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Injury Burden in Individuals Aged 50 Years or Older in the Eastern Mediterranean Region, 1990–2019: A Systematic Analysis From the Global Burden of Disease Study 2019 Publisher



Alhajj S1, 7 ; Farran SH3 ; Sibai AM4, 5 ; Hamadeh RR8 ; Rahimimovaghar V9 ; Alraddadi RM33 ; Sadeghian F37 ; Ghodsi Z9, 39 ; Alhajyaseen W40 ; Aburmeileh NME41 ; Abbasi B10, 42 ; Abbasikangevari M43 ; Abdoli A58 ; Abdulrahman SA61 Show All Authors
Authors
  1. Alhajj S1, 7
  2. Farran SH3
  3. Sibai AM4, 5
  4. Hamadeh RR8
  5. Rahimimovaghar V9
  6. Alraddadi RM33
  7. Sadeghian F37
  8. Ghodsi Z9, 39
  9. Alhajyaseen W40
  10. Aburmeileh NME41
  11. Abbasi B10, 42
  12. Abbasikangevari M43
  13. Abdoli A58
  14. Abdulrahman SA61
  15. Ali HA62, 100
  16. Abugharbieh E65
  17. Afzal MS69
  18. Ahadinezhad B71, 72
  19. Ahmad S80
  20. Ahmadi A44, 81
  21. Ahmed A84, 85
  22. Ahmed H86
  23. Rashid TA87
  24. Ajami M88, 89
  25. Hamad HA90
  26. Alanezi FM94
  27. Alanzi TM91
  28. Alghnam SA95, 96
  29. Alhalaiqa FN98, 99
  30. Ali BA100, 101
  31. Ali L102
  32. Alimohamadi Y11, 103
  33. Alinia C121
  34. Aljunid SM122, 123
  35. Almustanyir S124, 125
  36. Amin TT126
  37. Amini S129
  38. Amiri S130
  39. Amirzadeiranaq MH12
  40. Anoushirvani AA104
  41. Ansarimoghaddam A131
  42. Anvari D133, 135
  43. Aqeel M136
  44. Arabloo J105
  45. Arabzozani M137
  46. Arulappan J140
  47. Aryannejad A13, 14
  48. Asgary S45, 141
  49. Asgharijafarabadi M144, 145
  50. Ashraf T155
  51. Athari SS158
  52. Atout MMW98
  53. Azadmanjir Z9, 15
  54. Azadnajafabad S13
  55. Azangoukhyavy M13, 43
  56. Jafari AA38
  57. Azzam AYY160, 161
  58. Bagherieh S162
  59. Bakhshaei MH164
  60. Batiha AMM98
  61. Bedi N165, 166
  62. Bhagavathula AS167, 168
  63. Bhutta ZA170, 171
  64. Bibi S172
  65. Bijani A173
  66. Butt NS34
  67. Chegini Z73
  68. Daar OB97
  69. Dahlawi SMA92
  70. Delavari S176
  71. Dianatinasab M177, 183
  72. Didehdar M184
  73. Djalalinia S142
  74. Doaei S46, 187
  75. Dodangeh M106
  76. Eghbalian F190
  77. Ehsanichimeh E16
  78. Sayed IE197
  79. Zaki MES198
  80. Elhabashy HR127
  81. Elhadi M199
  82. Eskandarieh S17
  83. Etemadimanesh A18
  84. Asar ME200
  85. Falahi S202
  86. Farzadfar F13
  87. Fatehizadeh A163
  88. Fattahi H143
  89. Foroutan M204, 205
  90. Ghafourifard M146
  91. Ghamari SH13, 43
  92. Ghanbari R74
  93. Gheshlagh RG207
  94. Ghashghaee A75
  95. Gholamalizadeh M47
  96. Ghorbani A209
  97. Gilani SA156, 210
  98. Gohari K211, 212
  99. Goleij P218
  100. Grivna M169, 219
  101. Gubari MIM220
  102. Haddadi R191
  103. Hafezinejad N19, 121
  104. Hajmirzaian A48, 49
  105. Halwani R65, 66
  106. Hameed S157
  107. Hanif A157
  108. Hasaballah AI222
  109. Hassan A128
  110. Hassanianmoghaddam H43, 223
  111. Hassanipour S188, 189
  112. Hassankhani H147, 224
  113. Hayat K225, 226
  114. Heidari M82
  115. Hosseini MS11, 20
  116. Hosseini M148
  117. Hosseinzadeh M63, 227
  118. Househ M228
  119. Hoveidamanesh S229
  120. Huijer HAS2, 4, 6, 230
  121. Imani B192
  122. Irvani SSN224
  123. Jabbarinejad R21, 231
  124. Jahani MA173
  125. Jalili M193
  126. Mamaghani AJ50, 149
  127. Jeddi SA206
  128. Joukar F188, 189
  129. Kabir A106
  130. Kalankesh LR150, 232
  131. Kalhor R71, 76
  132. Kamran A233
  133. Keikavoosiarani L236
  134. Keykhaei M13, 22
  135. Khader YS238
  136. Khalilov R239, 240
  137. Khammarnia M132
  138. Khan EA241, 243
  139. Khan M166
  140. Khan MAB169, 243
  141. Khanali J23, 43
  142. Kashani HRK51
  143. Khosravizadeh O77, 78
  144. Kolahi AA43, 52
  145. Koohestani HR244
  146. Koolaji S13
  147. Lami FH245
  148. Lasrado S246
  149. Madadizadeh F247
  150. El Razek MMA248
  151. Mahdavi M53
  152. Mahjoub S174, 175
  153. Mahmoodpoor A151
  154. Mahmoudi R79
  155. Makki A67
  156. Malekpour MR13
  157. Malekzadeh R24, 178
  158. Malih N54
  159. Malik AA35, 157
  160. Mansourghanaei F188, 189
  161. Mansouri B249
  162. Mansournia MA11
  163. Masoumi SZ194
  164. Nasab EM25
  165. Menezes RG93
  166. Mesregah MK255
  167. Mirmoeeni S38
  168. Mirzaaghazadehattari M152, 256
  169. Mohammadi E25, 217
  170. Mohammadi H257
  171. Mohammadi M258
  172. Mohammadi SM159, 259
  173. Mohammadianhafshejani A81
  174. Mohammed TA259
  175. Moludi J153, 250
  176. Momtazmanesh S13, 19
  177. Moradi M120
  178. Moradi M120
  179. Moradpour F208
  180. Moradzadeh R185
  181. Mortazavi N260, 261
  182. Mortazavi SS107
  183. Najafi H252
  184. Najafpour Z262
  185. Natto ZS36, 264
  186. Nazari J186
  187. Nouraei H179
  188. Nouri F195
  189. Okatialiabad H132
  190. Bali AO64
  191. Omer E265
  192. Kan FP120
  193. Toroudi HP108
  194. Piracha ZZ242
  195. Pourbaghershahri A138
  196. Pourtaheri N266
  197. Rabiee M267
  198. Rabiee N268, 269
  199. Raeghi S270
  200. Rafieemehr H272, 273
  201. Rafiei S77
  202. Rahim F26
  203. Rahimidehgolan S27
  204. Rahmani AM274
  205. Rahmanian V59
  206. Ramezanzadeh K48
  207. Rao CR275
  208. Rashedi V109
  209. Rashidi A277
  210. Rashidi M13, 43
  211. Rashidi MM278
  212. Rasul A279
  213. Rawassizadeh R280
  214. Rayegani SM55
  215. Rezaei N13
  216. Rezaei N13
  217. Rezaei S110, 281
  218. Rezaei Z29
  219. Rezaeian M276
  220. Rezapurshahkolai F196
  221. Rezazadehkhadem S13
  222. Saadati M145
  223. Sabour S44
  224. Saddik B68
  225. Saeed U13, 282, 283
  226. Moghaddam SS13
  227. Safarpour H56, 203
  228. Safdarian M284, 285
  229. Sahebkar A286, 287
  230. Salamati P9
  231. Salem MR290
  232. Samy AM291
  233. Sanadgol N292
  234. Saqib MAN70, 71, 293
  235. Sarikhani Y60, 180
  236. Sarveazad A111
  237. Sathian B90, 294
  238. Sayyah M263
  239. Sepanlou SG24, 178
  240. Shahabi S180
  241. Shaikh MA295
  242. Shaker E30, 213
  243. Shamsbeyranvand M237
  244. Sharifian S112
  245. Shati M113
  246. Shehata HS128
  247. Sheidaei A29, 214
  248. Sheikhbahaei S221
  249. Sheikhi RA83
  250. Shobeiri P30, 215
  251. Siabani S253, 296
  252. Sivandzadeh GR181, 182
  253. Sofimahmudi A216, 297
  254. Sohrabi A114
  255. Tabaeian SP104
  256. Tabary M298
  257. Tabibian E31
  258. Taheri E163
  259. Taheri M57, 115
  260. Tehranibanihashemi A116, 117
  261. Tiyuri A118, 139
  262. Tohidast SA201
  263. Ullah S172
  264. Vahedi P271
  265. Tahbaz SV299, 300
  266. Valizadeh R119
  267. Varmaghani M13, 289
  268. Vo B301
  269. Waheed Y302
  270. Jabbari SHY299
  271. Yazdanpanah F32, 154
  272. Yousefi Z134
  273. Yusefi H303
  274. Moghadam TZ234
  275. Zandian H234, 235
  276. Zare I304
  277. Ziapour A254
  278. Mokdad AH4, 6
Show Affiliations
Authors Affiliations
  1. 1. Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
  2. 2. Hariri School of Nursing, American University of Beirut, Beirut, Lebanon
  3. 3. American University of Beirut Medical Center, American University of Beirut, Beirut, Lebanon
  4. 4. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
  5. 5. Department of Epidemiology and Population Health, American University of Beirut, Beirut, Lebanon
  6. 6. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, USA, WA, United States
  7. 7. British Columbia Injury Research Prevention Unit, Vancouver, BC, Canada
  8. 8. Department of Family and Community Medicine, Arabian Gulf University, Manama, Bahrain
  9. 9. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  10. 10. Uro-oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
  12. 12. Universal Scientific Education and Research Network (USERN), Tehran University of Medical Sciences, Tehran, Iran
  13. 13. Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
  14. 14. Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
  15. 15. Health Information Management, Tehran University of Medical Sciences, Tehran, Iran
  16. 16. National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran
  17. 17. Multiple Sclerosis Research Center, Tehran University of Medical Sciences, Tehran, Iran
  18. 18. Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
  19. 19. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  20. 20. Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran
  21. 21. Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran
  22. 22. Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
  23. 23. Non-Communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
  24. 24. Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  25. 25. Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
  26. 26. Metabolomics and Genomics Research Center, Tehran University of Medical Sciences, Tehran, Iran
  27. 27. Physical Medicine and Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  28. 28. Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  29. 29. School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  30. 30. Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  31. 31. Radiology Department, Tehran University of Medical Sciences, Tehran, Iran
  32. 32. Department of Pediatric Allergy and Immunology, Tehran University of Medical Sciences, Tehran, Iran
  33. 33. Department of Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  34. 34. Department of Family and Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  35. 35. Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
  36. 36. Department of Dental Public Health, King Abdulaziz University, Jeddah, Saudi Arabia
  37. 37. Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
  38. 38. School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
  39. 39. Department of Midwifery, Islamic Azad University, Tuyserkan, Iran
  40. 40. Qatar Transportation and Traffic Safety Center, Qatar University, Doha, Qatar
  41. 41. Institute of Community and Public Health, Birzeit University, Ramallah, Palestine
  42. 42. Reproductive Biomedicine Research Center, Royan Institution, Isfahan, Iran
  43. 43. Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  44. 44. Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  45. 45. Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  46. 46. Department of Community Nutrition, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  47. 47. Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  48. 48. Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  49. 49. Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  50. 50. Department of Parasitology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  51. 51. Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  52. 52. Department of Health and Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  53. 53. Department of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  54. 54. Department of Community Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  55. 55. Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  56. 56. Department of Health in Disasters and Emergencies, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  57. 57. Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  58. 58. Zoonosis Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
  59. 59. Department of Community Medicine, Jahrom University of Medical Sciences, Jahrom, Iran
  60. 60. Department of Public Health, Jahrom University of Medical Sciences, Jahrom, Iran
  61. 61. Department of Political Science, University of Human Development, Sulaymaniyah, Iraq
  62. 62. College of Administration and Economics, University of Human Development, Sulaymaniyah, Iraq
  63. 63. Department of Computer Science, University of Human Development, Sulaymaniyah, Iraq
  64. 64. Diplomacy and Public Relations Department, University of Human Development, Sulaymaniyah, Iraq
  65. 65. Clinical Sciences Department, University of Sharjah, Sharjah, United Arab Emirates
  66. 66. College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
  67. 67. Mass Communication Department, University of Sharjah, Sharjah, United Arab Emirates
  68. 68. Sharjah Institute for Medical Research, University of Sharjah, Sharjah, United Arab Emirates
  69. 69. Department of Life Sciences, University of Management and Technology, Lahore, Pakistan
  70. 70. School of Sciences, University of Management and Technology, Lahore, Pakistan
  71. 71. Health Services Management Department, Qazvin University of Medical Sciences, Qazvin, Iran
  72. 72. Research Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
  73. 73. Qazvin University of Medical Sciences, Amiralmomenin Hospital, Qazvin, Iran
  74. 74. Department of Environmental Health Engineering, Qazvin University of Medical Sciences, Qazvin, Iran
  75. 75. School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
  76. 76. Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
  77. 77. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
  78. 78. Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
  79. 79. Department of Food Hygiene and Safety, Qazvin University of Medical Sciences, Qazvin, Iran
  80. 80. Department of Health and Biological Sciences, Abasyn University, Peshawar, Pakistan
  81. 81. Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran
  82. 82. Community- Oriented Nursing Midwifery Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran
  83. 83. Department of Health in Disasters and Emergencies, Shahrekord University of Medical Sciences, Shahrekord, Iran
  84. 84. School of Pharmacy, Monash University, Bandar Sunway, Malaysia
  85. 85. Department of Pharmacy, Quaid I Azam University Islamabad, Islamabad, Pakistan
  86. 86. Department of Biosciences, COMSATS Institute of Information Technology, Islamabad, Pakistan
  87. 87. Department of Computer Science and Engineering, University of Kurdistan Hewler, Erbil, Iraq
  88. 88. Department of Food and Nutrition Policy and Planning Research, National Institute of Nutrition, Tehran, Iran
  89. 89. National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Iran
  90. 90. Geriatric and Long Term Care Department, Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar
  91. 91. Health Information Management and Technology Department, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  92. 92. Environmental Health Department, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  93. 93. Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  94. 94. Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  95. 95. Population Health Research Section, Riyadh, Saudi Arabia
  96. 96. King Abdullah International Medical Research Center, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  97. 97. Department of Health Systems Management, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
  98. 98. Faculty of Nursing, Philadelphia University, Amman, Jordan
  99. 99. Psychological Sciences Association, Amman, Jordan
  100. 100. Erbil Technical Health College, Erbil Polytechnic University, Erbil, Iraq
  101. 101. School of Pharmacy, Tishk International University, Erbil, Iraq
  102. 102. Department of Biological Sciences, National University of Medical Sciences (NUMS), Rawalpindi, Pakistan
  103. 103. Pars Advanced and Minimally Invasive Medical Manners Research Center, Iran University of Medical Sciences, Tehran, Iran
  104. 104. Department of Internal Medicine, Iran University of Medical Sciences, Tehran, Iran
  105. 105. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  106. 106. Minimally Invasive Surgery Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  107. 107. School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
  108. 108. Physiology Research Center, Department of Physiology, Iran University of Medical Sciences, Tehran, Iran
  109. 109. Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran
  110. 110. Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
  111. 111. Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran
  112. 112. Department of Nursing Management, Iran University of Medical Sciences, Tehran, Iran
  113. 113. Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  114. 114. Department of Biostatistics, Iran University of Medical Sciences, Tehran, Iran
  115. 115. Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
  116. 116. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  117. 117. Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran
  118. 118. Department of Epidemiology and Biostatistics, Iran University of Medical Sciences, Tehran, Iran
  119. 119. Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran
  120. 120. Iran University of Medical Sciences, Tehran, Iran
  121. 121. Department of Health Care Management and Economics, Urmia University of Medical Science, Urmia, Iran
  122. 122. Department of Health Policy and Management, Kuwait University, Kuwait, Kuwait
  123. 123. International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia
  124. 124. College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
  125. 125. Ministry of Health, Riyadh, Saudi Arabia
  126. 126. Public Health Department, Cairo University, Cairo, Egypt
  127. 127. Department of Neurophysiology, Cairo University, Cairo, Egypt
  128. 128. Department of Neurology, Cairo University, Cairo, Egypt
  129. 129. Department of Health Services Management, Khomein University of Medical Sciences, Khomein, Iran
  130. 130. Medicine, Quran and Hadith Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
  131. 131. Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran
  132. 132. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  133. 133. Department of Parasitology, Mazandaran University of Medical Sciences, Sari, Iran
  134. 134. Department of Environmental Health, Mazandaran University of Medical Sciences, Sari, Iran
  135. 135. Department of Parasitology, Iranshahr University of Medical Sciences, Iranshahr, Iran
  136. 136. Department of Psychology, Foundation University Islamabad, Rawalpandi, Pakistan
  137. 137. Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
  138. 138. Department of Medicine, Birjand University of Medical Sciences, Birjand, Iran
  139. 139. Department of Epidemiology and Biostatistics, Birjand University of Medical Sciences, Birjand, Iran
  140. 140. Department of Maternal and Child Health, Sultan Qaboos University, Muscat, Oman
  141. 141. National Agency for Strategic Research in Medical Education (NASRME), Ministry of Health and Medical Education, Tehran, Iran
  142. 142. Development of Research and Technology Center, Ministry of Health and Medical Education, Tehran, Iran
  143. 143. Centre for Primary Health Care Network Management, Ministry of Health and Medical Education, Tehran, Iran
  144. 144. Cabrini Research, Cabrini Health, Cabrini Institute, Melbourne, VIC, Australia
  145. 145. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
  146. 146. Department of Medical Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran
  147. 147. School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
  148. 148. Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
  149. 149. Department of Parasitology, Tabriz University of Medical Sciences, Tabriz, Iran
  150. 150. School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
  151. 151. Department of Anesthesiology and Critical Care, Tabriz University of Medical Sciences, Tabriz, Iran
  152. 152. Department of Radiology, Tabriz University of Medical Sciences, Tabriz, Iran
  153. 153. Department of Nutritional Science, Tabriz University of Medical Sciences, Tabriz, Iran
  154. 154. Department of Pediatric Allergy and Immunology, Tabriz University of Medical Sciences, Tabriz, Iran
  155. 155. University Institute of Radiological Sciences and Medical Imaging Technology, University of Lahore, Lahore, Pakistan
  156. 156. Faculty of Allied Health Sciences, University of Lahore, Lahore, Pakistan
  157. 157. University Institute of Public Health, University of Lahore, Lahore, Pakistan
  158. 158. Department of Immunology, Zanjan University of Medical Sciences, Zanjan, Iran
  159. 159. Department of Anatomical Sciences, Zanjan University of Medical Sciences, Zanjan, Iran
  160. 160. Department of Neurovascular Research, Nested Knowledge, Saint Paul, MN, United States
  161. 161. Faculty of Medicine, October 6 University, 6th of October City, Egypt
  162. 162. School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  163. 163. Department of Environmental Health Engineering, Isfahan University of Medical Sciences, Isfahan, Iran
  164. 164. Department of Anesthesiology, Hamedan University of Medical Sciences, Hamadan, Iran
  165. 165. School of Public Health, Dr. D. Y. Patil University, Mumbai, India
  166. 166. Epidemiology Department, Jazan University, Jazan, Saudi Arabia
  167. 167. Department of Social and Clinical Pharmacy, Charles University, Hradec Kralova, Czech Republic
  168. 168. Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
  169. 169. Family Medicine Department, College of Medicine and Health Sciences, Al Ain, United Arab Emirates
  170. 170. Centre for Global Child Health, University of Toronto, Toronto, ON, Canada
  171. 171. Centre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan
  172. 172. Institute of Soil and Environmental Sciences, University of Agriculture, Faisalabad, Faisalabad, Pakistan
  173. 173. Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
  174. 174. Cellular and Molecular Biology Research Center, Babol University of Medical Sciences, Babol, Iran
  175. 175. Department of Clinical Biochemistry, Babol University of Medical Sciences, Babol, Iran
  176. 176. Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  177. 177. Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran
  178. 178. Non-communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  179. 179. Department of Medical Mycology and Parasitology, Shiraz University of Medical Sciences, Shiraz, Iran
  180. 180. Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  181. 181. Department of Internal Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  182. 182. Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  183. 183. Department of Epidemiology, Maastricht University, Maastricht, Netherlands
  184. 184. Department of Parasitology and Mycology, Arak University of Medical Sciences, Arak, Iran
  185. 185. Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran
  186. 186. Department of Pediatrics, Arak University of Medical Sciences, Arak, Iran
  187. 187. School of Health, Guilan University of Medical Sciences, Rasht, Iran
  188. 188. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  189. 189. Caspian Digestive Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran
  190. 190. Department of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
  191. 191. Department of Pharmacology and Toxicology, Hamadan University of Medical Sciences, Hamadan, Iran
  192. 192. Operating Room, Hamadan University of Medical Sciences, Hamadan, Iran
  193. 193. Department of Microbiology, Hamadan University of Medical Sciences, Hamadan, Iran
  194. 194. Department of Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
  195. 195. Department of Pharmaceutical Biotechnology, Hamadan University of Medical Sciences, Hamadan, Iran
  196. 196. Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
  197. 197. Biomedical Informatics and Medical Statistics Department, Alexandria University, Alexandria, Egypt
  198. 198. Department of Clinical Pathology, Mansoura University, Mansoura, Egypt
  199. 199. Faculty of Medicine, University of Tripoli, Tripoli, Libya
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  201. 201. Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran
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  203. 203. Department of Nursing, Ilam University of Medical Sciences, Ilam, Iran
  204. 204. Department of Medical Parasitology, Abadan University of Medical Sciences, Abadan, Iran
  205. 205. Faculty of Medicine, Abadan University of Medical Sciences, Abadan, Iran
  206. 206. Department of Laboratory Sciences, Abadan University of Medical Sciences, Abadan, Iran
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  210. 210. Afro-Asian Institute, Lahore, Pakistan
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  219. 219. Department of Public Health and Preventive Medicine, Charles University, Prague, Czech Republic
  220. 220. Department of Family and Community Medicine, University of Sulaimani, Sulaimani, Iraq
  221. 221. Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United States
  222. 222. Department of Zoology and Entomology, Al Azhar University, Cairo, Egypt
  223. 223. Chapter of Addiction Medicine, University of Sydney, Sydney, NSW, Australia
  224. 224. Independent Consultant, Tabriz, Iran
  225. 225. Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, Pakistan
  226. 226. Department of Pharmacy Administration and Clinical Pharmacy, Xian Jiaotong University, Xian, China
  227. 227. Institute of Research and Development, Duy Tan University, Da Nang, Viet Nam
  228. 228. College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
  229. 229. Burn Research Center, Shahid Motahari Hospital, Tehran, Iran
  230. 230. Faculty of Health Sciences, University of Balamand, Sin El Fil, Lebanon
  231. 231. Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, United States
  232. 232. Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
  233. 233. Health Education and Promotion, Ardabil University of Medical Science, Ardabil, Iran
  234. 234. Social Determinants of Health Research Center, Ardabil University of Medical Science, Ardabil, Iran
  235. 235. Department of Community Medicine, Ardabil University of Medical Science, Ardabil, Iran
  236. 236. Department of Healthcare Services Management, Alborz University of Medical Sciences, Karaj, Iran
  237. 237. School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
  238. 238. Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
  239. 239. Department of Biophysics and Biochemistry, Baku State University, Baku, Azerbaijan
  240. 240. Russian Institute for Advanced Study, Moscow State Pedagogical University, Moscow, Russian Federation
  241. 241. Department of Epidemiology and Biostatistics, Health Services Academy, Islamabad, Pakistan
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  246. 246. Department of Otorhinolaryngology, Father Muller Medical College, Mangalore, India
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  251. 251. Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
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Source: The Lancet Healthy Longevity Published:2022


Abstract

Background: Injury poses a major threat to health and longevity in adults aged 50 years or older. The increased life expectancy in the Eastern Mediterranean region warrants a further understanding of the ageing population's inevitable changing health demands and challenges. We aimed to examine injury-related morbidity and mortality among adults aged 50 years or older in 22 Eastern Mediterranean countries. Methods: Drawing on data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we categorised the population into adults aged 50–69 years and adults aged 70 years and older. We examined estimates for transport injuries, self-harm injuries, and unintentional injuries for both age groups, with sex differences reported, and analysed the percentage changes from 1990 to 2019. We reported injury-related mortality rates and disability-adjusted life-years (DALYs). The Socio-demographic Index (SDI) and the Healthcare Access and Quality (HAQ) Index were used to better understand the association of socioeconomic factors and health-care system performance, respectively, with injuries and health status in older people. Healthy life expectancy (HALE) was compared with injury-related deaths and DALYs and to the SDI and HAQ Index to understand the effect of injuries on healthy ageing. Finally, risk factors for injury deaths between 1990 and 2019 were assessed. 95% uncertainty intervals (UIs) are given for all estimates. Findings: Estimated injury mortality rates in the Eastern Mediterranean region exceeded the global rates in 2019, with higher injury mortality rates in males than in females for both age groups. Transport injuries were the leading cause of deaths in adults aged 50–69 years (43·0 [95% UI 31·0–51·8] per 100 000 population) and in adults aged 70 years or older (66·2 [52·5–75·5] per 100 000 population), closely followed by conflict and terrorism for both age groups (10·2 [9·3–11·3] deaths per 100 000 population for 50–69 years and 45·7 [41·5–50·3] deaths per 100 000 population for ≥70 years). The highest annual percentage change in mortality rates due to injury was observed in Afghanistan among people aged 70 years or older (400·4% increase; mortality rate 1109·7 [1017·7–1214·7] per 100 000 population). The leading cause of DALYs was transport injuries for people aged 50–69 years (1798·8 [1394·1–2116·0] per 100 000 population) and unintentional injuries for those aged 70 years or older (2013·2 [1682·2–2408·7] per 100 000 population). The estimates for HALE at 50 years and at 70 years in the Eastern Mediterranean region were lower than global estimates. Eastern Mediterranean countries with the lowest SDIs and HAQ Index values had high prevalence of injury DALYs and ranked the lowest for HALE at 50 years of age and HALE at 70 years. The leading injury mortality risk factors were occupational exposure in people aged 50–69 years and low bone mineral density in those aged 70 years or older. Interpretation: Injuries still pose a real threat to people aged 50 years or older living in the Eastern Mediterranean region, mainly due to transport and violence-related injuries. Dedicated efforts should be implemented to devise injury prevention strategies that are appropriate for older adults and cost-effective injury programmes tailored to the needs and resources of local health-care systems, and to curtail injury-associated risk and promote healthy ageing. Funding: Bill & Melinda Gates Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
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