Area Deprivation and its Impact on Population Health: Conceptual Aspects, Measurement and Evidence from Germany

Karmann Alexander (), Weinhold Ines () and Wende Danny ()
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Karmann Alexander: Faculty of Business and Economics, Technische Universität Dresden, Dresden, Sachsen, Germany
Weinhold Ines: Faculty of Business and Economics, Technische Universität Dresden, Dresden, Germany
Wende Danny: Faculty of Business and Economics, Technische Universität Dresden, Dresden, Germany

Review of Economics, 2019, vol. 70, issue 1, 69-98

Abstract: Empirical evidence demonstrates associations between socioeconomic or environmental area deprivation and public health. To measure such structural effects, deprivation indices have been developed in the UK initially. Meanwhile their application is increasingly discussed in Germany, however with little attempts to adapt the concept to national conditions. In this paper, we develop a model of area deprivation differentiating between material, social and ecological deprivation effects. We apply structural equation modelling to endogenously estimate the latent deprivation dimensions as well as their relative impact on the health outcome, accounting for potential measurement errors and controlling for health care infrastructure. We use data at the level of German municipal associations (n=4,491) for the years 2013 and 2016, if available. We find that differences in material (βmaterial=−0.168, p

Keywords: area deprivation; health inequality; structural equation modelling (search for similar items in EconPapers)
JEL-codes: I14 I18 (search for similar items in EconPapers)
Date: 2019
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DOI: 10.1515/roe-2019-0001

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