Inequalities in the burden of non-communicable diseases across European countries
| Autor(a) principal: | |
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| Data de Publicação: | 2023 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
| Texto Completo: | http://hdl.handle.net/10362/166970 |
Resumo: | Funding Information: This publication is based upon work from COST Action CA18218 (European Burden of Disease Network; www.burden-eu.net ), supported by COST (European Cooperation in Science and Technology; www.cost.eu ). Publisher Copyright: © 2023, The Author(s). |
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Inequalities in the burden of non-communicable diseases across European countriesa systematic analysis of the Global Burden of Disease 2019 studyDALY rateEuropean Economic AreaEuropean UnionGlobal Burden of DiseaseHealth inequalityNon-communicable diseasesHealth PolicyPublic Health, Environmental and Occupational HealthSDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesFunding Information: This publication is based upon work from COST Action CA18218 (European Burden of Disease Network; www.burden-eu.net ), supported by COST (European Cooperation in Science and Technology; www.cost.eu ). Publisher Copyright: © 2023, The Author(s).Background: Although overall health status in the last decades improved, health inequalities due to non-communicable diseases (NCDs) persist between and within European countries. There is a lack of studies giving insights into health inequalities related to NCDs in the European Economic Area (EEA) countries. Therefore, the aim of the present study was to quantify health inequalities in age-standardized disability adjusted life years (DALY) rates for NCDs overall and 12 specific NCDs across 30 EEA countries between 1990 and 2019. Also, this study aimed to determine trends in health inequalities and to identify those NCDs where the inequalities were the highest. Methods: DALY rate ratios were calculated to determine and compare inequalities between the 30 EEA countries, by sex, and across time. Annual rate of change was used to determine the differences in DALY rate between 1990 and 2019 for males and females. The Gini Coefficient (GC) was used to measure the DALY rate inequalities across countries, and the Slope Index of Inequality (SII) to estimate the average absolute difference in DALY rate across countries. Results: Between 1990 and 2019, there was an overall declining trend in DALY rate, with larger declines among females compared to males. Among EEA countries, in 2019 the highest NCD DALY rate for both sexes were observed for Bulgaria. For the whole period, the highest DALY rate ratios were identified for digestive diseases, diabetes and kidney diseases, substance use disorders, cardiovascular diseases (CVD), and chronic respiratory diseases – representing the highest inequality between countries. In 2019, the highest DALY rate ratio was found between Bulgaria and Iceland for males. GC and SII indicated that the highest inequalities were due to CVD for most of the study period – however, overall levels of inequality were low. Conclusions: The inequality in level 1 NCDs DALYs rate is relatively low among all the countries. CVDs, digestive diseases, diabetes and kidney diseases, substance use disorders, and chronic respiratory diseases are the NCDs that exhibit higher levels of inequality across countries in the EEA. This might be mitigated by applying tailored preventive measures and enabling healthcare access.Escola Nacional de Saúde Pública (ENSP)RUNAndrade, Carlos Alexandre SoaresMahrouseh, NourGabrani, JonilaCharalampous, PeriklisCuschieri, SarahGrad, Diana AlecsandraUnim, BrigidMechili, Enkeleint A.Chen-Xu, JoséDevleesschauwer, BrechtIsola, Gaetanovon der Lippe, ElenaBaravelli, Carl MichaelFischer, FlorianWeye, NannaBalaj, MirzaHaneef, RomanaEconomou, MaryHaagsma, Juanita A.Varga, Orsolya2024-05-04T00:25:27Z2023-122023-12-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/166970eng1475-9276PURE: 86179602https://doi.org/10.1186/s12939-023-01958-8info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-22T18:21:04Zoai:run.unl.pt:10362/166970Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-22T18:21:04Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
| dc.title.none.fl_str_mv |
Inequalities in the burden of non-communicable diseases across European countries a systematic analysis of the Global Burden of Disease 2019 study |
| title |
Inequalities in the burden of non-communicable diseases across European countries |
| spellingShingle |
Inequalities in the burden of non-communicable diseases across European countries Andrade, Carlos Alexandre Soares DALY rate European Economic Area European Union Global Burden of Disease Health inequality Non-communicable diseases Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities |
| title_short |
Inequalities in the burden of non-communicable diseases across European countries |
| title_full |
Inequalities in the burden of non-communicable diseases across European countries |
| title_fullStr |
Inequalities in the burden of non-communicable diseases across European countries |
| title_full_unstemmed |
Inequalities in the burden of non-communicable diseases across European countries |
| title_sort |
Inequalities in the burden of non-communicable diseases across European countries |
| author |
Andrade, Carlos Alexandre Soares |
| author_facet |
Andrade, Carlos Alexandre Soares Mahrouseh, Nour Gabrani, Jonila Charalampous, Periklis Cuschieri, Sarah Grad, Diana Alecsandra Unim, Brigid Mechili, Enkeleint A. Chen-Xu, José Devleesschauwer, Brecht Isola, Gaetano von der Lippe, Elena Baravelli, Carl Michael Fischer, Florian Weye, Nanna Balaj, Mirza Haneef, Romana Economou, Mary Haagsma, Juanita A. Varga, Orsolya |
| author_role |
author |
| author2 |
Mahrouseh, Nour Gabrani, Jonila Charalampous, Periklis Cuschieri, Sarah Grad, Diana Alecsandra Unim, Brigid Mechili, Enkeleint A. Chen-Xu, José Devleesschauwer, Brecht Isola, Gaetano von der Lippe, Elena Baravelli, Carl Michael Fischer, Florian Weye, Nanna Balaj, Mirza Haneef, Romana Economou, Mary Haagsma, Juanita A. Varga, Orsolya |
| author2_role |
author author author author author author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) RUN |
| dc.contributor.author.fl_str_mv |
Andrade, Carlos Alexandre Soares Mahrouseh, Nour Gabrani, Jonila Charalampous, Periklis Cuschieri, Sarah Grad, Diana Alecsandra Unim, Brigid Mechili, Enkeleint A. Chen-Xu, José Devleesschauwer, Brecht Isola, Gaetano von der Lippe, Elena Baravelli, Carl Michael Fischer, Florian Weye, Nanna Balaj, Mirza Haneef, Romana Economou, Mary Haagsma, Juanita A. Varga, Orsolya |
| dc.subject.por.fl_str_mv |
DALY rate European Economic Area European Union Global Burden of Disease Health inequality Non-communicable diseases Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities |
| topic |
DALY rate European Economic Area European Union Global Burden of Disease Health inequality Non-communicable diseases Health Policy Public Health, Environmental and Occupational Health SDG 3 - Good Health and Well-being SDG 10 - Reduced Inequalities |
| description |
Funding Information: This publication is based upon work from COST Action CA18218 (European Burden of Disease Network; www.burden-eu.net ), supported by COST (European Cooperation in Science and Technology; www.cost.eu ). Publisher Copyright: © 2023, The Author(s). |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2023-12 2023-12-01T00:00:00Z 2024-05-04T00:25:27Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10362/166970 |
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http://hdl.handle.net/10362/166970 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
1475-9276 PURE: 86179602 https://doi.org/10.1186/s12939-023-01958-8 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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mluisa.alvim@gmail.com |
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