6533b85dfe1ef96bd12bde69
RESEARCH PRODUCT
The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study
Juanita A. HaagsmaPeriklis CharalampousFilippo ArianiAnne GallayKim Moesgaard IburgEvangelia NenaChe Henry NgwaAlexander RommelAusra ZelvieneKedir Hussein AbegazHanadi Al HamadLuciana AlbanoCatalina Liliana AndreiTudorel AndreiIppazio Cosimo AntonazzoOlatunde AremuAshokan ArumugamAlok AtreyaAvinash AujayebJose Luis Ayuso-mateosLuchuo Engelbert BainMaciej BanachTill Winfried BärnighausenFrancesco Barone-adesiMassimiliano BeghiDerrick A. BennettAkshaya Srikanth BhagavathulaFélix CarvalhoGiulio CastelpietraLedda CaterinaJoht Singh ChandanRosa A. S. CoutoNatália Cruz-martinsGiovanni DamianiAnna DastiridouAndreas K. DemetriadesDiana Dias Da SilvaAdeniyi Francis FagbamigbeSeyed-mohammad FereshtehnejadEduarda FernandesPietro FerraraFlorian FischerUrbano Fra.paleoSilvia GhiriniJames C. GlasbeyIonela-roxana GlavanNelson G. M. GomesMichal GrivnaNetanja I HarliantoJosep Maria HaroM. Tasdik HasanSorin HostiucIvo IavicoliMilena D. IlicIrena M. IlicMihajlo JakovljevicJost B. JonasJacek Jerzy JozwiakMikk JürissonJoonas H. KauppilaGbenga A. KayodeMoien A.b. KhanAdnan KisaSezer KisaAi KoyanagiManasi KumarOm P. KurmiCarlo La-vecchiaDemetris LamnisosSavita LasradoPaolo LauriolaShai LinnJoana A. LoureiroRaimundas LuneviciusÁUrea M Madureira-carvalhoEnkeleint A. MechiliAzeem MajeedRitesh G. MenezesAlexios-fotios A. MentisAtte MeretojaTomislav MestrovicTomasz MiazgowskiBartosz MiazgowskiAndreea MiricaMariam MolokhiaShafiu MohammedLorenzo MonastaFrancesk MulitaMukhammad David NaimzadaIonut NegoiSubas NeupaneBogdan OanceaHans OrruAdrian OtoiuNikita OtstavnovStanislav S. OtstavnovAlicia Padron-monederoSonghomitra Panda-jonasShahina PardhanJay PatelPaolo PedersiniMarina PinheiroIvo RakovacChythra R. RaoSalman RawafDavid Laith RawafViolet RodriguesLuca RonfaniDominic SagoeFrancesco SanmarchiMilena M. Santric-milicevicBrijesh SathianAziz SheikhRahman ShiriSiddharudha ShivalliInga Dora SigfusdottirRannveig SigurvinsdottirValentin Yurievich SkryabinAnna Aleksandrovna SkryabinaCatalin-gabriel SmarandacheBogdan SoceaRaúl A. R. C. SousaPaschalis SteiropoulosRafael Tabarés-seisdedosMarcos Roberto Tovani-paloneFimka TozijaSarah Van De VeldeTommi Juhani VasankariMassimiliano VerouxFrancesco S. ViolanteVasiliy VlassovYanzhong WangAli YadollahpourSanni YayaMikhail Sergeevich ZastrozhinAnasthasia ZastrozhinaSuzanne PolinderMarek Majdansubject
Science & TechnologyInjuriesDEATHSPublic Health Environmental and Occupational HealthBurden of diseasePublic Health Global Health Social Medicine and Epidemiology3121 Internal medicineBurden of disease; Injuries; Disability adjusted life years; Mortality; Europe3142 Public health care science environmental and occupational health1117 Public Health and Health ServicesInjurieDisability adjusted life yearsEuropeFolkhälsovetenskap global hälsa socialmedicin och epidemiologiSDG 3 - Good Health and Well-beingINEQUALITIESPublic HealthHuman medicineDisability adjusted life yearMortalityLife Sciences & BiomedicinePublic Environmental & Occupational Healthdescription
Abstract Background Injury remains a major concern to public health in the European region. Previous iterations of the Global Burden of Disease (GBD) study showed wide variation in injury death and disability adjusted life year (DALY) rates across Europe, indicating injury inequality gaps between sub-regions and countries. The objectives of this study were to: 1) compare GBD 2019 estimates on injury mortality and DALYs across European sub-regions and countries by cause-of-injury category and sex; 2) examine changes in injury DALY rates over a 20 year-period by cause-of-injury category, sub-region and country; and 3) assess inequalities in injury mortality and DALY rates across the countries. Methods We performed a secondary database descriptive study using the GBD 2019 results on injuries in 44 European countries from 2000 to 2019. Inequality in DALY rates between these countries was assessed by calculating the DALY rate ratio between the highest-ranking country and lowest-ranking country in each year. Results In 2019, in Eastern Europe 80 [95% uncertainty interval (UI): 71 to 89] people per 100,000 died from injuries; twice as high compared to Central Europe (38 injury deaths per 100,000; 95% UI 34 to 42) and three times as high compared to Western Europe (27 injury deaths per 100,000; 95%UI 25 to 28). The injury DALY rates showed less pronounced differences between Eastern (5129 DALYs per 100,000; 95% UI: 4547 to 5864), Central (2940 DALYs per 100,000; 95% UI: 2452 to 3546) and Western Europe (1782 DALYs per 100,000; 95% UI: 1523 to 2115). Injury DALY rate was lowest in Italy (1489 DALYs per 100,000) and highest in Ukraine (5553 DALYs per 100,000). The difference in injury DALY rates by country was larger for males compared to females. The DALY rate ratio was highest in 2005, with DALY rate in the lowest-ranking country (Russian Federation) 6.0 times higher compared to the highest-ranking country (Malta). After 2005, the DALY rate ratio between the lowest- and the highest-ranking country gradually decreased to 3.7 in 2019. Conclusions Injury mortality and DALY rates were highest in Eastern Europe and lowest in Western Europe, although differences in injury DALY rates declined rapidly, particularly in the past decade. The injury DALY rate ratio of highest- and lowest-ranking country declined from 2005 onwards, indicating declining inequalities in injuries between European countries.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2022-05-20 |