The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019.
Journal: BMC public health
Volume: 24
Issue: 1
Year of Publication: 2024
Affiliated Institutions:
MEDCIDS, Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal. jvasco.santos@gmail.com.
National School of Public Health. Instituto de Salud Carlos III, Madrid, Spain.
Scientific-Tools.Org, Bergamo, Italy.
Department of Public Health, Babeş-Bolyai University, Cluj-Napoca-Napoca, Romania.
Department for Exposure Assessment and Environmental Health Indicators, Germany Environment Agency, Berlin, Germany.
Clinic of Social and Family Medicine, School of Medicine, University of Crete, Crete, Greece.
Independent Researcher, Rome, Italy.
Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, Weingarten, Germany.
Centre for Disease Burden, Norwegian Institute of Public Health, Oslo, Norway.
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
National Center for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain.
Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Department of Health Economics and Social Security, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Research group for Childhood Cancer, Danish Cancer Institute, Danish Cancer Society, Copenhagen, Denmark.
Department of International Health, Maastricht University, Care and Public Health Research Institute - CAPHRI, Maastricht, The Netherlands.
Department of Non-Communicable Diseases and Injuries, Santé Publique France, Saint-Maurice, France.
Department of Medicine, University College Cork, College Road, Cork City, Ireland.
Department of Anatomy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
School of Public Health, University College Cork, Cork, Ireland.
MEDCIDS, Department of Community Medicine, Information and Health Decision Sciences, Faculty of Medicine, University of Porto, Porto, Portugal.
Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium.
Abstract summary
The European Union (EU) faces many health-related challenges. Burden of diseases information and the resulting trends over time are essential for health planning. This paper reports estimates of disease burden in the EU and individual 27 EU countries in 2019, and compares them with those in 2010.We used the Global Burden of Disease 2019 study estimates and 95% uncertainty intervals for the whole EU and each country to evaluate age-standardised death, years of life lost (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) rates for Level 2 causes, as well as life expectancy and healthy life expectancy (HALE).In 2019, the age-standardised death and DALY rates in the EU were 465.8 deaths and 20,251.0 DALYs per 100,000 inhabitants, respectively. Between 2010 and 2019, there were significant decreases in age-standardised death and YLL rates across EU countries. However, YLD rates remained mainly unchanged. The largest decreases in age-standardised DALY rates were observed for "HIV/AIDS and sexually transmitted diseases" and "transport injuries" (each -19%). "Diabetes and kidney diseases" showed a significant increase for age-standardised DALY rates across the EU (3.5%). In addition, "mental disorders" showed an increasing age-standardised YLL rate (14.5%).There was a clear trend towards improvement in the overall health status of the EU but with differences between countries. EU health policymakers need to address the burden of diseases, paying specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease.
Authors & Co-authors:
Santos João Vasco JV
Padron-Monedero Alicia A
Bikbov Boris B
Grad Diana Alecsandra DA
Plass Dietrich D
Mechili Enkeleint A EA
Gazzelloni Federica F
Fischer Florian F
Sulo Gerhard G
Ngwa Che Henry CH
Noguer-Zambrano Isabel I
Peñalvo José L JL
Haagsma Juanita A JA
Kissimova-Skarbek Katarzyna K
Monasta Lorenzo L
Ghith Nermin N
Sarmiento-Suarez Rodrigo R
Hrzic Rok R
Haneef Romana R
O'Caoimh Rónán R
Cuschieri Sarah S
Mondello Stefania S
Kabir Zubair Z
Freitas Alberto A
Devleesschauwer Brecht B
Study Outcome
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