Race for Second Place? Explaining East-West Differences in Anti-Muslim Sentiment in Germany.
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ABSTRACT:
SUBMITTER: Kalter F
PROVIDER: S-EPMC8632242 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:Since unification in 1990, living conditions in Germany's "New Länder" have slowly converged to the conditions in the "Old Länder". One can assume, however, that West-East differences persist more strongly in remote rural areas neglected by economic development. Therefore, this paper aims to investigate and compare the living conditions of older adults in rural areas in East and West Germany with respect to personal and environmental resources which are important preconditions for autonomy and well-being in old age. These conditions were examined in a survey conducted in urban and rural regions of five European countries in 2000. The German rural study was carried out in the districts of Jerichow (Saxony-Anhalt) and Vogelsberg (Hesse), and included 762 men and women aged 55 years or older, randomly chosen in villages of at most 5,000 inhabitants. East-West comparison showed both similarities and differences. Similarities arose in human conditions such as subjective health, parenthood and network variety, and in environmental conditions such as home-ownership, attachment to one's home, length of residence in the same neighbourhood, and satisfaction with mobility options. Differences were found in socio-demographic conditions (e.g. education, income, household composition), basic neighbourhood features, and patterns of social and leisure activities. Regression analysis showed the differing impact of single predictor variables on life satisfaction in the East and West: satisfaction with financial situation and functional health contributes far more to older people's life satisfaction in the West German rural area, whereas mobility-related aspects affect elders' life satisfaction more strongly in the East German countryside. The findings reflect, on the one hand, continuing structural East-West differences and, on the other, diverging socio-cultural habits.
| S-EPMC5547681 | biostudies-other
Project description:AimsHeart failure (HF) is the most common primary inpatient diagnosis in Germany. We examined temporal trends of HF hospitalization within Germany focusing on regional differences.Methods and resultsWe analysed aggregated data of more than 320 million hospitalizations in Germany from 2000 to 2017. Temporal trends of HF-related parameters were analysed, focusing on regional differences between the federal states. The absolute number of HF-related hospitalizations throughout Germany increased continuously and almost doubled (from 239 694 to 464 724 cases, +94%) with the relative increase being higher in East Germany compared with West Germany (119% vs. 88%). These regional differences persisted after age standardization with 609 and 490 cases per 100 000 population, respectively. The length of stay decreased continuously across Germany (from 14.3 to 10.2 days; -29%), while the total number of HF-related hospital days increased by 51% in East Germany and 35% in West Germany. In 2017, HF remained the leading cause of in-hospital death (8.9% of all cases), with a markedly higher rate in East vs. West Germany (65 vs. 43 deaths per 100 000 population).ConclusionsHeart failure remains the most common cause of hospitalization and in-hospital death throughout Germany. The increase in HF-related morbidity and mortality was much higher in East Germany compared with West Germany during the observation period. A more detailed understanding of these striking disparities 30 years after the German reunification requires further investigations. There is an urgent need for action with regard to stronger control of risk factors and improvement of both chronic HF management and healthcare structures.
| S-EPMC8318397 | biostudies-literature
Project description:Here we examine geographical and historical differences in polygenic associations with educational attainment in East and West Germany around reunification. We test this in n = 1902 25-85-year-olds from the German SOEP-G[ene] cohort. We leverage a DNA-based measure of genetic influence, a polygenic index calculated based on a previous genome-wide association study of educational attainment in individuals living in democratic countries. We find that polygenic associations with educational attainment were significantly stronger among East, but not West, Germans after but not before reunification. Negative control analyses of a polygenic index of height with educational attainment and height indicate that this gene-by-environemt interaction is specific to the educational domain. These findings suggest that the shift from an East German state-socialist to a free-market West German system increased the importance of genetic variants previously identified as important for education.
| S-EPMC10996480 | biostudies-literature
Project description:Background and objectiveBenzodiazepines and Z-drugs are prescribed to a considerable extent as private prescription also for persons insured by a statutory health insurance (SHI), with formerly large differences between East and West Germany. The aim of the present study was to investigate whether these differences still exist today.MethodThis secondary data analysis used anonymized prescription data from general practitioners (GPs), community neurologists, and psychiatrists. SHI-insured patients with at least one prescription for a benzodiazepine or Z-substance between 2014 and 2020 were included. Differences between East and West Germany in the proportion of private prescriptions were the central outcome. Multiple regression analyses were performed to test whether the factors region (eastern vs. western Germany) and specialist group (GPs vs. neurologists/psychiatrists) were statistically significant predictors of the proportion of private prescriptions - taking into account the age and gender composition of patients in a practice.ResultsFrom 867 practices, 2,200,446 prescriptions for Z-substances, benzodiazepine anxiolytics, and benzodiazepine hypnotics/sedatives were evaluated. More than 38% of these prescriptions were issued as private prescriptions: 53.6% in eastern Germany and 34.8% in western Germany. For Z-substances, the proportion of private prescriptions was particularly high (70.7% in eastern and 43.0% in western Germany). GPs issued private prescriptions far more frequently than neurologists and psychiatrists. The proportion of private prescriptions increased during the study period, comparatively strongly in the western states (from 33% to 39%) and slightly in the eastern states (from 53% to 54%). In the multivariate model, practice area (east/west) and specialist group were similarly strong predictors of the extent of private prescriptions, especially for Z-substances.ConclusionContrary to a general alignment in life expectancy, morbidity risks, and health behaviour in East and West Germany, there is, despite convergence, still a significant difference in the proportion of private prescriptions for benzodiazepines and especially for Z-substances between the two regions. The groups of physicians who mainly prescribe these substances, namely neurologists and psychiatrists, on the one hand, and GPs, on the other, also differ considerably in the proportion of their private prescriptions for these substances.
| S-EPMC10713339 | biostudies-literature
Project description:We present xspells, a model-agnostic local approach for explaining the decisions of a black box model for sentiment classification of short texts. The explanations provided consist of a set of exemplar sentences and a set of counter-exemplar sentences. The former are examples classified by the black box with the same label as the text to explain. The latter are examples classified with a different label (a form of counter-factuals). Both are close in meaning to the text to explain, and both are meaningful sentences – albeit they are synthetically generated. xspells generates neighbors of the text to explain in a latent space using Variational Autoencoders for encoding text and decoding latent instances. A decision tree is learned from randomly generated neighbors, and used to drive the selection of the exemplars and counter-exemplars. We report experiments on two datasets showing that xspells outperforms the well-known lime method in terms of quality of explanations, fidelity, and usefulness, and that is comparable to it in terms of stability.
| S-EPMC7556386 | biostudies-literature
Project description:PurposeMental distress has become a major public health concern. Temporal trends in psychological distress are complex and depend on numerous factors. In this study, we examined age-period-cohort effects for mental distress including gender and German region over a 15 years' time span.MethodsData on mental distress from ten cross-sectional surveys of the general German population, covering the years from 2006 to 2021, was used. Hierarchical age-period-cohort analyses including gender and German region as predictors were performed to disentangle age, period, and cohort effects. The Patient Health Questionnaire-4 was used as a brief screener for mental distress.ResultsWe found significant period and cohort effects, with peek values for mental distress in the years 2017 and 2020 and for the oldest birth cohort (born before 1946). Age did not affect mental distress when cohort- and period effects as well as gender and German region were considered. An interaction effect for gender and the German region was found. Women in West Germany reported significantly higher mental distress compared to women in East Germany. Compared to men, women reported the highest prevalence in both regions.ConclusionImportant political events as well as major crises can lead to an increase of mental distress in societies. Furthermore, an association between birth cohort and mental distress could be linked to socialization effects of that certain time, causing traumatic experiences or a specific coping style within this cohort group. Prevention and intervention strategies could benefit from acknowledging structural differences linked to period and cohort effects.
| S-EPMC10089379 | biostudies-literature
Project description:It has been shown in literature that East Asians are more inclined to process context information than individuals in Western cultures. Using a context memory task that requires studying object images in social contexts (i.e., rating objects in an imagined social or experiential scenario), our recent study revealed an age-invariant advantage for Chinese young and older participants compared to their Canadian counterparts in memory for encoding contexts. To examine whether this cultural difference also occurred during encoding, this follow-up report analyzed encoding performance and its relationship to subsequent memory based on the same data from the same task of the same sample. The results revealed that at encoding, Chinese participants provided higher ratings of objects, took longer to rate, and reported more vivid imagery of encoding contexts relative to their Canadian counterparts. Furthermore, only Chinese participants rated objects with recognized context at retrieval higher and slower relative to those with misrecognized context. For Chinese participants, primarily older adults, slower ratings were only related to better context memory but not item memory. Importantly, Chinese participants' context memory advantage disappeared after controlling for encoding differences. Taken together, these results suggest that Chinese participants' memory advantage for social contexts may have its origin in the construction of elaborative and meaningful object-context associations at encoding.
| S-EPMC6245740 | biostudies-literature
Project description:BackgroundPrior research shows between-race differences in women's knowledge and emotions related to having dense breasts, thus suggesting that between-race differences in behavioral decision-making following receipt of breast density (BD) notifications are likely. Guided by the theory of planned behavior, this study examined differences in emotion-related responses (i.e., anxiety, worry, confusion) and behavioral cognition (e.g., intentions, behavioral attitudes) following receipt of BD notifications among African American (AA) and European American (EA) women. This study also examined whether race-related perceptions (i.e., discrimination, group-based medical mistrust), relevant knowledge and socioeconomic status (SES) explained the between race differences.MethodMichigan women (N = 457) who presented for routine screening mammogram and had dense breasts, no prior breast cancer diagnoses, and had screen-negative mammograms were recruited from July, 2015 to March 2016. MANOVA was used to examine between race differences in psychological responses (i.e., emotional responses and behavioral cognition), and a multi-group structural regression model was used to examine whether race-related constructs, knowledge and SES mediated the effect of race on emotional responses and behavioral cognition. Prior awareness of BD was accounted for in all analyses.ResultsAA women generally reported more negative psychological responses to receiving BD notifications regardless of prior BD awareness. AA women had more favorable perceptions related to talking to their physicians about the BD notifications. Generally, race-related perceptions, SES, and related knowledge partially accounted for the effect of race on psychological response. Race-related perceptions and SES partially accounted for the differences in behavioral intentions. Between-race differences in emotional responses to BD notifications did not explain differences in women's intentions to discuss BD notifications with their physicians.ConclusionsFuture examinations are warranted to examine whether there are between-race differences in actual post-BD notification behaviors and whether similar race-related variables account for differences.
| S-EPMC6136892 | biostudies-literature
Project description:Human sleep schedules vary widely across countries. We investigated whether these variations were related to differences in social factors, Morningness-Eveningness (ME) preference, or the natural light-dark cycle by contrasting the sleep duration and timing of young adults (age: 18-35?years) on work and free days in Singapore (n?=?1898) and the UK (n?=?837). On work days, people in Singapore had later bedtimes, but wake times were similar to the UK sample, resulting in shorter sleep duration. In contrast, sleep duration on free days did not differ between the two countries. Shorter sleep on work days, without compensatory extra long sleep hours on free days, suggest greater demands from work and study in Singapore. While the two samples differed slightly in ME preference, the associations between eveningness preference and greater extension in sleep duration as well as delays in sleep timing on free days were similar in the two countries. Thus, differences in ME preference did not account for the differences in sleep schedules between the two countries. The greater variability in the photoperiod in the UK was not associated with more prominent seasonal changes in sleep patterns compared to Singapore. Furthermore, in the UK, daylight saving time did not alter sleep schedules relative to clock time. Collectively, these findings suggest that differences in social demands, primarily from work or study, could account for the observed differences in sleep schedules between countries, and that in industrialized societies, social zeitgebers, which typically involve exposure to artificial light, are major determinants of sleep schedules.
| S-EPMC4036075 | biostudies-literature
Project description:This study investigates how married mothers' relative bargaining power before the birth of their first child affects their subsequent accumulation of pension entitlements in East versus West Germany. I use a novel data linkage between the German sample of the "Survey of Health, Ageing and Retirement in Europe" and administrative records from the German pension insurance (SHARE-RV) to analyze monthly life-course data on married mothers from East (N = 226) and West Germany (N = 586) who were born between 1925 and 1967. Applying random effects growth curve models and mediation analyses, I find that women's relative bargaining power before parenthood is linked to their subsequent accumulation of pension entitlements in West (but not East) Germany. The results support the notion that bargaining power early in couples' linked lives has long-term consequences for women's pension income. Moreover, the results indicate that negotiations within the couple are constricted by the extent to which the institutional context supports or hinders the reconciliation of women's work-family conflict.
| S-EPMC9259956 | biostudies-literature