Do Welfare Regimes Matter? A Comparative Analysis of Area‐Level Inequalities in Life Expectancy in Germany and the United Kingdom, 2003–2021

ABSTRACT While area‐level inequalities in life expectancy are well documented within individual countries, cross‐national comparisons remain rare. We estimated and compared the magnitude of area‐level life expectancy inequalities across districts in the UK and Germany, representing two distinct welfare regimes. We used mortality data from national statistical offices to estimate life expectancy for all districts between 2003 and 2021. Based on employment data, we assigned a deprivation decile to each district within both countries and calculated life expectancy for each decile. Using the slope index of inequality, we compared temporal trends in life expectancy inequalities across deciles in both countries. We found that, although life expectancy was similar in both countries, the UK consistently showed higher levels of area‐level inequality than Germany. While district‐level life expectancy inequalities increased in both countries over time, they rose more sharply in the UK, particularly during the first years of the Covid‐19 pandemic. These findings are likely to reflect deeply rooted differences in governmental approaches to ensuring equitable living conditions across two distinct welfare regimes.

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Publication Details

Journal
Geographical Analysis
Published
2026-04-01
DOI
https://doi.org/10.1111/gean.70040
Primary Topic
Health disparities and outcomes
Type
article
Field-Weighted Citation Impact
0.00

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article

Do Welfare Regimes Matter? A Comparative Analysis of Area‐Level Inequalities in Life Expectancy in Germany and the United Kingdom, 2003–2021

Andreas Höhn, Nik Lomax, Michael Mühlichen, Pavel Grigoriev
Geographical Analysis
Health disparities and outcomes
article

Do Welfare Regimes Matter? A Comparative Analysis of Area‐Level Inequalities in Life Expectancy in Germany and the United Kingdom, 2003–2021

Andreas Höhn, Nik Lomax, Michael Mühlichen, Pavel Grigoriev
article en

Abstract

ABSTRACT While area‐level inequalities in life expectancy are well documented within individual countries, cross‐national comparisons remain rare. We estimated and compared the magnitude of area‐level life expectancy inequalities across districts in the UK and Germany, representing two distinct welfare regimes. We used mortality data from national statistical offices to estimate life expectancy for all districts between 2003 and 2021. Based on employment data, we assigned a deprivation decile to each district within both countries and calculated life expectancy for each decile. Using the slope index of inequality, we compared temporal trends in life expectancy inequalities across deciles in both countries. We found that, although life expectancy was similar in both countries, the UK consistently showed higher levels of area‐level inequality than Germany. While district‐level life expectancy inequalities increased in both countries over time, they rose more sharply in the UK, particularly during the first years of the Covid‐19 pandemic. These findings are likely to reflect deeply rooted differences in governmental approaches to ensuring equitable living conditions across two distinct welfare regimes.

Geographical AnalysisVol. 58(2)
University of Leeds (GB), University of St Andrews (GB), MRC/CSO Social and Public Health Sciences Unit (GB), Federal Institute for Population Research (DE)
Chief Scientist Office, Medical Research Council, H2020 European Research Council, UK Prevention Research Partnership
No poverty
Openalex Percentile: Top 19%
Health disparities and outcomes
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Do Welfare Regimes Matter? A Comparative Analysis of Area‐Level Inequalities in Life Expectancy in Germany and the United Kingdom, 2003–2021 — Andreas Höhn, Nik Lomax, et al. · Geographical Analysis (2026) | TGRS Research Map | TGRS