Transit systems in the US and Germany - a comparison

This thesis compares German transit systems to the transit system of Atlanta, Georgia. Different performance measures are used to assess the difference in the respective rail and bus systems. The results show that the German transit systems are overall more successful and efficient than the system in Atlanta.M.S.Committee Chair: Meyer, Michael D.; Committee Member: Amekudzi, Adjo Akpene; Committee Member: Southworth, Fran

The Roma Struggle for Compensation in Post-War Germany

Thirty years passed before it was accepted, in West Germany and elsewhere, that the Roma (Germany's Gypsies) had been Holocaust victims. And, similarly, it took thirty years for the West German state to admit that the sterilisation of Roma had been part of the 'Final Solution'. Drawing on a substantial body of previously unseen sources, this book examines the history of the struggle of Roma for recognition as racially persecuted victims of National Socialism in post-war Germany. Since modern academics belatedly began to take an interest in them, the Roma have been described as 'forgotten victims'. This book looks at the period in West Germany between the end of the War and the beginning of the Roma civil rights movement in the early 1980s, during which the Roma were largely passed over when it came to compensation. The complex reasons for this are at the heart of this book

The Roma Struggle for Compensation in Post-War Germany

Thirty years passed before it was accepted, in West Germany and elsewhere, that the Roma (Germany's Gypsies) had been Holocaust victims. And, similarly, it took thirty years for the West German state to admit that the sterilisation of Roma had been part of the 'Final Solution'. Drawing on a substantial body of previously unseen sources, this book examines the history of the struggle of Roma for recognition as racially persecuted victims of National Socialism in post-war Germany. Since modern academics belatedly began to take an interest in them, the Roma have been described as 'forgotten victims'. This book looks at the period in West Germany between the end of the War and the beginning of the Roma civil rights movement in the early 1980s, during which the Roma were largely passed over when it came to compensation. The complex reasons for this are at the heart of this book

Protective Behavior in Course of the COVID-19 Outbreak: Survey Results From Germany

Objective: The COVID-19 outbreak means far-reaching changes in the organization of daily lives. Disease-related literacy and factors such as age, gender, or education play a major role in shaping individual practices of protective behavior. This paper investigates different types and frequency of practicing protective behaviors, as well as socio-demographic factors that are associated with such behavioral change. Methods: Data stem from a cross-sectional survey in Germany. Three thousand seven hundred and sixty-five people were contacted, 3,186 participated in the survey. Information on behavior to lower the risk of becoming infected with COVID-19 was assessed by nine items (answer options yes/no). For each item, logistic regression models were used to estimate odds ratios (OR), using education, sex, and age as main predictors and adjusting for partnership status and household composition. Results: People with lower educational level were less likely to avoid gatherings (OR = 0.63; 95%CI = 0.48–0.83), adapt their work situation (OR = 0.66; 95%CI = 0.52–0.82), reduce personal contacts and meetings (OR = 0.71; 95%CI = 0.55–0.93), or increase hand hygiene (OR = 0.53; 95%CI = 0.38–0.73). Being female was associated with higher odds of protective behavior for most outcomes. Exceptions were wearing face masks and adapting the own work situation. Associations between respondents' age and individual behavior change were inconsistent and mostly weak. Conclusion: Disease specific knowledge is essential in order to enable people to judge information on COVID-19. Health education programs aiming at improving COVID-19 knowledge are helpful to build up appropriate practices and reduce the spread of the disease. Strategies are needed to guarantee easy access and better dissemination of high-quality news and fact-checks. Socioeconomic characteristics should be taken into account in the development of infection control measures

Socioeconomic inequalities, health damaging behavior, and self-perceived health in Serbia: a cross-sectional study

Aim To analyze the association of socioeconomic factors with self-perceived health in Serbia and examine whether this association can be partly explained by health behavior variables. Methods We used data from the 2007 Living Standards Measurement Study for Serbia. A representative sample of 13 831 persons aged ≥20 years was interviewed. The associations between demographic factors (age, sex, marital status, and type of settlement), socioeconomic factors (education, employment status, and household consumption tertiles), and health behavior variables (smoking, alcohol consumption) and self-perceived health were examined using logistic regression analyses. Results A stepwise gradient was found between education and self-perceived health for the total sample, men, and women. Compared to people with high education, people with low education had a 4.5 times higher chance of assessing their health as poor. Unemployed (odds ratio [OR], 1.64; 95% confidence interval [CI], 1.29-2.10), inactive (OR, 2.82; 95% CI, 2.49-3.19), and the most deprived respondents (OR, 1.17; 95% CI, 1.02-1.34) were more likely to report poor self-perceived health than employed persons and the most affluent group. After adjustment for demographic and health behavior variables, the magnitudes of all associations decreased but remained clearly and significantly graded. Conclusions This study revealed inequalities in self-perceived health by socioeconomic position, in particular educational and employment status. The reduction of such inequalities through wisely tailored interventions that benefit people’s health should be a target of a national health policy in Serbi

Public Continuum Beliefs for Different Levels of Depression Severity

Introduction: The notion that depression is a disorder that moves along a continuum is well-established. Similarly, the belief in the continuity of mental illness is considered an important element in the stigma process. Against this background, it is the aim of this study to examine whether public continuum beliefs vary with the severity of depressive symptoms. Methods: Analyses were based on computer-assisted telephone interviews (CATIs) conducted in winter 2019/2020 in Germany (N = 1,009, response rate 46.8%). Using three vignettes representing mild, moderate, and severe depressive symptoms, beliefs regarding the continuity of symptoms, specifically a fundamental difference, were assessed with seven items. Sociodemographic characteristics and own experiences with depression (affliction and contact) were introduced as covariates. Results: Significant differences between the three groups of severity were found for the majority of the items measuring continuum beliefs or perceived fundamental difference. However, only few items showed a linear trend indicating a parallel between symptom severity and beliefs. Multivariate regression models showed that a moderate degree of depression was positively associated with stronger continuum beliefs but also with greater perceived difference compared to the mild degree, while no significant associations emerged for the severe vignette. Limitations: Although a comparison of our sample with official statistics supports the external validity, we cannot rule out a selection bias. It is arguable in how far short case vignettes convey a holistic picture of a person affected by depressive symptoms. Conclusion: Our results do not indicate a parallel between symptom severity and public continuum beliefs

Are health care inequalities unfair? A study on public attitudes in 23 countries

Background: In this article we focus on the following aims: (1) to analyze national and welfare state variations in the public perception of income-related health care inequalities, (2) to analyze associations of sociodemographic, socioeconomic, health-related, and health care factors with the perception of health care inequalities. Methods: Data were taken from the International Social Survey Programme (ISSP), an annually repeated cross-sectional survey based on nationally representative samples. 23 countries (N = 37,228) were included and assigned to six welfare states. Attitude towards income-related health care inequalities was assessed by asking: "Is it fair or unfair that people with higher incomes can afford better health care than people with lower incomes?" with response categories ranging from "very fair" (1) to "very unfair" (5). On the individual level, sociodemographic (gender, age), socioeconomic (income, education) health-related (self-rated health), and health care factors (health insurance coverage, financial barriers to health care) were introduced. Results: About two-thirds of the respondents in all countries think that it is unfair when people with higher incomes can afford better health care than people with lower incomes. Percentages vary between 42.8 in Taiwan and 84 in Slovenia. In terms of welfare states, this proportion is higher in Conservative, South European, and East European regimes than in East Asian, Liberal, and Social-Democratic regimes. Multilevel logistic regression analyses show that women, people affected by a low socioeconomic status, poor health, insufficient insurance coverage, and foregone care are more likely to perceive income-related health care inequalities as unfair. Conclusions: In most countries a majority of the population perceives income-related health care inequalities as unfair. Large differences between countries were observed. Welfare regime classification is important for explaining the variation across countries

Telefonische Befragungen bei alten Menschen: Ausschöpfung, Kontakthäufigkeit und Verweigerungen

'Obgleich telefonische Befragungen in der empirischen Sozialforschung in den letzten Jahren an Bedeutung gewonnen haben, gibt es in Deutschland kaum Erfahrungen mit diesem Instrument im Rahmen von sozialwissenschaftlich-gerontologischen Untersuchungen. Im vorliegenden Beitrag werden Maßnahmen zur Ausschöpfungsoptimierung (Mehrfachkontaktierung von Schwer-Erreichbaren und Konvertierung von Verweigerern) bei einer telefonischen Befragung alter Menschen (60 Jahre und älter) thematisiert. Dabei wird insbesondere der Frage nachgegangen, ob sich leicht erreichbare von schwer erreichbaren Haushalten bzw. Personen und temporäre Verweigerer von kooperationsbereiten Befragungsteilnehmern hinsichtlich soziodemographischer und sozioökonomischer Merkmale unterscheiden. Die Ergebnisse lassen darauf schließen, daß dem Problem der Verweigerung bei der Planung und Durchführung telefonischer Befragungen alter Menschen größere Aufmerksamkeit geschenkt werden sollte als dem Problem der Erreichbarkeit.' (Autorenreferat)'Although telephone surveys have become more important for empirical research in recent years, there is not much experience in using telephone interviews in socio-gerontological research. In this article measures to optimise response rate (repeated telephone calls and converting temporary refusers) in a telephone survey of older people (>60 years) are discussed We focus on the following two questions: f irst, whether persons who can be reached easily differ from those who are diffi cult to contact. Secondly we ask whether temporary refusers differ from cooperative respondents as far as their sociodemographic and socioeconomic characteristics are concerned. Results indicate that the problem of refusal has higher relevance for the planning and conductiong of telephone interviews with older people, compared to the problem of reachability.' (author's abstract)

Women and men with coronary heart disease in three countries : are they treated differently?

Non-medical determinants of medical decision making were investigated in an international research project in the US, in the UK and in Germany. The key question in this paper is whether and to what extent doctors' diagnostic and therapeutic decisions in coronary heart disease (CHD) are influenced by the patients' gender. A factorial experiment with a videotaped patient consultation was conducted. Professional actors played the role of patients with symptoms of CHD. Several alternative versions were taped featuring the same script with patient-actors of different sex, age, race and socio-economic status. The videotapes were presented to a randomly selected sample of 128 primary care physicians in each country. Using an interview with standardized and open-ended questions, physicians were asked how they would diagnose and treat such a patient after they had seen the video. Results show gender differences in the diagnostic strategies of the doctors. Women were asked different questions, a CHD was mentioned more often as a possible diagnosis for men than for women, and physicians were less certain about their diagnosis with female patients. Moreover, results indicate that gender differences in management decisions (therapy and lifestyle advice) are less pronounced and less consistent than in diagnostic decisions. Magnitude of gender effect on doctors' decisions varies between countries with smaller influences in the US. Although patients with identical symptoms were presented, primary care doctors’ behavior differed by patients' gender in all three countries under study. These gender differences suggest that women may be less likely to receive an accurate diagnosis and appropriate treatment than men