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001-es BibID:BIBFORM121264
Első szerző:Andrade, Carlos Alexandre Soares (PhD hallgató)
Cím:Inequalities in the burden of noncommunicable diseases across European countries : a systematic analysis of the 2019 global burden of disease study / Carlos Alexandre Soares Andrade, Nour Mahrouseh, Jonila Gabrani, Periklis Charalampous, Sarah Cuschieri, Diana Alecsandra Grad, Brigid Unim, Enkeleint A. Mechili, José Chen?Xu, Brecht , Gaetano Isola, Elena von der Lippe, Carl Michael Baravelli, Florian Fischer, Nanna Weye, Mirza Balaj, Romana Haneef, Mary Economou, Juanita A. Haagsma, Orsolya Varga
Dátum:2023
ISSN:2654-1459
Megjegyzések:Background and objectives: High disease burden due to non-communicable diseases (NCDs) and the associated health inequalities are major problems in Europe. This study aimed to assess health inequalities in NCDs by Disability- Adjusted Life Years (DALYs) rates across 30 member states of the European Economic Area (EEA) between 1990 and 2019. Methods: The Global Burden of Disease (GBD) 2019 estimates were used for a descriptive longitudinal systematic analysis. Age-standardized DALYs rates and 95% Uncertainty Interval (UI 95%) were used. For inequality analysis, we performed DALYs rate ratios between all countries in 2019 by sex, ratio between highest and lowest-ranking country by year, annual rate-of-change between 1990 and 2019 by sex, Gini Coefficient (GC), and Slope Index of Inequality (SII). Results: In 2019, DALY rate of NCDs ranged from 24342 in Bulgaria (95%UI: 20406- 28775) to 14845 in Iceland (95%UI: 12379-17682). The ratio between highest and lowest-ranking country in terms of NCD DALY rates was higher for males (1.90: Bulgaria/Iceland) compared to females (1.49: Bulgaria/Slovenia). The annual rate-of-change indicated DALY rate decrease in all countries between 1990 and 2019. For females it ranged from -0.12 in the Netherlands to -0.28 in Slovenia, while for males from -0.10 in Bulgaria to -0.40 in the Czech Republic. NCDs with highest GCs and ratios over the studied period were cardiovascular diseases (GC: 0.283; ratio: 5.89), digestive diseases (GC: 0.244; ratio: 6.29), diabetes and kidney diseases (GC: 0.194; ratio: 4.97), substance use disorders (GC: 0.224; ratio: 5.10), and chronic respiratory diseases (GC: 0.160; ratio: 3.45). The SII was 0.85 in 1990 and 0.59 in 2019. Conclusion: Although the DALY rate of NCDs decreased between 1990 and 2019 in all EEA countries, the level of inequality between countries is not decreasing. Targeted policies can help tackle NCDs with particularly high levels of inequality in EEA countries. ? (2023), (European Publishing). All Rights Reserved.
Tárgyszavak:Orvostudományok Egészségtudományok idézhető absztrakt
folyóiratcikk
Megjelenés:Population Medicine. - 5 : Supplement (2023), p. 431. -
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 Lippe, Elena von der Baravelli, Carl Michael Fischer, Florian Weye, Nanna Balaj, Mirza Haneef, Romana Economou, Mary Haagsma, Juanita A. Varga Orsolya (1977-) (orvos, jogász)
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001-es BibID:BIBFORM113871
035-os BibID:(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 Gaetano, Isola Lippe, Elena von der Baravelli, Carl Michael Fischer, Florian Weye, Nanna Balaj, Mirza Haneef, Romana Economou, Mary Haagsma, Juanita A. Varga Orsolya (1977-) (orvos, jogász)
Pályázati támogatás:FI17198
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3.

001-es BibID:BIBFORM120141
035-os BibID:(Scopus)85186449459
Első szerző:Chen-Xu, José
Cím:Subnational inequalities in years of life lost and associations with socioeconomic factors in pre-pandemic Europe, 2009-19 : an ecological study / José Chen-Xu, Orsolya Varga, Nour Mahrouseh, Terje Andreas Eikemo, Diana A. Grad, Grant M. A. Wyper, Andreea Badache, Mirza Balaj, Periklis Charalampous, Mary Economou, Juanita A. Haagsma, Romana Haneef, Enkeleint A. Mechili, Brigid Unim, Elena von der Lippe, Carl Michael Baravelli
Dátum:2024
ISSN:2468-2667
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:The Lancet Public Health. - 9 : 3 (2024), p. e166-e177. -
További szerzők:Varga Orsolya (1977-) (orvos, jogász) Mahrouseh, Nour (1993-) (Phd hallgató) Eikemo, Terje Andreas Grad, Diana Alecsandra Wyper, Grant M. A. Badache, Andreea Balaj, Mirza Charalampous, Periklis Economou, Mary Haagsma, Juanita A. Haneef, Romana Mechili, Enkeleint Aggelos Unim, Brigid Lippe, Elena von der Baravelli, Carl Michael
Internet cím:DOI
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