealth, income, and health before and after retirement
BACKGROUND: It was supposed that associations of wealth and health might be higher after retirement than in the economically active periods of life, but no comparisons were available. Most studies on wealth were based on net worth, a measure combining several elements of wealth into an index. We examined associations between different elements of wealth and health by comparing retired women and men with economically active ones. METHOD: Data were…
Patient cost sharing and physician visits by socioeconomic position: Findings in three Western European countries
The association between educational level and the probability of physician visits in three Western European countries, one of which has a system of patient cost sharing was evaluated. Cross-sectional surveys were performed in France, Germany and Spain around 1990 and around 2000. People representative of the French, German and Spanish populations, aged 25–74 years were studied. The probability of physician visits decreased in the second period wi…
Life events, chronic difficulties and vulnerability factors preceding breast cancer
Some conceptual considerations on the sense of coherence
Income, occupational position, qualification and health inequalities—competing risks? (Comparing indicators of social status)
STUDY OBJECTIVE: The debate on health inequalities has shifted from the consequences of occupational position, as expressed in the Registrar General's classification, to consequences of material living conditions. This change in interest occurred without comparative analyses of different sources of health inequalities. Thus this study investigated the relative contribution of "material resources" (income), "qualification" and "occupational positi…
Socioeconomic differences in children's and adolescents' hospital admissions in Germany: A report based on health insurance data on selected diagnostic categories
Study objective: The extent of social inequalities in children's hospitalisation risks was examined in terms of socioeconomic status and parents' nationality. This was considered in terms of inpatient treatment attributable to a number of diagnoses (ICD-9), especially infectious diseases and psychiatric disorders. Design and setting: Analyses were performed with records of a German statutory health insurance comprising 48 412 (52.8% male and 47.2…
Education, income, and occupational class cannot be used interchangeably in social epidemiology. Empirical evidence against a common practice
Study objective: Education, income, and occupational class are often used interchangeably in studies showing social inequalities in health. This procedure implies that all three characteristics measure the same underlying phenomena. This paper questions this practice. The study looked for any independent effects of education, income, and occupational class on four health outcomes: diabetes prevalence, myocardial infarction incidence and mortality…
Emotional support, education and self-rated health in 22 European countries
Results indicate that it is important to consider socio-economic factors like education and country-specific contexts in studies on health effects of emotional support
Patient cost sharing and physician visits by socioeconomic position: Findings in three Western European countries
The association between educational level and the probability of physician visits in three Western European countries, one of which has a system of patient cost sharing was evaluated. Cross-sectional surveys were performed in France, Germany and Spain around 1990 and around 2000. People representative of the French, German and Spanish populations, aged 25–74 years were studied. The probability of physician visits decreased in the second period wi…
Socioeconomic status, status inconsistency and risk of ischaemic heart disease: A prospective study among members of a statutory health insurance company
Background: Inconsistency in social status and its impact on health have been a focus of research 30–40 years ago. Yet, there is little recent information on it’s association with ischaemic heart disease (IHD) morbidity and IHD is still defined as one of the major health problems in socioeconomically developed societies. Methods: A secondary analysis of prospective historical data from 68 805 male and female members of a statutory German health i…
Patient cost sharing and social inequalities in access to health care in three western European countries
Income, income, or income? The effects of different income measures on health in a national survey
BACKGROUND: The effects of six income types (household post-government income, Organisation for Economic Cooperation and Development-weighted household post-government income, individual net income, corrected monthly household income and household net income from wages) on subjective health were compared in order to examine to what extent their effects are different. METHODS: Data from the German Socio-Economic Panel 2007 were used. The analyses …
Applying the effort-reward imbalance model to household and family work: A population-based study of German mothers
The newly developed questionnaire demonstrates satisfied validity and promising results for extending the ERI model to household and family work
Depression- and anxiety-related sick leave and the risk of permanent disability and mortality in the working population in Germany: A cohort study
Depression/anxiety diagnoses increase the risk of early retirement; comorbidity and severity further increase that risk, depression more strikingly than anxiety. Sickness-absence diagnoses of anxiety/depression identified a population at high risk of retiring early due to ill health, suggesting a target group for the development of interventions
Wealth, income, and health before and after retirement
BACKGROUND: It was supposed that associations of wealth and health might be higher after retirement than in the economically active periods of life, but no comparisons were available. Most studies on wealth were based on net worth, a measure combining several elements of wealth into an index. We examined associations between different elements of wealth and health by comparing retired women and men with economically active ones. METHOD: Data were…
Compression of Morbidity
Coping with breast cancer and relapse: Stability of coping and long-term outcomes in an observational study over 10 years
The mediating effect of effort-reward imbalance in household and family work on the relationship between education and women's health
Social inequalities in the utilization of outpatient psychotherapy: Analyses of registry data from German statutory health insurance
A marked degree of psychotherapy under-utilization was found for lower SES groups. Psychotherapists should pay increased attention to clients with lower socio-economic position. Enhancing mental health literacy, as well as reducing the stigma of mental illness, is crucial for increasing the usage of psychotherapeutic services of those who need it most. Relevant health policy is needed to reduce the barriers to, and consequently increase psychothe…
Widening inequalities in multimorbidity? Time trends among the working population between 2005 and 2015 based on German health insurance data
The increases in multimorbidity prevalence among the working population are accompanied by widening social inequalities, pointing towards a growing disadvantage for men and women in lower SES groups. The rising burden and the increasing inequalities among the working population stress the importance of multimorbidity as a major public health concern
Use of health services according to income before and after elimination of copayment in Germany and restriction of universal health coverage in Spain
The results suggest that elimination of the copayment in Germany did not change the frequency of physician consultations, whereas after the restriction of universal health coverage in Spain, subjects with lower incomes had a higher frequency of physician consultations
Trends in grip strength: Age, period, and cohort effects on grip strength in older adults from Germany, Sweden, and Spain
Grip strength is seen as an objective indicator of morbidity and disability. However, empirical knowledge about trends in grip strength remains incomplete. As trends can occur due to effects of aging, time periods and birth cohorts, we used hierarchical age-period-cohort models to estimate and disentangle putative changes in grip strength. To do this, we used population-based data of older adults, aged 50 years and older, from Germany, Sweden, an…
Social Causation Versus Health Selection in the Life Course: Does Their Relative Importance Differ by Dimension of SES
Socioeconomic inequalities in type 2 diabetes in employed individuals, nonworking spouses and pensioners
Type 2 diabetes (T2D) is a rising global epidemic with lower socioeconomic groups being more affected. Considering specific population subgroups to examine prevalence and socioeconomic inequalities in T2D is rare. Moreover, using one indicator to depict socioeconomic inequalities in health is a common practice despite evidence on differences in what different socioeconomic indicators ought to measure. This study has two aims: 1. Examine the preva…
Trends in self-rated health among the elderly population in Germany from 1995 to 2015 – the influence of temporal change in leisure time physical activity
The increase of regular LTPA accounted for improved SRH from 1995 to 2015 among the elderly, indicating that promoting LTPA might be a key factor to raise healthy working life expectancy
Are Disability Rates among People with Diabetes Increasing in Germany? A Decomposition Analysis of Temporal Change between 2004 and 2015
Objectives: We investigated changes in the prevalence of disabilities among individuals with type 2 diabetes and analyzed the contribution of comorbidities on this change. Methods: Data were drawn from the Survey of Health, Ageing, and Retirement in Europe (SHARE). We estimated predicted probabilities of impaired (instrumental) activities of daily living (IADL and ADL) by means of logistic regression. Multivariate decomposition was employed for a…
Availability and Accessibility of Primary Care for the Remote, Rural, and Poor Population of Indonesia
Background: Adopting Universal Health Coverage for implementation of a national health insurance system [Jaminan Kesehatan Nasional (JKN)/Badan Penyelenggara Jaminan Sosial or the Indonesian National Social Health Insurance Scheme (BPJS)] targets the 255 million population of Indonesia. The availability, accessibility, and acceptance of healthcare services are the most important challenges during implementation. Referral behavior and the utilizat…
Medicine (38 works) · Population (28 works) · Demography (27 works) · Environmental health (24 works) · Health disparities and outcomes (21 works) · Demography (20 works) · Public health (19 works) · Gerontology (18 works) · Socioeconomic status (16 works) · Psychology (14 works)