The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019
Santos, J. V., Padron-Monedero, A., Bikbov, B. , Grad, D. A., Plass, D., Mechili, E. A., Gazzelloni, F., Fischer, F., Sulo, G., Ngwa, C. H., Noguer-Zambrano, I., Peñalvo, J. L., Haagsma, J. A., Kissimova-Skarbek, K., Monasta, L., Ghith, N., Sarmiento-Suarez, R., Hrzic, R., Haneef, R., O’Caoimh, R., Cuschieri, S., Mondello, S., Kabir, Z., Abbafati, C., Abolhassani, H., Adekanmbi, V., Ahmadi, K., Ahmadi, S., Al-Jumaily, A., Alla, F., Alonso, J., Ancuceanu, R., Andrei, C. L., Andrei, T., Androudi, S., Antó, J. M., Appiah, S. C. Y., Aremu, O., Armocida, B., Ärnlöv, J., Arumugam, A., Attia, S., Aujayeb, A., Ausloos, M., Ayuso-Mateos, J. L., Banach, M., Bärnighausen, T. W., Barone-Adesi, F., Barteit, S., Basu, S., Baune, B. T., Beghi, M., Belo, L., Bennett, D. A., Biondi, A., Bohluli, M., do Nascimento, I. J. B., Bragazzi, N. L., Braithwaite, T., Brenner, H., Buonsenso, D., Busse, R., Calina, D., Carreras, G., Carvalho, M., Castelpietra, G., Catapano, A. L., Cattaruzza, M. S., Chandan, J. S., Charalampous, P., Chattu, V. K., Chen, S., Chowdhury, R., Christensen, H., Chung, S-C., Conde, J., Corso, B., Cruz-Martins, N., Damiani, G., de la Torre-Luque, A., Demetriades, A. K., Dervenis, N., Dianatinasab, M., da Silva, D. D., Douiri, A., Edvardsson, D., Bain, L. E., Esposito, F., Fagbamigbe, A. F., Farinha, C. S. E., Fereshtehnejad, S-M., Fernandes, J. C., Ferrara, P., Gaal, P. A., Gallus, S., Galluzzo, L., Fonseca, M. G., Gazzard, G., Gialluisi, A., Giampaoli, S., Gill, P. S., Glasbey, J. C., Gorini, G., Grivna, M., Hafiz, A., Haro, J. M., Hartvigsen, J., Hay, S. I., Heibati, B., Hillus, D., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Hussain, S., Isola, G., Johnson, O., Jonas, J. B., Joo, T., Jozwiak, J. J., Jürisson, M., Karanikolos, M., Kauppila, J. H., Khan, M. A. B., Khatab, K., Klugar, M., Koyanagi, A., Kurmi, O. P., Kusuma, D. 
ORCID: 0000-0002-1909-9341, La Vecchia, C., Lacey, B., Lamnisos, D., Larson, H. J., Larsson, A. O., Lasrado, S., Lauriola, P., Lazarus, J. V., Ledda, C., Lee, P. H., Leinsalu, M., Leonardi, M., Levi, M., Li, A., Linehan, C., Logroscino, G., Lorkowski, S., Loureiro, J. A., Lyons, R. A., Madureira-Carvalho, Á. M., Majeed, A., Mathioudakis, A. G., McAlinden, C., McGrath, J. J., Menezes, R. G., Mentis, A-F. A., Meretoja, A., Meretoja, T. J., Mestrovic, T., Jonasson, J. M., Miazgowski, B., Miazgowski, T., Mirica, A., Mohammed, S., Mokdad, A. H., Mons, U., Morgado-da-Costa, J., Mulita, F., Murray, C. J. L., Negoi, I., Negoi, R. I., Negru, S. M., Nena, E., Noor, N. M., Ntaios, G., Oancea, B., Osei, F. B., Otoiu, A., Palladino, R., Panda-Jonas, S., Pardhan, S., Patel, J., Paun, M., Pedersini, P., Pensato, U., Pereira, R. B., Pérez-Gómez, J., Perico, N., Petcu, I-R., Peterson, C. B., Pinheiro, M., Postma, M. J., Raggi, A., Rahmani, A. M., Rao, C. R., Rawaf, S., Rawassizadeh, R., Remuzzi, G., Riad, A., Sacco, S., Saeb, M. R., Sathian, B., Sattin, D., Scarmeas, N., Schwendicke, F., Shiri, R., Shivarov, V., Sibhatu, K. T., Simonetti, B., Skou, S. T., Soriano, J. B., Soyiri, I. N., Steel, N., Stefan, S. C., Steinbeis, F., Steiropoulos, P., Stockfelt, L., Stranges, S., Sundström, J., Tabarés-Seisdedos, R., Thiyagarajan, A., Topor-Madry, R., Tovani-Palone, M. R., Tsilimparis, N., Unim, B., Vacante, M., Van den Eynde, J., Vasankari, T. J., Veroux, M., Villafañe, J. H., Violante, F. S., Wang, Y., Westerman, R., Wolfe, C. D. A., Wyper, G. M. A., Yaya, S., Zadnik, V., Zeitoun, J-D., Zumla, A., Freitas, A. & Devleesschauwer, B. (2024).
The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019.
BMC Public Health, 24(1),
article number 1374.
doi: 10.1186/s12889-024-18529-3
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.
| Publication Type: | Article |
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| Additional Information: | © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
| Publisher Keywords: | European Union, Health status, Population health, Global Burden of Diseases, European Burden of Disease Network |
| Subjects: | H Social Sciences > HN Social history and conditions. Social problems. Social reform J Political Science > JN Political institutions (Europe) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Departments: | School of Health & Psychological Sciences School of Health & Psychological Sciences > Healthcare Services Research & Management |
| SWORD Depositor: |
Available under License Creative Commons: Attribution International Public License 4.0.
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