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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 Publisher Pubmed



Santos JV1, 2, 3 ; Padronmonedero A3, 4 ; Bikbov B4, 5 ; Grad DA5, 6, 7 ; Plass D7, 8 ; Mechili EA8, 9 ; Gazzelloni F10 ; Fischer F10, 11 ; Sulo G11, 12 ; Ngwa CH12, 13 ; Noguerzambrano I3, 4 ; Penalvo JL13, 14 ; Haagsma JA15 ; Kissimovaskarbek K16 Show All Authors
Authors
  1. Santos JV1, 2, 3
  2. Padronmonedero A3, 4
  3. Bikbov B4, 5
  4. Grad DA5, 6, 7
  5. Plass D7, 8
  6. Mechili EA8, 9
  7. Gazzelloni F10
  8. Fischer F10, 11
  9. Sulo G11, 12
  10. Ngwa CH12, 13
  11. Noguerzambrano I3, 4
  12. Penalvo JL13, 14
  13. Haagsma JA15
  14. Kissimovaskarbek K16
  15. Monasta L17
  16. Ghith N18
  17. Sarmientosuarez R3, 4, 19
  18. Hrzic R20
  19. Haneef R21
  20. Ocaoimh R22, 23
  21. Cuschieri S24
  22. Mondello S25
  23. Kabir Z26
  24. Freitas A1, 2, 306
  25. Devleesschauwer B27, 28, 307, 308
  26. Abbafati C27
  27. Abolhassani H28, 29
  28. Adekanmbi V30
  29. Ahmadi K31
  30. Ahmadi S32
  31. Aljumaily A33, 34
  32. Alla F35
  33. Alonso J36, 37
  34. Ancuceanu R38
  35. Andrei CL39
  36. Andrei T40
  37. Androudi S41
  38. Anto JM42, 43
  39. Appiah SCY44, 45
  40. Aremu O46
  41. Armocida B47
  42. Arnlov J48, 49
  43. Arumugam A50, 51
  44. Attia S52
  45. Aujayeb A53
  46. Ausloos M40, 54
  47. Ayusomateos JL55, 56
  48. Banach M57, 58
  49. Barnighausen TW59, 60
  50. Baroneadesi F61
  51. Barteit S62
  52. Basu S31, 63
  53. Baune BT64, 65
  54. Beghi M66
  55. Belo L67, 68
  56. Bennett DA69
  57. Biondi A70
  58. Bohluli M71, 72
  59. Nascimento IJBD73, 74
  60. Bragazzi NL75
  61. Braithwaite T76, 77
  62. Brenner H78
  63. Buonsenso D79, 80
  64. Busse R81
  65. Calina D82
  66. Carreras G83
  67. Carvalho M68, 84
  68. Castelpietra G85, 86
  69. Catapano AL87, 88
  70. Cattaruzza MS89
  71. Chandan JS90
  72. Charalampous P15
  73. Chattu VK91, 92
  74. Chen S59
  75. Chowdhury R93, 94
  76. Christensen H95
  77. Chung SC96, 97
  78. Conde J98
  79. Corso B99
  80. Cruzmartins N100, 101
  81. Damiani G102, 103
  82. Torreluque AL104
  83. Demetriades AK105, 106
  84. Dervenis N107, 108
  85. Dianatinasab M109, 110
  86. Da Silva DD68, 111
  87. Douiri A112
  88. Edvardsson D113, 114
  89. Bain LE115
  90. Esposito F116
  91. Fagbamigbe AF117, 118
  92. E Sa Farinha CS119, 120
  93. Fereshtehnejad SM48, 121
  94. Fernandes JC122
  95. Ferrara P123
  96. Gaal PA124, 125
  97. Gallus S126
  98. Galluzzo L47
  99. Fonseca MG127
  100. Gazzard G128, 129
  101. Gialluisi A130
  102. Giampaoli S131
  103. Gill PS132
  104. Glasbey JC133
  105. Gorini G134
  106. Grivna M135, 136
  107. Hafiz A137, 138
  108. Haro JM139, 140
  109. Hartvigsen J141, 142
  110. Hay SI143, 144
  111. Heibati B145
  112. Hillus D146
  113. Hosseinzadeh M147, 148
  114. Hostiuc M149
  115. Hostiuc S150, 151
  116. Hussain S152, 153
  117. Isola G154
  118. Johnson O155
  119. Jonas JB156, 157
  120. Joo T124, 158
  121. Jozwiak JJ159
  122. Jurisson M160
  123. Karanikolos M161, 162
  124. Kauppila JH163, 164
  125. Khan MAB165, 166
  126. Khatab K167, 168
  127. Klugar M152, 169
  128. Koyanagi A170, 171
  129. Kurmi OP172, 173
  130. Kusuma D174, 175
  131. Vecchia CL176
  132. Lacey B69, 177
  133. Lamnisos D178
  134. Larson HJ143, 179
  135. Larsson AO180, 181
  136. Lasrado S182
  137. Lauriola P183
  138. Lazarus JV184
  139. Ledda C185
  140. Lee PH186
  141. Leinsalu M187, 188
  142. Leonardi M189
  143. Levi M190, 191
  144. Li A192, 193
  145. Linehan C194
  146. Logroscino G195, 196
  147. Lorkowski S197, 198
  148. Loureiro JA199, 200
  149. Lyons RA201
  150. Madureiracarvalho AM111, 202
  151. Majeed A203
  152. Mathioudakis AG204, 205
  153. Mcalinden C206
  154. Mcgrath JJ207, 208
  155. Menezes RG209
  156. Mentis AFA210
  157. Meretoja A211, 212
  158. Meretoja TJ213, 214
  159. Mestrovic T143, 215
  160. Jonasson JM216
  161. Miazgowski B217
  162. Miazgowski T219
  163. Mirica A40
  164. Mohammed S81, 220
  165. Mokdad AH143, 144
  166. Mons U221
  167. Morgadodacosta J222
  168. Mulita F223, 224
  169. Murray CJL143, 144
  170. Negoi I225, 226
  171. Negoi RI227, 228
  172. Negru SM229
  173. Nena E230
  174. Noor NM231, 232
  175. Ntaios G233
  176. Oancea B234
  177. Osei FB235, 236
  178. Otoiu A40
  179. Palladino R203, 237
  180. Pandajonas S238
  181. Pardhan S239
  182. Patel J240, 241
  183. Paun M242, 243
  184. Pedersini P244
  185. Pensato U245
  186. Pereira RB246
  187. Perezgomez J247
  188. Perico N248
  189. Petcu IR40
  190. Peterson CB249
  191. Pinheiro M246
  192. Postma MJ250, 251
  193. Raggi A189
  194. Rahmani AM252
  195. Rao CR253
  196. Rawaf S203, 254
  197. Rawassizadeh R255
  198. Remuzzi G248
  199. Riad A152, 256
  200. Sacco S257
  201. Saeb MR258
  202. Sathian B259, 260
  203. Sattin D261
  204. Scarmeas N262, 263
  205. Schwendicke F264
  206. Shiri R265
  207. Shivarov V266, 267
  208. Sibhatu KT268
  209. Simonetti B269, 270
  210. Skou ST141, 271
  211. Soriano JB272, 273
  212. Soyiri IN274
  213. Steel N275, 276
  214. Stefan SC277
  215. Steinbeis F146
  216. Steiropoulos P230
  217. Stockfelt L278
  218. Stranges S279, 280
  219. Sundstrom J180, 281
  220. Tabaresseisdedos R282, 283
  221. Thiyagarajan A284
  222. Topormadry R285, 286
  223. Tovanipalone MR287, 288
  224. Tsilimparis N289
  225. Unim B47
  226. Vacante M70
  227. Van Den Eynde J290
  228. Vasankari TJ291, 292
  229. Veroux M293
  230. Villafane JH244
  231. Violante FS294, 295
  232. Wang Y112
  233. Westerman R296
  234. Wolfe CDA112, 297
  235. Wyper GMA298
  236. Yaya S299, 300
  237. Zadnik V301
  238. Zeitoun JD302, 303
  239. Zumla A304, 305
Show Affiliations
Authors Affiliations
  1. 1. CINTESIS@RISE, MEDCIDS, Faculty of Medicine, University of Porto, Porto, Portugal
  2. 2. Public Health Unit, ULS Santo Antonio, Porto, Portugal
  3. 3. National School of Public Health, Institute of Health Carlos III, Madrid, Spain
  4. 4. Scientific-Tools.Org, Bergamo, Italy
  5. 5. Research Department, RoNeuro Institute for Neurological Research and Diagnostic, Cluj-Napoca, Romania
  6. 6. Department of Public Health, Babes-Bolyai University, Cluj-Napoca, Romania
  7. 7. Department for Exposure Assessment and Environmental Health Indicators, German Environment Agency, Dessau-Roßlau, Germany
  8. 8. Department of Healthcare, University of Vlora, Vlora, Albania
  9. 9. Clinic of Social and Family Medicine, University of Crete, Heraklion, Greece
  10. 10. Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, Weingarten, Germany
  11. 11. Department of Disease Burden, Norwegian Institute of Public Health, Bergen, Norway
  12. 12. Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  13. 13. National Center for Epidemiology, Instituto de Salud Carlos III, Madrid, Spain
  14. 14. The Gerald J. and Dorothy R. Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA, United States
  15. 15. Department of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands
  16. 16. Department of Health Economics and Social Security, Jagiellonian University Medical College, Krakow, Poland
  17. 17. Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
  18. 18. Research group for Childhood Cancer, Danish Cancer Institute, Danish Cancer Society, Copenhagen, Denmark
  19. 19. Department of Health and Society, Faculty of Medicine, University of Applied and Environmental Sciences, Bogota, Colombia
  20. 20. Department of International Health, Maastricht University, Maastricht, Netherlands
  21. 21. Department of Non-communicable Diseases and Injuries, Sante Publique France (Public Health France), Saint-Maurice, France
  22. 22. Department of Medicine, University College Cork, Cork, Ireland
  23. 23. Department of Geriatric Medicine, Mercy University Hospital, Cork, Ireland
  24. 24. Anatomy Department, University of Malta, Msida, Malta
  25. 25. Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
  26. 26. School of Public Health, University College Cork, Cork, Ireland
  27. 27. Department of Juridical and Economic Studies, La Sapienza University, Rome, Italy
  28. 28. Research Center for Immunodeficiencies, Tehran University of Medical Sciences, Tehran, Iran
  29. 29. Department of Biosciences and Nutrition, Karolinska University Hospital, Huddinge, Sweden
  30. 30. Department of Obstetrics & Gynecology, University of Texas, Galveston, TX, United States
  31. 31. School of Public Health, Imperial College London, London, United Kingdom
  32. 32. School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  33. 33. School of Computing, Mathematics and Engineering, Charles Sturt University, Wagga Wagga, NSW, Australia
  34. 34. Information and Communication Sciences and Technologies Pole, Mathematics, Algorithms and Decision Team, ENSTA Bretagne, Brest, France
  35. 35. Bordeaux School of Public Health, University of Bordeaux, Bordeaux, France
  36. 36. Research Program of Epidemiology and Public Health, Pompeu Fabra University, Barcelona, Spain
  37. 37. Department of Experimental and Health Sciences, Biomedical Research Networking Center in Epidemiology and Public Health (CiberESP), Madrid, Spain
  38. 38. Faculty of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  39. 39. Cardiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  40. 40. Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
  41. 41. Department of Medicine, University of Thessaly, Volos, Greece
  42. 42. Non-Communicable Diseases & Environment Programme, Barcelona Institute for Global Health, Barcelona, Spain
  43. 43. Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
  44. 44. Department of Sociology and Social Work, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
  45. 45. Center for International Health, Ludwig Maximilians University, Munich, Germany
  46. 46. Department of Public Health, Birmingham City University, Birmingham, United Kingdom
  47. 47. Department of Cardiovascular, Endocrine-metabolic Diseases and Aging, National Institute of Health, Rome, Italy
  48. 48. Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden
  49. 49. School of Health and Social Studies, Dalarna University, Falun, Sweden
  50. 50. Department of Physiotherapy, University of Sharjah, Sharjah, United Arab Emirates
  51. 51. Department Community Medicine and Rehabilitation, Umea University, Umea, Sweden
  52. 52. Oral and Maxillofacial Surgery, Justus Liebig University of Giessen, Giessen, Germany
  53. 53. Northumbria HealthCare NHS Foundation Trust, National Health Service (NHS) Scotland, Newcastle upon Tyne, United Kingdom
  54. 54. School of Business, University of Leicester, Leicester, United Kingdom
  55. 55. Department of Psychiatry, Autonomous University of Madrid (Universidad Autonoma de Madrid), Madrid, Spain
  56. 56. CIBERSAM, Institute of Health Carlos III, Madrid, Spain
  57. 57. Department of Hypertension, Medical University of Lodz, Lodz, Poland
  58. 58. Polish Mothers' Memorial Hospital Research Institute, Lodz, Poland
  59. 59. Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
  60. 60. T.H. Chan School of Public Health, Harvard University, Boston, MA, United States
  61. 61. Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
  62. 62. Heidelberg Institute of Global Health (HIGH), Heidelberg University Hospital, Heidelberg, Germany
  63. 63. Center for Primary Care, Harvard University, Boston, MA, United States
  64. 64. Department of Psychiatry, University of Munster, Munster, Germany
  65. 65. Department of Psychiatry, Melbourne Medical School, Melbourne, VIC, Australia
  66. 66. Department of Mental Health, AUSL Romagna, Ravenna, Italy
  67. 67. Biological Sciences Department, University of Porto, Porto, Portugal
  68. 68. Research Unit on Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal
  69. 69. Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
  70. 70. Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
  71. 71. Department of Computer Science and Information Technology, Institute for Advanced Studies in Basic Sciences, Zanjan, Iran
  72. 72. Department of Research and Innovation, Petanux Research GmBH, Bonn, Germany
  73. 73. School of Medicine and University Hospital, Federal University of Minas Gerais, Belo Horizonte, Brazil
  74. 74. Division of Country Health Policies and Systems, World Health Organization (WHO), Denmark, Denmark
  75. 75. University of Genoa, Genoa, Italy
  76. 76. Ophthalmology Department, Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
  77. 77. International Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, United Kingdom
  78. 78. Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany
  79. 79. Department of Woman and Child Health and Public Health, Agostino Gemelli University Polyclinic IRCCS (Fondazione Policlinico Universitario A. Gemelli IRCCS), Roma, Italy
  80. 80. Global Health Research Institute, Universita Cattolica del Sacro Cuore (Catholic University of Sacred Heart), Roma, Italy
  81. 81. Department of Health Care Management, Technical University of Berlin, Berlin, Germany
  82. 82. Clinical Pharmacy, University of Medicine and Pharmacy of Craiova, Romania, Craiova, Romania
  83. 83. Institute for Cancer Research, Prevention and Clinical Network, Florence, Italy
  84. 84. Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
  85. 85. Department of Medicine, University of Udine, Udine, Italy
  86. 86. Department of Mental Health, Healthcare Agency Friuli Occidentale, Pordenone, Italy
  87. 87. Department of Pharmacological and Biomolecular Sciences, University of Milan, Milan, Italy
  88. 88. MultiMedica, IRCCS, Sesto S. Giovanni, Italy
  89. 89. Department of Public Health and Infectious Diseases, La Sapienza University, Rome, Italy
  90. 90. Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom
  91. 91. Faculty of Medical Sciences, University of the West Indies, St Augustine, Trinidad and Tobago
  92. 92. Athens, Greece
  93. 93. Florida International University, Miami, FL, United States
  94. 94. Department of Epidemiology, University of Bern, Bern, Switzerland
  95. 95. Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark
  96. 96. Department of Health Informatics, University College London, London, United Kingdom
  97. 97. Health Data Research UK, London, United Kingdom
  98. 98. Nova Medical School, Nova University of Lisbon, Lisbon, Portugal
  99. 99. Institute of Neuroscience, National Research Council, Pisa, Italy
  100. 100. Therapeutic and Diagnostic Technologies, Cooperativa de Ensino Superior Politecnico e Universitario (Polytechnic and University Higher Education Cooperative), Gandra, Portugal
  101. 101. Institute for Research and Innovation in Health, University of Porto, Porto, Portugal
  102. 102. IRCCS Istituto Ortopedico Galeazzi (Galeazzi Orthopedic Institute IRCCS), University of Milan, Milan, Italy
  103. 103. Department of Dermatology, Case Western Reserve University, Cleveland, OH, United States
  104. 104. Department of Legal Medicine, Psychiatry and Pathology, Complutense University of Madrid (Universidad Complutense de Madrid), Madrid, Spain
  105. 105. Department of Neurosurgery, University of Edinburgh, Edinburgh, United Kingdom
  106. 106. Department of Neurosurgery, National Health Service (NHS) Scotland, Edinburgh, United Kingdom
  107. 107. St Paul's Eye Unit, Royal Liverpool University Hospital, Liverpool, United Kingdom
  108. 108. Department of Ophthalmology, Aristotle University of Thessaloniki, Thessaloniki, Greece
  109. 109. Department of Epidemiology, Maastricht University, Maastricht, Netherlands
  110. 110. Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran
  111. 111. Toxicology Research Unit (TOXRUN), Cooperativa de Ensino Superior Politecnico e Universitario (CESPU) (University Polytechnic Higher Education Cooperative), Gandra, Portugal
  112. 112. School of Population Health and Environmental Sciences, King's College London, London, United Kingdom
  113. 113. School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
  114. 114. Department of Nursing, Umea University, Umea, Sweden
  115. 115. Lincoln International Institute for Rural Health, University of Lincoln, Lincoln, United Kingdom
  116. 116. Dipartimento di Scienze Biomediche e Neuromotorie (Department of Biomedical and Neuromotor Sciences), University of Bologna, Bologna, Italy
  117. 117. Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
  118. 118. Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom
  119. 119. Dissemination Division, National Institute of Statistics, Lisbon, Portugal
  120. 120. Activity Planning and Control Unit, Directorate-General of Health (DGS), Lisbon, Portugal
  121. 121. Division of Neurology, University of Ottawa, Ottawa, ON, Canada
  122. 122. Center for Biotechnology and Fine Chemistry, Catholic University of Portugal, Porto, Portugal
  123. 123. Research Center on Public Health, University of Milan Bicocca, Monza, Italy
  124. 124. Health Services Management Training Centre, Semmelweis University, Budapest, Hungary
  125. 125. Department of Applied Social Sciences, Sapientia Hungarian University of Transylvania, Targu-Mures, Romania
  126. 126. Department of Environmental Health Sciences, Mario Negri Institute for Pharmacological Research, Milan, Italy
  127. 127. National Health Service, London, United Kingdom
  128. 128. Institute of Ophthalmology, University College London, London, United Kingdom
  129. 129. Moorfields Eye Hospital NHS Foundation Trust, London, United Kingdom
  130. 130. Department of Epidemiology and Prevention, IRCCS Neuromed, Pozzilli, Italy
  131. 131. Department of Cardiovascular Endocrine-metabolic Diseases and Aging, Istituto Superiore di Sanita, Rome, Italy
  132. 132. Warwick Medical School, University of Warwick, Coventry, United Kingdom
  133. 133. NIHR Global Health Research Unit on Global Surgery, University of Birmingham, Birmingham, United Kingdom
  134. 134. Oncological Network, Prevention and Research Institute, Institute for Cancer Research, Prevention and Clinical Network, Florence, Italy
  135. 135. College of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates
  136. 136. Department of Public Health and Preventive Medicine, Charles University, Prague, Czech Republic
  137. 137. College of Medicine, Umm AL Qura University, Makkah, Saudi Arabia
  138. 138. MSc Epidemiology Programme, London School of Hygiene & Tropical Medicine, London, United Kingdom
  139. 139. Research Unit, University of Barcelona, Barcelona, Spain
  140. 140. Biomedical Research Networking Center for Mental Health Network (CiberSAM), Barcelona, Spain
  141. 141. Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  142. 142. Research Department, Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
  143. 143. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  144. 144. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
  145. 145. Research Unit of Population Health, University of Oulu, Oulu, Finland
  146. 146. Department of Infectious Diseases and Respiratory Medicine, Charite Medical University Berlin, Berlin, Germany
  147. 147. Institute of Research and Development, Duy Tan University, Da Nang, Viet Nam
  148. 148. Department of Computer Science, University of Human Development, Sulaymaniyah, Iraq
  149. 149. Internal Medicine Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  150. 150. Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  151. 151. Clinical Legal Medicine Department, National Institute of Legal Medicine Mina Minovici, Bucharest, Romania
  152. 152. Czech National Centre for Evidence-based Healthcare and Knowledge Translation, Masaryk University, Brno, Czech Republic
  153. 153. Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic
  154. 154. Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
  155. 155. Department of Mathematics, University of Manchester, Manchester, United Kingdom
  156. 156. Institute of Molecular and Clinical Ophthalmology Basel, Basel, Switzerland
  157. 157. Department of Ophthalmology, Heidelberg University, Mannheim, Germany
  158. 158. Hungarian Health Management Association, Budapest, Hungary
  159. 159. Department of Family Medicine and Public Health, University of Opole, Opole, Poland
  160. 160. Institute of Family Medicine and Public Health, University of Tartu, Tartu, Estonia
  161. 161. European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom
  162. 162. Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom
  163. 163. Surgery Research Unit, University of Oulu, Oulu, Finland
  164. 164. Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden
  165. 165. Family Medicine Department, United Arab Emirates University, Al Ain, United Arab Emirates
  166. 166. Primary Care Department, NHS North West London, London, United Kingdom
  167. 167. Faculty of Health and Wellbeing, Sheffield Hallam University, Sheffield, United Kingdom
  168. 168. College of Arts and Sciences, Ohio University, Zanesville, OH, United States
  169. 169. Institute for Health Information and Statistics of the Czech Republic, Prague, Czech Republic
  170. 170. Biomedical Research Networking Center for Mental Health Network (CIBERSAM), San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain
  171. 171. Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
  172. 172. Faculty of Health and Life Sciences, Coventry University, Coventry, United Kingdom
  173. 173. Department of Medicine, McMaster University, Hamilton, ON, Canada
  174. 174. Department of Health Services Research and Management, City University of London, London, United Kingdom
  175. 175. Faculty of Public Health, University of Indonesia, Depok, Indonesia
  176. 176. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
  177. 177. National Institute for Health Research (NIHR) Oxford Biomedical Research Centre, Oxford, United Kingdom
  178. 178. Department of Health Sciences, European University Cyprus, Nicosia, Cyprus
  179. 179. Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, United Kingdom
  180. 180. Department of Medical Sciences, Uppsala University, Uppsala, Sweden
  181. 181. Department of Clinical Chemistry and Pharmacology, Uppsala University Hospital, Uppsala, Sweden
  182. 182. Department of Otorhinolaryngology, Father Muller Medical College, Mangalore, India
  183. 183. International Society Doctors for the Environment, Arezzo, Italy
  184. 184. Barcelona Institute for Global Health, Barcelona, Spain
  185. 185. Clinical and Experimental Medicine, University of Catania, Catania, Italy
  186. 186. Department of Health Sciences, University of Leicester, Leicester, United Kingdom
  187. 187. School of Social Sciences, Sodertorn University, Huddinge, Sweden
  188. 188. Department of Epidemiology and Biostatistics, National Institute for Health Development, Tallinn, Estonia
  189. 189. UO Neurologia, Salute Pubblica e Disabilita, Fondazione IRCCS Istituto Neurologico Carlo Besta (Neurology, Public Health and Disability Unit, Carlo Besta Neurological Institute), Milan, Italy
  190. 190. Department of Prevention, USL Tuscany Center, Firenze, Italy
  191. 191. Department of Health Sciences, University of Florence, Florence, Italy
  192. 192. Center for Dentistry and Oral Hygiene, University of Groningen, Groningen, Netherlands
  193. 193. Stomatological Hospital, Southern Medical University, Guangzhou, China
  194. 194. UCD Centre for Disability Studies, University College Dublin, Dublin, Ireland
  195. 195. Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Bari Aldo Moro, Bari, Italy
  196. 196. Department of Clinical Research in Neurology, Fondazione Cardinale Giovanni Panico Hospital, Tricase, Italy
  197. 197. Institute of Nutritional Sciences, Friedrich Schiller University Jena, Jena, Germany
  198. 198. Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD), Jena, Germany
  199. 199. Laboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto, Porto, Portugal
  200. 200. School of Health, Polytechnic Institute of Porto, Portugal
  201. 201. School of Medicine, Swansea University, Swansea, United Kingdom
  202. 202. Laboratorio de Farmacognosia (LAQV) (Associated Laboratory for Green Chemistry, University of Porto, Porto, Portugal
  203. 203. Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
  204. 204. Division of Infection, Immunity and Respiratory Medicine, University of Manchester, Manchester, United Kingdom
  205. 205. North West Lung Centre, Manchester University NHS Foundation Trust, Manchester, United Kingdom
  206. 206. Department of Ophthalmology, Singleton Hospital, Swansea, United Kingdom
  207. 207. Queensland Brain Institute, The University of Queensland, Brisbane, QLD, Australia
  208. 208. National Centre for Register-based Research, Aarhus University, Aarhus, Denmark
  209. 209. Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  210. 210. International Dx Department, BGI Genomics, Copenhagen, Denmark
  211. 211. Neurology Unit, Helsinki University Hospital, Helsinki, Finland
  212. 212. School of Health Sciences, University of Melbourne, Melbourne, VIC, Australia
  213. 213. Breast Surgery Unit, Helsinki University Hospital, Helsinki, Finland
  214. 214. University of Helsinki, Helsinki, Finland
  215. 215. University Centre Varazdin, University North, Varazdin, Croatia
  216. 216. School of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden
  217. 217. Center for Innovation in Medical Education, Pomeranian Medical University, Szczecin, Poland
  218. 218. Pomeranian Medical University, Szczecin, Poland
  219. 219. Department of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University, Szczecin, Poland
  220. 220. Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria
  221. 221. Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
  222. 222. University Hospital Center of Porto, University of Porto, Porto, Portugal
  223. 223. Department of Surgery, General University Hospital of Patras, Patras, Greece
  224. 224. Medical School, University of Thessaly, Larissa, Greece
  225. 225. Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  226. 226. Department of General Surgery, Emergency Hospital of Bucharest, Bucharest, Romania
  227. 227. Department of Anatomy and Embryology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  228. 228. Department of Cardiology, Cardio-Aid, Bucharest, Romania
  229. 229. Department of Oncology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
  230. 230. Department of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
  231. 231. Medical Research Council Clinical Trials Unit, University College London, London, United Kingdom
  232. 232. Department of Gastroenterology, Cambridge University Hospitals, Cambridge, United Kingdom
  233. 233. Department of Internal Medicine, University of Thessaly, Larissa, Greece
  234. 234. Department of Applied Economics and Quantitative Analysis, University of Bucharest, Bucharest, Romania
  235. 235. Faculty of Geo-Information Science and Earth Observation, University of Twente, Enschede, Netherlands
  236. 236. Department of Mathematics and Statistics, University of Energy and Natural Resources, Sunyani, Ghana
  237. 237. Department of Public Health, University of Naples Federico II, Naples, Italy
  238. 238. Privatpraxis, Heidelberg, Germany
  239. 239. Vision and Eye Research Institute, Anglia Ruskin University, Cambridge, United Kingdom
  240. 240. Global Health Governance Programme, University of Edinburgh, Edinburgh, United Kingdom
  241. 241. School of Dentistry, University of Leeds, Leeds, United Kingdom
  242. 242. Department of Bioinformatics and Biostatistics, National Institute of Research and Development for Biological Sciences, Bucharest, Romania
  243. 243. Department of Statistics and Cybernetics, University of Bucharest, Bucharest, Romania
  244. 244. Clinical Research Department, IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy
  245. 245. Department of Neurology, IRCCS Humanitas Research Hospital, Milan, Italy
  246. 246. Department of Chemistry, University of Porto, Porto, Portugal
  247. 247. Departamento de Didactica de la Expresion Musical, Plastica y Corportal, University of Extremadura, Caceres, Spain
  248. 248. Mario Negri Institute for Pharmacological Research, Bergamo, Italy
  249. 249. Copenhagen, Denmark
  250. 250. University Medical Center Groningen, University of Groningen, Groningen, Netherlands
  251. 251. Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjadjaran (Padjadjaran University), Bandung, Indonesia
  252. 252. Future Technology Research Center, National Yunlin University of Science and Technology, Yunlin, Taiwan
  253. 253. Department of Community Medicine, Manipal Academy of Higher Education, Manipal, India
  254. 254. Academic Public Health England, Public Health England, London, United Kingdom
  255. 255. Department of Computer Science, Boston University, Boston, MA, United States
  256. 256. Department of Public Health, Masaryk University, Brno, Czech Republic
  257. 257. Department of Neurology, University of L'Aquila, L'Aquila, Italy
  258. 258. Department of Polymer Technology, Independent Consultant, Gdansk, Poland
  259. 259. Geriatric and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar
  260. 260. Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, United Kingdom
  261. 261. IRCCS Istituti Clinici Scientifici Maugeri (IRCCS Maugeri Scientific Clinical Institute), Milan, Italy
  262. 262. Department of Neurology, National and Kapodistrian University of Athens, Athens, Greece
  263. 263. Department of Neurology, Columbia University, New York, NY, United States
  264. 264. Oral Diagnosis, Digital Health and Health Services Research, Charite University Medical Center Berlin, Berlin, Germany
  265. 265. Finnish Institute of Occupational Health, Helsinki, Finland
  266. 266. Clinical Immunology and Hematology, Sofiamed University Hospital, Sofia, Bulgaria
  267. 267. Department of Genetics, Sofia University St. Kliment Ohridiski, Sofia, Bulgaria
  268. 268. Department of Agricultural Economics and Rural Development, University of Gottingen, Gottingen, Germany
  269. 269. Department of Law, Economics, Management and Quantitative Methods, University of Sannio, Benevento, Italy
  270. 270. WSB University in Gdansk, Gdansk, Poland
  271. 271. Department of Physiotherapy and Occupational Therapy, Naestved-Slagelse-Ringsted Hospitals, Slagelse, Denmark
  272. 272. Hospital Universitario de La Princesa (Princess University Hospital), Autonomous University of Madrid, Madrid, Spain
  273. 273. Centro de Investigacion Biomedica en Red Enfermedades Respiratorias (CIBERES) (Center for Biomedical Research in Respiratory Diseases Network), Madrid, Spain
  274. 274. Hull York Medical School, University of Hull, Hull City, United Kingdom
  275. 275. Department of Primary Care and Public Health, University of East Anglia, Norwich, United Kingdom
  276. 276. Public Health England, London, United Kingdom
  277. 277. Management Department, Bucharest University of Economic Studies, Bucharest, Romania
  278. 278. Occupational and Environmental Medicine Department, University of Gothenburg, Gothenburg, Sweden
  279. 279. Department of Epidemiology & Biostatistics, The University of Western Ontario, London, ON, Canada
  280. 280. Department of Population Health, Luxembourg Institute of Health, Strassen, Luxembourg
  281. 281. The George Institute for Global Health, Sydney, NSW, Australia
  282. 282. Department of Medicine, University of Valencia, Valencia, Spain
  283. 283. Institute of Health Carlos III, Biomedical Research Networking Center for Mental Health Network (CiberSAM), Madrid, Spain
  284. 284. Clinical Epidemiology, Leibniz Institute for Prevention Research and Epidemiology, Bremen, Germany
  285. 285. Institute of Public Health, Jagiellonian University Medical College, Krakow, Poland
  286. 286. Agency for Health Technology Assessment and Tariff System, Warsaw, Poland
  287. 287. Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Chennai, India
  288. 288. Modestum LTD, Eastbourne, United Kingdom
  289. 289. Department of Vascular Surgery, Ludwig Maximilians University, Munich, Germany
  290. 290. Department of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, Belgium
  291. 291. UKK Institute, Tampere, Finland
  292. 292. Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland
  293. 293. Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
  294. 294. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  295. 295. Occupational Health Unit, Sant'Orsola Malpighi Hospital, Bologna, Italy
  296. 296. Competence Center of Mortality-Follow-Up of the German National Cohort, Federal Institute for Population Research, Wiesbaden, Germany
  297. 297. NIHR-Biomedical Research Centre (NIHR-BRC), Guy's and St. Thomas' Hospital and Kings College London, London, United Kingdom
  298. 298. School of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
  299. 299. School of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada
  300. 300. The George Institute for Global Health, Imperial College London, London, United Kingdom
  301. 301. Epidemiology and Cancer Registry Sector, Institute of Oncology Ljubljana, Ljubljana, Slovenia
  302. 302. Centre of Clinical Epidemiology, Hotel Dieu Hospital, Assistance Publique Hopitaux de Paris (Public Hospitals of Paris), Paris, France
  303. 303. Gastroenterology and Nutrition, Saint-Antoine Hospital, Assistance Publique Hopitaux de Paris (Public Hospitals of Paris), Paris, France
  304. 304. Department of Infection, University College London, London, United Kingdom
  305. 305. NIHR-Biomedical Research Centre (NIHR-BRC), University College London Hospitals, London, United Kingdom
  306. 306. Department of Community Medicine, Information and Health Decision Sciences, University of Porto, Porto, Portugal
  307. 307. Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
  308. 308. Department of Translational Physiology, Infectiology and Public Health, Ghent University, Ghent, Belgium

Source: BMC Public Health Published:2024


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. © The Author(s) 2024.
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