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The state of health in the European Union (EU-27) in 2019 : a systematic analysis for the Global Burden of Disease study 2019

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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. center dot This article, systematically analysing GBD 2019 study estimates, presents an overview of the state of health in the European Union in 2019, compared to 2010.center dot There was an improvement in the overall health status of the EU, despite substantial differences between Member States.center dot Cardiovascular diseases and neoplasms are the major contributors to the overall burden of diseases in the EU in 2019.center dot The age-standardised rate of years lived with disability due to mental disorders has been increasing and is expected to increase even more because of the COVID-19 pandemic.center dot This report provides a framework upon which to base further region- and country-specific health policies and interventions, to support health planning and priority setting.
Keywords
European Union, Health status, Population health, Global Burden of Diseases, European Burden of Disease Network, POPULATION, COUNTRIES

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MLA
Santos, João Vasco, et al. “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, vol. 24, no. 1, BMC, 2024, doi:10.1186/s12889-024-18529-3.
APA
Santos, J. V., Padron-Monedero, A., Bikbov, B., Grad, D. A., Plass, D., Mechili, E. A., … GBD 2019 EU State of Health Collaborators, [missing]. (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). https://doi.org/10.1186/s12889-024-18529-3
Chicago author-date
Santos, João Vasco, Alicia Padron-Monedero, Boris Bikbov, Diana Alecsandra Grad, Dietrich Plass, Enkeleint A. Mechili, Federica Gazzelloni, et al. 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). https://doi.org/10.1186/s12889-024-18529-3.
Chicago author-date (all authors)
Santos, João Vasco, Alicia Padron-Monedero, Boris Bikbov, Diana Alecsandra Grad, Dietrich Plass, Enkeleint A. Mechili, Federica Gazzelloni, Florian Fischer, Gerhard Sulo, Che Henry Ngwa, Isabel Noguer-Zambrano, José L. Peñalvo, Juanita A. Haagsma, Katarzyna Kissimova-Skarbek, Lorenzo Monasta, Nermin Ghith, Rodrigo Sarmiento-Suarez, Rok Hrzic, Romana Haneef, Rónán O’Caoimh, Sarah Cuschieri, Stefania Mondello, Zubair Kabir, Cristiana Abbafati, Hassan Abolhassani, Victor Adekanmbi, Keivan Ahmadi, Sepideh Ahmadi, Adel Al-Jumaily, François Alla, Jordi Alonso, Robert Ancuceanu, Catalina Liliana Andrei, Tudorel Andrei, Sofia Androudi, Josep M. Antó, Seth Christopher Yaw Appiah, Olatunde Aremu, Benedetta Armocida, Johan Ärnlöv, Ashokan Arumugam, Sameh Attia, Avinash Aujayeb, Marcel Ausloos, Jose L. Ayuso-Mateos, Maciej Banach, Till Winfried Bärnighausen, Francesco Barone-Adesi, Sandra Barteit, Sanjay Basu, Bernhard T. Baune, Massimiliano Beghi, Luis Belo, Derrick A. Bennett, Antonio Biondi, Mahdi Bohluli, Israel Júnior Borges do Nascimento, Nicola Luigi Bragazzi, Tasanee Braithwaite, Hermann Brenner, Danilo Buonsenso, Reinhard Busse, Daniela Calina, Giulia Carreras, Márcia Carvalho, Giulio Castelpietra, Alberico L. Catapano, Maria Sofia Cattaruzza, Joht Singh Chandan, Periklis Charalampous, Vijay Kumar Chattu, Simiao Chen, Rajiv Chowdhury, Hanne Christensen, Sheng-Chia Chung, Joao Conde, Barbara Corso, Natália Cruz-Martins, Giovanni Damiani, Alejandro de la Torre-Luque, Andreas K. Demetriades, Nikolaos Dervenis, Mostafa Dianatinasab, Diana Dias da Silva, Abdel Douiri, David Edvardsson, Luchuo Engelbert Bain, Francesco Esposito, Adeniyi Francis Fagbamigbe, Carla Sofia eSá Farinha, Seyed-Mohammad Fereshtehnejad, João C. Fernandes, Pietro Ferrara, Peter Andras Gaal, Silvano Gallus, Lucia Galluzzo, Mariana Gaspar Fonseca, Gus Gazzard, Alessandro Gialluisi, Simona Giampaoli, Paramjit Singh Gill, James C. Glasbey, Giuseppe Gorini, Michal Grivna, Abdul Hafiz, Josep Maria Haro, Jan Hartvigsen, Simon I. Hay, Behzad Heibati, David Hillus, Mehdi Hosseinzadeh, Mihaela Hostiuc, Sorin Hostiuc, Salman Hussain, Gaetano Isola, Olatunji Johnson, Jost B. Jonas, Tamas Joo, Jacek Jerzy Jozwiak, Mikk Jürisson, Marina Karanikolos, Joonas H. Kauppila, Moien A. B. Khan, Khaled Khatab, Miloslav Klugar, Ai Koyanagi, Om P. Kurmi, Dian Kusuma, Carlo La Vecchia, Ben Lacey, Demetris Lamnisos, Heidi Jane Larson, Anders O. Larsson, Savita Lasrado, Paolo Lauriola, Jeffrey V. Lazarus, Caterina Ledda, Paul H. Lee, Mall Leinsalu, Matilde Leonardi, Miriam Levi, An Li, Christine Linehan, Giancarlo Logroscino, Stefan Lorkowski, Joana A. Loureiro, Ronan A. Lyons, Áurea M. Madureira-Carvalho, Azeem Majeed, Alexander G. Mathioudakis, Colm McAlinden, John J. McGrath, Ritesh G. Menezes, Alexios-Fotios A. Mentis, Atte Meretoja, Tuomo J. Meretoja, Tomislav Mestrovic, Junmei Miao Jonasson, Bartosz Miazgowski, Tomasz Miazgowski, Andreea Mirica, Shafiu Mohammed, Ali H. Mokdad, Ute Mons, Joana Morgado-da-Costa, Francesk Mulita, Christopher J. L. Murray, Ionut Negoi, Ruxandra Irina Negoi, Serban Mircea Negru, Evangelia Nena, Nurulamin M. Noor, George Ntaios, Bogdan Oancea, Frank B. Osei, Adrian Otoiu, Raffaele Palladino, Songhomitra Panda-Jonas, Shahina Pardhan, Jay Patel, Mihaela Paun, Paolo Pedersini, Umberto Pensato, Renato B. Pereira, Jorge Pérez-Gómez, Norberto Perico, Ionela-Roxana Petcu, Carrie B. Peterson, Marina Pinheiro, Maarten J. Postma, Alberto Raggi, Amir Masoud Rahmani, Chythra R. Rao, Salman Rawaf, Reza Rawassizadeh, Giuseppe Remuzzi, Abanoub Riad, Simona Sacco, Mohammad Reza Saeb, Brijesh Sathian, Davide Sattin, Nikolaos Scarmeas, Falk Schwendicke, Rahman Shiri, Velizar Shivarov, Kibrom T. Sibhatu, Biagio Simonetti, Søren T. Skou, Joan B. Soriano, Ireneous N. Soyiri, Nicholas Steel, Simona Cătălina Stefan, Fridolin Steinbeis, Paschalis Steiropoulos, Leo Stockfelt, Saverio Stranges, Johan Sundström, Rafael Tabarés-Seisdedos, Arulmani Thiyagarajan, Roman Topor-Madry, Marcos Roberto Tovani-Palone, Nikolaos Tsilimparis, Brigid Unim, Marco Vacante, Jef Van den Eynde, Tommi Juhani Vasankari, Massimiliano Veroux, Jorge Hugo Villafañe, Francesco S. Violante, Yanzhong Wang, Ronny Westerman, Charles D. A. Wolfe, Grant M. A. Wyper, Sanni Yaya, Vesna Zadnik, Jean-David Zeitoun, Alimuddin Zumla, Alberto Freitas, Brecht Devleesschauwer, and [missing] GBD 2019 EU State of Health Collaborators. 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). doi:10.1186/s12889-024-18529-3.
Vancouver
1.
Santos JV, Padron-Monedero A, Bikbov B, Grad DA, Plass D, Mechili EA, et al. 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. 2024;24(1).
IEEE
[1]
J. V. Santos et al., “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, vol. 24, no. 1, 2024.
@article{01J2PETGEYATDWTFY50VYH7HF0,
  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.

center dot This article, systematically analysing GBD 2019 study estimates, presents an overview of the state of health in the European Union in 2019, compared to 2010.center dot There was an improvement in the overall health status of the EU, despite substantial differences between Member States.center dot Cardiovascular diseases and neoplasms are the major contributors to the overall burden of diseases in the EU in 2019.center dot The age-standardised rate of years lived with disability due to mental disorders has been increasing and is expected to increase even more because of the COVID-19 pandemic.center dot This report provides a framework upon which to base further region- and country-specific health policies and interventions, to support health planning and priority setting.}},
  articleno    = {{1374}},
  author       = {{Santos, João Vasco and Padron-Monedero, Alicia and Bikbov, Boris and Grad, Diana Alecsandra and Plass, Dietrich and Mechili, Enkeleint A. and Gazzelloni, Federica and Fischer, Florian and Sulo, Gerhard and Ngwa, Che Henry and Noguer-Zambrano, Isabel and Peñalvo, José L. and Haagsma, Juanita A. and Kissimova-Skarbek, Katarzyna and Monasta, Lorenzo and Ghith, Nermin and Sarmiento-Suarez, Rodrigo and Hrzic, Rok and Haneef, Romana and O’Caoimh, Rónán and Cuschieri, Sarah and Mondello, Stefania and Kabir, Zubair and Abbafati, Cristiana and Abolhassani, Hassan and Adekanmbi, Victor and Ahmadi, Keivan and Ahmadi, Sepideh and Al-Jumaily, Adel and Alla, François and Alonso, Jordi and Ancuceanu, Robert and Andrei, Catalina Liliana and Andrei, Tudorel and Androudi, Sofia and Antó, Josep M. and Appiah, Seth Christopher Yaw and Aremu, Olatunde and Armocida, Benedetta and Ärnlöv, Johan and Arumugam, Ashokan and Attia, Sameh and Aujayeb, Avinash and Ausloos, Marcel and Ayuso-Mateos, Jose L. and Banach, Maciej and Bärnighausen, Till Winfried and Barone-Adesi, Francesco and Barteit, Sandra and Basu, Sanjay and Baune, Bernhard T. and Beghi, Massimiliano and Belo, Luis and Bennett, Derrick A. and Biondi, Antonio and Bohluli, Mahdi and do Nascimento, Israel Júnior Borges and Bragazzi, Nicola Luigi and Braithwaite, Tasanee and Brenner, Hermann and Buonsenso, Danilo and Busse, Reinhard and Calina, Daniela and Carreras, Giulia and Carvalho, Márcia and Castelpietra, Giulio and Catapano, Alberico L. and Cattaruzza, Maria Sofia and Chandan, Joht Singh and Charalampous, Periklis and Chattu, Vijay Kumar and Chen, Simiao and Chowdhury, Rajiv and Christensen, Hanne and Chung, Sheng-Chia and Conde, Joao and Corso, Barbara and Cruz-Martins, Natália and Damiani, Giovanni and de la Torre-Luque, Alejandro and Demetriades, Andreas K. and Dervenis, Nikolaos and Dianatinasab, Mostafa and da Silva, Diana Dias and Douiri, Abdel and Edvardsson, David and Bain, Luchuo Engelbert and Esposito, Francesco and Fagbamigbe, Adeniyi Francis and Farinha, Carla Sofia eSá and Fereshtehnejad, Seyed-Mohammad and Fernandes, João C. and Ferrara, Pietro and Gaal, Peter Andras and Gallus, Silvano and Galluzzo, Lucia and Fonseca, Mariana Gaspar and Gazzard, Gus and Gialluisi, Alessandro and Giampaoli, Simona and Gill, Paramjit Singh and Glasbey, James C. and Gorini, Giuseppe and Grivna, Michal and Hafiz, Abdul and Haro, Josep Maria and Hartvigsen, Jan and Hay, Simon I. and Heibati, Behzad and Hillus, David and Hosseinzadeh, Mehdi and Hostiuc, Mihaela and Hostiuc, Sorin and Hussain, Salman and Isola, Gaetano and Johnson, Olatunji and Jonas, Jost B. and Joo, Tamas and Jozwiak, Jacek Jerzy and Jürisson, Mikk and Karanikolos, Marina and Kauppila, Joonas H. and Khan, Moien A. B. and Khatab, Khaled and Klugar, Miloslav and Koyanagi, Ai and Kurmi, Om P. and Kusuma, Dian and La Vecchia, Carlo and Lacey, Ben and Lamnisos, Demetris and Larson, Heidi Jane and Larsson, Anders O. and Lasrado, Savita and Lauriola, Paolo and Lazarus, Jeffrey V. and Ledda, Caterina and Lee, Paul H. and Leinsalu, Mall and Leonardi, Matilde and Levi, Miriam and Li, An and Linehan, Christine and Logroscino, Giancarlo and Lorkowski, Stefan and Loureiro, Joana A. and Lyons, Ronan A. and Madureira-Carvalho, Áurea M. and Majeed, Azeem and Mathioudakis, Alexander G. and McAlinden, Colm and McGrath, John J. and Menezes, Ritesh G. and Mentis, Alexios-Fotios A. and Meretoja, Atte and Meretoja, Tuomo J. and Mestrovic, Tomislav and Jonasson, Junmei Miao and Miazgowski, Bartosz and Miazgowski, Tomasz and Mirica, Andreea and Mohammed, Shafiu and Mokdad, Ali H. and Mons, Ute and Morgado-da-Costa, Joana and Mulita, Francesk and Murray, Christopher J. L. and Negoi, Ionut and Negoi, Ruxandra Irina and Negru, Serban Mircea and Nena, Evangelia and Noor, Nurulamin M. and Ntaios, George and Oancea, Bogdan and Osei, Frank B. and Otoiu, Adrian and Palladino, Raffaele and Panda-Jonas, Songhomitra and Pardhan, Shahina and Patel, Jay and Paun, Mihaela and Pedersini, Paolo and Pensato, Umberto and Pereira, Renato B. and Pérez-Gómez, Jorge and Perico, Norberto and Petcu, Ionela-Roxana and Peterson, Carrie B. and Pinheiro, Marina and Postma, Maarten J. and Raggi, Alberto and Rahmani, Amir Masoud and Rao, Chythra R. and Rawaf, Salman and Rawassizadeh, Reza and Remuzzi, Giuseppe and Riad, Abanoub and Sacco, Simona and Saeb, Mohammad Reza and Sathian, Brijesh and Sattin, Davide and Scarmeas, Nikolaos and Schwendicke, Falk and Shiri, Rahman and Shivarov, Velizar and Sibhatu, Kibrom T. and Simonetti, Biagio and Skou, Søren T. and Soriano, Joan B. and Soyiri, Ireneous N. and Steel, Nicholas and Stefan, Simona Cătălina and Steinbeis, Fridolin and Steiropoulos, Paschalis and Stockfelt, Leo and Stranges, Saverio and Sundström, Johan and Tabarés-Seisdedos, Rafael and Thiyagarajan, Arulmani and Topor-Madry, Roman and Tovani-Palone, Marcos Roberto and Tsilimparis, Nikolaos and Unim, Brigid and Vacante, Marco and Van den Eynde, Jef and Vasankari, Tommi Juhani and Veroux, Massimiliano and Villafañe, Jorge Hugo and Violante, Francesco S. and Wang, Yanzhong and Westerman, Ronny and Wolfe, Charles D. A. and Wyper, Grant M. A. and Yaya, Sanni and Zadnik, Vesna and Zeitoun, Jean-David and Zumla, Alimuddin and Freitas, Alberto and Devleesschauwer, Brecht and GBD 2019 EU State of Health Collaborators, [missing]}},
  issn         = {{1471-2458}},
  journal      = {{BMC PUBLIC HEALTH}},
  keywords     = {{European Union,Health status,Population health,Global Burden of Diseases,European Burden of Disease Network,POPULATION,COUNTRIES}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{19}},
  publisher    = {{BMC}},
  title        = {{The state of health in the European Union (EU-27) in 2019 : a systematic analysis for the Global Burden of Disease study 2019}},
  url          = {{http://doi.org/10.1186/s12889-024-18529-3}},
  volume       = {{24}},
  year         = {{2024}},
}

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