The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study.
Journal: Archives of public health = Archives belges de sante publique
Volume: 80
Issue: 1
Year of Publication:
Affiliated Institutions: Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. Department of Public Health, Erasmus MC, University Medical Center, Rotterdam, The Netherlands. p.charalampous@erasmusmc.nl. Epidemiology Unit, Central Tuscany Local Health Authority, Florence, Italy. Department of Non-Communicable Diseases and Injuries, Santé Publique France, Saint-Maurice, France. Department of Public Health, Aarhus University, Aarhus, Denmark. Laboratory of Social Medicine, Medical School, Democritus University of Thrace, Alexandroupolis, Greece. School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany. Institute of Hygiene, Health Information Center, Kaunas, Lithuania. Department of Biostatistics, Near East University, Nicosia, Cyprus. Geriatrics and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar. Department of Experimental Medicine, University of Campania Luigi Vanvitelli, Naples, Italy. Cardiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania. Research Center On Public Health, University of Milan-Bicocca, Monza, Italy. Department of Public Health, Birmingham City University, Birmingham, UK. Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates. Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal. Northumbria Healthcare NHS Foundation Trust, Cramlington, UK. Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Madrid, Spain. Lincoln International Institute for Rural Health (LIIRH), University of Lincoln, Lincoln, UK. Department of Hypertension, Medical University of Lodz, Lodz, Poland. Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany. Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy. Department of Mental Health, AUSL Romagna, Cesena, Italy. Clinical Trials Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK. Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates. Research Unit On Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal. Outpatient and Inpatient Care Service, Central Health Directorate, Friuli Venezia Giulia Region, Trieste, Italy. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy. Institute of Applied Health Research, University of Birmingham, Birmingham, UK. Department of Chemical Sciences, University of Porto, Porto, Portugal. Faculty of Medicine, University of Porto, Porto, Portugal. Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy. Department of Ophthalmology, University Hospital of Larissa, Larissa, Greece. Edinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Royal Infirmary of Edinburgh, Edinburgh, UK. Laboratory of Toxicology, Faculty of Pharmacy, University of Porto, Porto, Portugal. Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria. Division of Neurology, Department of Medicine, University of Ottawa, Ottawa, ON, Canada. Associated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal. Institute of Public Health, Charité-Universitätsmedizin Berlin, Berlin, Germany. Research Institute for Sustainable Land Development (Interra), University of Extremadura, Caceres, Spain. National Center On Addictions and Doping, Istituto Superiore Di Sanità, Rome, Italy. NIHR Global Health Research Unit On Global Surgery, University of Birmingham, Birmingham, UK. Department of Orthopedics, University Medical Center Utrecht, Utrecht, Netherlands. Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain. International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh. Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. Department of Public Health, University of Naples Federico II, Naples, Italy. Department of Epidemiology, University of Kragujevac, Kragujevac, Serbia. Faculty of Medicine, University of Belgrade, Belgrade, Serbia. N. A. Semashko Department of Public Health and Healthcare, I. M. Sechenov First Moscow State Medical University, Moscow, Russia. Department of Ophthalmology, Heidelberg University, Mannheim, Germany. Department of Family Medicine and Public Health, University of Opole, Opole, Poland. Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia. Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden. International Research Center of Excellence, Institute of Human Virology Nigeria, Abuja, Nigeria. Department of Family Medicine, United Arab Emirates University, Al-Ain, United Arab Emirates. School of Health Sciences, Kristiania University College, Oslo, Norway. Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway. Biomedical Research Networking Center for Mental Health Network (CiberSAM), San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain. Department of Psychiatry, University of Nairobi, Nairobi, Kenya. Division of Respirology, Department of Medicine, McMaster University, Hamilton, Canada. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy. Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus. Department of Otorhinolaryngology, Father Muller Medical College, Mangalore, India. Institute of Clinical Physiology, National Research Council, Pisa, Italy. School of Public Health, University of Haifa, Haifa, Israel. Laboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto, Porto, Portugal. Department of General Surgery, School of Medicine, Liverpool University Hospitals NHS Foundation Trust, University of Liverpool, Liverpool, UK. Institute of Research and Advanced, Training in Health Sciences and Technologies (INFACTS), Gandra, Portugal. Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece. Department of Primary Care and Public Health, Imperial College London, London, UK. Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. Public Health Laboratories, Hellenic Pasteur Institute, Athens, Greece. School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia. Clinical Microbiology and Parasitology Unit, Dr Zora Profozic Polyclinic, Zagreb, Croatia. Department of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University, Szczecin, Poland. Center for Innovation in Medical Education, Pomeranian Medical University, Szczecin, Poland. Faculty of Life Sciences and Medicine, King's College London, London, UK. Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy. Department of General Surgery, University General Hospital of Patras, Patras, Greece. Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia. Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Tampere, Finland. Administrative and Economic Sciences Department, University of Bucharest, Bucharest, Romania. National School of Public Health, Institute of Health Carlos III, Madrid, Spain. Vision and Eye Research Institute, Anglia Ruskin University, Cambridge, UK. Faculty of Medicine and Health, University of Leeds, Leeds, UK. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. Department of Chemistry, University of Porto, Porto, Portugal. World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe, Moscow, Russian Federation. Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India. World Health Organization (WHO) Collaborating Centre for Public Health Education and Training, Imperial College London, London, UK. Community Nursing Unit, Ireland Hospital, Abbeyleix, Ireland. Department of Psychosocial Science, University of Bergen, Bergen, Norway. Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy. Centre for Medical Informatics, University of Edinburgh, Edinburgh, UK. Finnish Institute of Occupational Health, Helsinki, Finland. Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK. Department of Psychology, Reykjavik University, Reykjavik, Iceland. Department No., Moscow Research and Practical Centre On Addictions, Moscow, Russia. Therapeutic Department, Balashiha Central Hospital, Balashikha, Russia. Professional Association of Licensed Optometry Professionals, Linda-a-Velha, Portugal. Department of Respiratory Medicine, Medical School, Democritus University of Thrace, University General Hospital Dragana, Alexandroupolis, Greece. Carlos III Health Institute, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain. Department of Pathology and Legal Medicine, University of São Paulo, Ribeirão Preto, Brazil. Institute of Public Health of Republic of North Macedonia, Saints Cyril and Methodius University of Skopje, Skopje, North Macedonia. Centre for Population, Family and Health, Department of Sociology, University of Antwerp, Antwerp, Belgium. UKK Institute, Tampere, Finland. Department of Medical, Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. Department of Health Care Administration and Economics, National Research University Higher School of Economics, Moscow, Russia. School of Population Health and Environmental Sciences, King's College London, London, UK. Psychology Department, University of Sheffield, Sheffield, UK. School of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada. Laboratory of Genetics and Genomics, Moscow Research and Practical Centre On Addictions, Moscow, Russia. Pediatrics Department, Russian Medical Academy of Continuous Professional Education, Moscow, Russia. Department of Public Health, Institute for Global Health and Epidemiology, Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovakia.
Abstract summary
Injury remains a major concern to public health in the European region. Previous iterations of the Global Burden of Disease (GBD) study showed wide variation in injury death and disability adjusted life year (DALY) rates across Europe, indicating injury inequality gaps between sub-regions and countries. The objectives of this study were to: 1) compare GBD 2019 estimates on injury mortality and DALYs across European sub-regions and countries by cause-of-injury category and sex; 2) examine changes in injury DALY rates over a 20 year-period by cause-of-injury category, sub-region and country; and 3) assess inequalities in injury mortality and DALY rates across the countries.We performed a secondary database descriptive study using the GBD 2019 results on injuries in 44 European countries from 2000 to 2019. Inequality in DALY rates between these countries was assessed by calculating the DALY rate ratio between the highest-ranking country and lowest-ranking country in each year.In 2019, in Eastern Europe 80 [95% uncertainty interval (UI): 71 to 89] people per 100,000 died from injuries; twice as high compared to Central Europe (38 injury deaths per 100,000; 95% UI 34 to 42) and three times as high compared to Western Europe (27 injury deaths per 100,000; 95%UI 25 to 28). The injury DALY rates showed less pronounced differences between Eastern (5129 DALYs per 100,000; 95% UI: 4547 to 5864), Central (2940 DALYs per 100,000; 95% UI: 2452 to 3546) and Western Europe (1782 DALYs per 100,000; 95% UI: 1523 to 2115). Injury DALY rate was lowest in Italy (1489 DALYs per 100,000) and highest in Ukraine (5553 DALYs per 100,000). The difference in injury DALY rates by country was larger for males compared to females. The DALY rate ratio was highest in 2005, with DALY rate in the lowest-ranking country (Russian Federation) 6.0 times higher compared to the highest-ranking country (Malta). After 2005, the DALY rate ratio between the lowest- and the highest-ranking country gradually decreased to 3.7 in 2019.Injury mortality and DALY rates were highest in Eastern Europe and lowest in Western Europe, although differences in injury DALY rates declined rapidly, particularly in the past decade. The injury DALY rate ratio of highest- and lowest-ranking country declined from 2005 onwards, indicating declining inequalities in injuries between European countries.Authors & Co-authors: Haagsma Charalampous Ariani Gallay Moesgaard Iburg Nena Ngwa Rommel Zelviene Abegaz Al Hamad Albano Liliana Andrei Andrei Antonazzo Aremu Arumugam Atreya Aujayeb Ayuso-Mateos Engelbert Bain Banach Winfried Bärnighausen Barone-Adesi Beghi Bennett Bhagavathula Carvalho Castelpietra Caterina Chandan Couto Cruz-Martins Damiani Dastiridou Demetriades Dias-da-Silva Francis Fagbamigbe Fereshtehnejad Fernandes Ferrara Fischer Fra Paleo Ghirini Glasbey Glavan Gomes Grivna Harlianto Haro Hasan Hostiuc Iavicoli Ilic Ilic Jakovljevic Jonas Jerzy Jozwiak Jürisson Kauppila Kayode Khan Kisa Kisa Koyanagi Kumar Kurmi La-Vecchia Lamnisos Lasrado Lauriola Linn Loureiro Lunevicius Madureira-Carvalho Mechili Majeed Menezes Mentis Meretoja Mestrovic Miazgowski Miazgowski Mirica Molokhia Mohammed Monasta Mulita David Naimzada Negoi Neupane Oancea Orru Otoiu Otstavnov Otstavnov Padron-Monedero Panda-Jonas Pardhan Patel Pedersini Pinheiro Rakovac Rao Rawaf Rawaf Rodrigues Ronfani Sagoe Sanmarchi Santric-Milicevic Sathian Sheikh Shiri Shivalli Dora Sigfusdottir Sigurvinsdottir Yurievich Skryabin Aleksandrovna Skryabina Smarandache Socea Sousa Steiropoulos Tabarés-Seisdedos Roberto Tovani-Palone Tozija Van de Velde Juhani Vasankari Veroux Violante Vlassov Wang Yadollahpour Yaya Sergeevich Zastrozhin Zastrozhina Polinder Majdan
Study Outcome
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Statistics
Citations : James SL, Castle CD, Dingels ZV, Fox JT, Hamilton EB, Liu Z, et al. Estimating global injuries morbidity and mortality: methods and data used in the Global Burden of Disease 2017 study. Inj Prev. 2020;26(Supp 1):i125–i153. doi: 10.1136/injuryprev-2019-043531.Authors : 138
Identifiers
Doi : 142SSN : 0778-7367