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001-es BibID:	BIBFORM113871
035-os BibID:	(cikkazonosító)140 (WoS)001039536100001 (Scopus)85165948150
Első szerző:	Andrade, Carlos Alexandre Soares (PhD hallgató)
Cím:	Inequalities in the burden of non-communicable diseases across European countries : a systematic analysis of the Global Burden of Disease 2019 study / 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
Dátum:	2023
ISSN:	1475-9276
Megjegyzések:	BackgroundAlthough 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.MethodsDALY 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.ResultsBetween 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.ConclusionsThe 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.
Tárgyszavak:	Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk DALY rate European Economic Area European Union Global Burden of Disease Health inequality Non-communicable diseases
Megjelenés:	International Journal for Equity in Health. - 22 : 1 (2023), p. 1-20 . -
További szerzők:	Mahrouseh, Nour (1993-) (Phd hallgató) Gabrani, Jonila Charalampous, Periklis Cuschieri, Sarah Grad, Diana Alecsandra Unim, Brigid Mechili, Enkeleint Aggelos 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 (1977-) (orvos, jogász)
Pályázati támogatás:	FI17198 Egyéb
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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