Health trends in Canada 1990-2019: An analysis for the Global Burden of Disease Study.
Journal: Canadian journal of public health = Revue canadienne de sante publique
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Affiliated Institutions:
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Department of Community Health and Epidemiology, University of Saskatchewan, Saskatoon, SK, Canada.
Department of Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada.
Department of Family Medicine, McMaster University, Hamilton, ON, Canada.
Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS, Canada.
Centre for Global Child Health, University of Toronto, Toronto, ON, Canada.
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada.
Department of Community Medicine, Datta Meghe Institute of Medical Sciences, Sawangi, India.
Faculty of Health, York University, Toronto, ON, Canada.
MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto, ON, Canada.
Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, Stockholm, Sweden.
Faculty of Kinesiology, University of New Brunswick, Fredericton, NB, Canada.
Centre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada.
College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
Department of Demography, University of Montreal, Montreal, QC, Canada.
Department of Social and Preventive Medicine, University of Montreal, Montreal, QC, Canada.
Department of Medicine, McMaster University, Hamilton, ON, Canada.
Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
Saveetha Medical College and Hospitals, Saveetha University, Chennai, India.
Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Division of Plastic and Reconstructive Surgery, McMaster University, Hamilton, ON, Canada.
Department of Family and Preventive Medicine, Emory University, Atlanta, GA, USA.
Department of Neurosciences, University of Ottawa, Ottawa, ON, Canada.
Department of Medicine, University of Washington, Seattle, WA, USA.
Department of Epidemiology & Biostatistics, The University of Western Ontario, London, ON, Canada.
Department of Family Medicine, McGill University, Montreal, QC, Canada.
School of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada.
School of Population and Global Health, McGill University, Montreal, QC, Canada. frank.elgar@mcgill.ca.
Abstract summary
Monitoring trends in key population health indicators is important for informing health policies. The aim of this study was to examine population health trends in Canada over the past 30 years in relation to other countries.We used data on disability-adjusted life years (DALYs), years of life lost (YLL), years lived with disability, life expectancy (LE), and child mortality for Canada and other countries between 1990 and 2019 provided by the Global Burden of Disease Study.Life expectancy, age-standardized YLL, and age-standardized DALYs all improved in Canada between 1990 and 2019, although the rate of improvement has leveled off since 2011. The top five causes of all-age DALYs in Canada in 2019 were neoplasms, cardiovascular diseases, musculoskeletal disorders, neurological disorders, and mental disorders. The greatest increases in all-age DALYs since 1990 were observed for substance use, diabetes and chronic kidney disease, and sense organ disorders. Age-standardized DALYs declined for most conditions, except for substance use, diabetes and chronic kidney disease, and musculoskeletal disorders, which increased by 94.6%, 14.6%, and 7.3% respectively since 1990. Canada's world ranking for age-standardized DALYs declined from 9th place in 1990 to 24th in 2019.Canadians are healthier today than in 1990, but progress has slowed in Canada in recent years in comparison with other high-income countries. The growing burden of substance abuse, diabetes/chronic kidney disease, and musculoskeletal diseases will require continued action to improve population health.
Authors & Co-authors:
Kopec Jacek A JA
Pourmalek Farshad F
Adeyinka Daniel A DA
Adibi Amin A
Agarwal Gina G
Alam Samiah S
Bhutta Zulfiqar A ZA
Butt Zahid A ZA
Chattu Vijay K VK
Eyawo Oghenowede O
Fazli Ghazal G
Fereshtehnejad Seyed-Mohammad SM
Hebert Jeffrey J JJ
Hossain Md Belal MB
Ilesanmi Marcus M MM
Itiola Ademola J AJ
Jahrami Haitham H
Kissoon Niranjan N
Defo Barthelemy K BK
Kurmi Om P OP
Mokdad Ali H AH
Murray Christopher J L CJL
Olagunju Andrew T AT
Pandi-Perumal Seithikurippu R SR
Patten Scott B SB
Rafiee Ata A
Rasali Drona Prakash DP
Sardiwalla Yaeesh Y
Sathish Thirunavukkarasu T
Solmi Marco M
Somayaji Ranjani R
Stranges Saverio S
Tonelli Marcello M
Wang Ziyue Z
Yaya Sanni S
Elgar Frank J FJ
Study Outcome
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