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Vasco Santos J, Padron Monedero A, Bikbov B, Grad DA, Plass D, Mechili EA, Gazzelloni F, Fischer F, Sulo G, Ngwa CH, Noguer-Zambrano I, Peñalvo J, Haagsma JA, Kissimova-Skarbek K, Monasta L, Ghith N, Sarmiento-Suarez R, Hrzic R, Haneef R, O'Caoimh R, Cuschieri S, Mondello S, Kabir Z, Devleesschauwer B. The state of health in the European Union in 2019. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The European Union (EU) faces many health-related challenges. Accurate and timely data on mortality and morbidity from diseases and injuries and their trends over time are essential for health planning and priority setting.
Methods
We use the GBD 2019 study estimates and 95% uncertainty intervals for the whole EU and each country to evaluate age-standardized death, YLL, YLD and DALY rates for Level 2 causes. We evaluate trends by comparing estimates for the year 2019 with those for the year 2010.
Results
In 2019, the age-standardized death and DALY rates in the EU were 465.8 and 20 251.0 per 100 000 inhabitants, respectively. Between 2010 and 2019, there were significant decreases for age-standardized, death and YLL rates across EU countries. However, YLD rates remained mainly unchanged, with increases in the Netherlands and the ‘. The largest decreases in age-standardized DALY rates were observed for HIV/AIDS and sexually transmitted diseases and transport injuries (both -19%). On the other hand, only diabetes and kidney diseases showed a significant increase for age-standardized DALY rates in the EU (3.5%). Mental disorders showed an increasing age-standardized YLD rate, as well.
Conclusions
Overall, there was a visible trend of improvement in the health status in the EU with substantial differences between countries. EU health policy makers need to tackle incidence of diseases and injuries, with specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease.
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Affiliation(s)
- J Vasco Santos
- European Burden of Disease Network (COST Action CA18218)
| | | | - B Bikbov
- European Burden of Disease Network (COST Action CA18218)
| | - DA Grad
- European Burden of Disease Network (COST Action CA18218)
| | - D Plass
- European Burden of Disease Network (COST Action CA18218)
| | - E-A Mechili
- European Burden of Disease Network (COST Action CA18218)
| | - F Gazzelloni
- European Burden of Disease Network (COST Action CA18218)
| | - F Fischer
- European Burden of Disease Network (COST Action CA18218)
| | - G Sulo
- European Burden of Disease Network (COST Action CA18218)
| | - CH Ngwa
- European Burden of Disease Network (COST Action CA18218)
| | | | - J Peñalvo
- European Burden of Disease Network (COST Action CA18218)
| | - JA Haagsma
- European Burden of Disease Network (COST Action CA18218)
| | | | - L Monasta
- European Burden of Disease Network (COST Action CA18218)
| | - N Ghith
- European Burden of Disease Network (COST Action CA18218)
| | | | - R Hrzic
- European Burden of Disease Network (COST Action CA18218)
| | - R Haneef
- European Burden of Disease Network (COST Action CA18218)
| | - R O'Caoimh
- European Burden of Disease Network (COST Action CA18218)
| | - S Cuschieri
- European Burden of Disease Network (COST Action CA18218)
| | - S Mondello
- European Burden of Disease Network (COST Action CA18218)
| | - Z Kabir
- European Burden of Disease Network (COST Action CA18218)
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Vasco Santos J, Padron Monedero A, Kocbach Bolling A, Bikbov B, Unim B, Grad DA, Plass D, Fischer F, Violante FS, Sulo G, Ngwa CH, Noguer-Zambrano I, Peñalvo J, Haagsma JA, Kissimova-Skarbek K, Monasta L, Ghith N, Sigurvinsdóttir R, Sarmiento-Suarez R, Haneef R, Mondello S, Breitner S, Kabir Z, Devleesschauwer B. Burden of diseases and injuries attributable to risk factors in the European Union in 2019. Eur J Public Health 2021. [DOI: 10.1093/eurpub/ckab164.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
In addition to information on mortality and morbidity from diseases and injuries, it is important to identify the attributable burden of risk factors to allow for health planning and prioritization.
Methods
For the whole EU and each country, using estimates and 95% uncertainty intervals from the GBD 2019 study, we report attributable (all-cause and by level 2 risk factors) age-standardized death and DALY rates, as well as summary exposure values (SEV). We evaluate trends by comparing estimates for the year 2019 with those for the year 2010.
Results
Age-standardized death and DALY rates attributable to risk factors declined by 10.7% (95%UI 13.8%-7.6%) and 9.1% (95%UI 12.0%-6.3%), between 2010 and 2019 in the EU. While there was a decreasing trend for both age-standardized death and DALY rates for almost all risk factors, some showed an increasing trend on SEV, including low physical activity and intimate partner violence.
Conclusions
Despite the improvement of health metrics attributable to risk factors, several modifiable behavioral and metabolic risk factors remain unchanged over the years. It is crucial to ensure a swift implementation of evidence-based policies and interventions in EU member states to achieve the targets of the Sustainable Development Goals.
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Affiliation(s)
- J Vasco Santos
- European Burden of Disease Network (COST Action CA18218)
| | | | | | - B Bikbov
- European Burden of Disease Network (COST Action CA18218)
| | - B Unim
- European Burden of Disease Network (COST Action CA18218)
| | - DA Grad
- European Burden of Disease Network (COST Action CA18218)
| | - D Plass
- European Burden of Disease Network (COST Action CA18218)
| | - F Fischer
- European Burden of Disease Network (COST Action CA18218)
| | - FS Violante
- European Burden of Disease Network (COST Action CA18218)
| | - G Sulo
- European Burden of Disease Network (COST Action CA18218)
| | - CH Ngwa
- European Burden of Disease Network (COST Action CA18218)
| | | | - J Peñalvo
- European Burden of Disease Network (COST Action CA18218)
| | - JA Haagsma
- European Burden of Disease Network (COST Action CA18218)
| | | | - L Monasta
- European Burden of Disease Network (COST Action CA18218)
| | - N Ghith
- European Burden of Disease Network (COST Action CA18218)
| | | | | | - R Haneef
- European Burden of Disease Network (COST Action CA18218)
| | - S Mondello
- European Burden of Disease Network (COST Action CA18218)
| | - S Breitner
- European Burden of Disease Network (COST Action CA18218)
| | - Z Kabir
- European Burden of Disease Network (COST Action CA18218)
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