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The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019

2024; BioMed Central; Volume: 24; Issue: 1 Linguagem: Inglês

10.1186/s12889-024-18529-3

1471-2458

João Vasco Santos, Alicia Padrón‐Monedero, Boris Bikbov, Diana Alecsandra Grad, Dietrich Plaß, Enkeleint A. Mechili, Federica Gazzelloni, Florian Fischer, Gerhard Sulo, Che Henry Ngwa, Isabel Noguer-Zambrano, José L. Peñalvo, Juanita A. Haagsma, Katarzyna Kissimova‐Skarbek, Lorenzo Monasta, Nermin Ghith, Rodrigo Sarmiento-Suárez, Rok Hrzic, Romana Haneef, Rónán Ó’Caoimh, Sarah Cuschieri, Stefania Mondello, Zubair Kabir, Cristiana Abbafati, Hassan Abolhassani, Victor Adekanmbi, Keivan Ahmadi, Sepideh Ahmadi, Adel Al-Jumaily, François Alla, Jordi Alonso, Robert Ancuceanu, Cătălina Liliana Andrei, Tudorel Andrei, Sofia Androudi, Josep M. Antó, Seth Christopher Yaw Appiah, Olatunde Aremu, Benedetta Armocida, Johan Ärnlöv, Ashokan Arumugam, Sameh Attia, Avinash Aujayeb, Marcel Ausloos, José Luís Ayuso‐Mateos, Maciej Banach, Till Bärnighausen, Francesco Barone‐Adesi, Sandra Barteit, Sanjay Basu, Bernhard T. Baune, Massimiliano Beghi, Luı́s Belo, Derrick Bennett, Antonio Biondi, Mahdi Bohluli, Israel Júnior Borges do Nascimento, Nicola Luigi Bragazzi, Tasanee Braithwaite, Hermann Brenner, Danilo Buonsenso, Reinhard Busse, Daniela Călina, Giulia Carreras, Márcia Carvalho, Giulio Castelpietra, Alberico L. Catapano, Maria Sofia Cattaruzza, Joht Singh Chandan, Periklis Charalampous, Vijay Kumar Chattu, Simiao Chen, Rajiv Chowdhury, Hanne Christensen, Sheng‐Chia Chung, João Conde, Barbara Corso, Natália Martins, Giovanni Damiani, Alejandro de la Torre‐Luque, Andreas K. Demetriades, Nikolaos Dervenis, Mostafa Dianatinasab, Diana Dias da Silva, Abdel Douiri, David Edvardsson, Luchuo Engelbert Bain, Francesco Esposito, Adeniyi Francis Fagbamigbe, Carla Sofia e Sá Farinha, Seyed‐Mohammad Fereshtehnejad, João Carlos Fernandes, Pietro Ferrara, Péter Gaál, Silvano Gallus, Lucia Galluzzo, Mariana Gaspar Fonseca, Gus Gazzard, Alessandro Gialluisi, Simona Giampaoli, Paramjit Gill, James Glasbey, Giuseppe Gorini, Michal Grivna, Abdul Hafiz, Josep María Haro, Jan Hartvigsen, Simon I Hay, Behzad Heibati, David Hillus, Mehdi Hosseinzadeh, Sorin Hostiuc, Sorin Hostiuc, Salman Hussain, Gaetano Isola, Olatunji Johnson, Jost B. Jonas, Tamás Joó, Jacek Jerzy Jozwiak, Mikk Jürisson, Marina Karanikolos, Joonas H. Kauppila, Moien AB Khan, Khaled Khatab, Miloslav Klugar, Ai Koyanagi, Om Kurmi, Dian Kusuma, Carlo La Vecchia, Ben Lacey, Demetris Lamnisos, Heidi J. Larson, Anders Larsson, Savita Lasrado, Paolo Lauriola, Jeffrey V. Lazarus, Caterina Ledda, Paul H. Lee, Mall Leinsalu, Matilde Leonardi, Miriam Levi, An Li, Christine Linehan, Giancarlo Logroscino, Stefan Lorkowski, Joana A. Loureiro, Ronan A Lyons, Áurea Madureira-Carvalho, Azeem Majeed, Alexander G. Mathioudakis, Colm McAlinden, John J. McGrath, Ritesh G. Menezes, Alexios‐Fotios A. Mentis, Atte Meretoja, Tuomo J Meretoja, Tomislav Meštrović, Junmei Miao Jonasson, Bartosz Miazgowski, Tomasz Miazgowski, Andreea Mirică, Shafiu Mohammed, Ali H. Mokdad, Ute Mons, Joana Morgado-da-Costa, Francesk Mulita, Christopher J L Murray, Ionuţ Negoi, Ruxandra Irina Negoi, Șerban Negru, Evangelia Nena, Nurulamin M Noor, George Ntaios, Bogdan Oancea, Frank Osei, Adrian Oțoiu, Raffaele Palladino, Songhomitra Panda‐Jonas, Shahina Pardhan, Jay Patel, Mihaela Păun, Paolo Pedersini, Umberto Pensato, Renato B. Pereira, Jorge Pérez‐Gómez, Norberto Perico, Ionela-Roxana Petcu, Carrie B Peterson, Marina Pinheiro, Maarten J. Postma, Alberto Raggi, Amir M. Rahmani, Chythra R. Rao, Salman Rawaf, Reza Rawassizadeh, Giuseppe Remuzzi, Abanoub Riad, Simona Sacco, Mohammad Reza Saeb, Brijesh Sathian, Davide Sattin, Nikolaos Scarmeas, Falk Schwendicke, Rahman Shiri, Velizar Shivarov, Kibrom T. Sibhatu, Biagio Simonetti, Søren Thorgaard Skou, Joan B. Soriano, Ireneous N Soyiri, Nicholas Steel, Simona Cătălina Ștefan, Fridolin Steinbeis, Paschalis Steiropoulos, Leo Stockfelt, Saverio Stranges, Johan Sundström, Rafael Tabarés‐Seisdedos, Arulmani Thiyagarajan, Roman Topór-Mądry, Marcos Roberto Tovani‐Palone, Nikolaos Tsilimparis, Brigid Unim, Marco Vacante, Jef Van den Eynde, Tommi Vasankari, Massimiliano Veroux, Jorge Hugo Villafañe, Francesco Saverio Violante, Yanzhong Wang, Ronny Westerman, Charles Wolfe, Grant M. A. Wyper, Sanni Yaya, Vesna Zadnik, Jean–David Zeitoun, Alimuddin Zumla, Alberto Freitas, Brecht Devleesschauwer,

Employment and Welfare Studies

Abstract Background 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. Methods 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). Results 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%). Conclusions 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.