Hypertension: Diagnosis of high blood pressure is made particularly often in eastern Germany
The number of people with high blood pressure has increased significantly in Germany in recent years. The diagnosis of hypertension is made much more frequently in the east of the Republic than in the west. High blood pressure is an important risk factor for cardiovascular diseases.
The number of legally insured patients in Germany diagnosed with hypertension (high blood pressure) rose sharply between 2009 and 2018 from almost 17 million to a good 19 million. This emerges from the current Supply Atlas study by the Central Institute for Statutory Health Insurance in the Federal Republic of Germany (Zi).
Significant increase in diagnoses of hypertension
According to a message, about 50 percent of the increase can be attributed to a growing proportion of older people in the population.
According to the information, the highest proportions of sick people are observed in the eastern German regions. Overall, high blood pressure was much more common in East Germany (excluding Berlin: 23 percent) at 36 percent than in West Germany, where the rate was 25 percent. However, the proportion of older people among the legally insured is also higher in the east than in western Germany.
If the calculation of the proportions of sick people is corrected for the influence of the different age structure between west and east, the difference is reduced to six percentage points (west: 24 percent, east: 30 percent).
Differences can also be explained by socio-economic differences
As stated in the communication, the regional differences can, in addition to the age and gender structure, be explained to a certain extent by socio-economic differences between the regions.
Hypertension occurs more often in circles in which people with a low socio-economic status live. This was especially true for women and men in young to middle adulthood (24–49 years).
Higher risk of cardiovascular diseases
“Those who develop high blood pressure earlier have a significantly higher risk of cardiovascular diseases. The focus here is particularly on women and men in eastern German regions with low socio-economic status. They are therefore a priority target group for special preventive measures, ”said Zi CEO Dr. Dominik von Stillfried.
The Zi explains on its website: "According to the German mortality statistics, cardiovascular diseases are by far the most common cause of death. Hypertension is an important risk factor for cardiovascular diseases and operates in worldwide estimates as the main cause of premature death and through serious illness or disability years of life lost. "(ad)
Author and source information
This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.
- Central Institute for Health Insurance in the Federal Republic of Germany (Zi): Zi study on the frequency of diagnosis of hypertension in Germany published: 36 percent diagnose hypertension in eastern Germany particularly often - prevalence in western Germany at 25 percent, (access: 03.03.2020), supplyatlas.de
- Jakob Holstiege • Manas K. Akmatov • Annika Steffen • Jörg Bätzing: Diagnosis prevalence of hypertension in contract medical care - current key figures throughout Germany; on: versorgungsatlas.de, published: 03.03.2020), versorgungsatlas.de
- Central Institute for Statutory Health Insurance in the Federal Republic of Germany (Zi): Diagnosis prevalence of hypertension in contract medical care - current key figures for Germany, (accessed: 03.03.2020), versorgungsatlas.de