Effects of the COVID-19 pandemic on life expectancy and premature mortality in the German federal states in 2020 and 2021.

ABSTRACT: The mortality impact of COVID-19 has mainly been studied at the national level. However, looking at the aggregate impact of the pandemic at the country level masks heterogeneity at the subnational level. Subnational assessments are essential for the formulation of public health policies. This is especially important for federal countries with decentralised healthcare systems, such as Germany. Therefore, we assess geographical variation in the mortality impact of COVID-19 for the 16 German federal states in 2020 and 2021 and the sex differences therein. For this purpose, we adopted an ecological study design, using population-level mortality data by federal state, age, and sex, for 2005-2021 obtained from the German Federal Statistical Office. We quantified the impact of the pandemic using

SUBMITTER: Marinetti I 

PROVIDER: S-EPMC10734971 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature