Home > The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study.

Haagsma, Juanita A and Charalampous, Periklis and Ariani, Filippo and Gallay, Anne and Moesgaard Iburg, Kim and Nena, Evangelia and Ngwa, Che Henry and Rommel, Alexander and Zelviene, Ausra and Abegaz, Kedir Hussein and Al Hamad, Hanadi and Albano, Luciana and Liliana Andrei, Catalina and Andrei, Tudorel and Antonazzo, Ippazio Cosimo and Aremu, Olatunde and Arumugam, Ashokan and Atreya, Alok and Aujayeb, Avinash and Ayuso-Mateos, Jose Luis and Engelbert Bain, Luchuo and Banach, Maciej and Winfried Bärnighausen, Till and Barone-Adesi, Francesco and Beghi, Massimiliano and Bennett, Derrick A and Bhagavathula, Akshaya S and Carvalho, Félix and Castelpietra, Giulio and Caterina, Ledda and Chandan, Joht Singh and Couto, Rosa A S and Cruz-Martins, Natália and Damiani, Giovanni and Dastiridou, Anna and Demetriades, Andreas K and Dias-da-Silva, Diana and Francis Fagbamigbe, Adeniyi and Fereshtehnejad, Seyed-Mohammad and Fernandes, Eduarda and et al, . (2022) The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study. Archives of Public Health, 80, 142. doi: 10.1186/s13690-022-00891-6.

External website: https://archpublichealth.biomedcentral.com/article...

BACKGROUND: Injury remains a major concern to public health in the European region. Previous iterations of the Global Burden of Disease (GBD) study showed wide variation in injury death and disability adjusted life year (DALY) rates across Europe, indicating injury inequality gaps between sub-regions and countries. The objectives of this study were to: 1) compare GBD 2019 estimates on injury mortality and DALYs across European sub-regions and countries by cause-of-injury category and sex; 2) examine changes in injury DALY rates over a 20 year-period by cause-of-injury category, sub-region and country; and 3) assess inequalities in injury mortality and DALY rates across the countries.

METHODS: We performed a secondary database descriptive study using the GBD 2019 results on injuries in 44 European countries from 2000 to 2019. Inequality in DALY rates between these countries was assessed by calculating the DALY rate ratio between the highest-ranking country and lowest-ranking country in each year.

RESULTS: In 2019, in Eastern Europe 80 [95% uncertainty interval (UI): 71 to 89] people per 100,000 died from injuries; twice as high compared to Central Europe (38 injury deaths per 100,000; 95% UI 34 to 42) and three times as high compared to Western Europe (27 injury deaths per 100,000; 95%UI 25 to 28). The injury DALY rates showed less pronounced differences between Eastern (5129 DALYs per 100,000; 95% UI: 4547 to 5864), Central (2940 DALYs per 100,000; 95% UI: 2452 to 3546) and Western Europe (1782 DALYs per 100,000; 95% UI: 1523 to 2115). Injury DALY rate was lowest in Italy (1489 DALYs per 100,000) and highest in Ukraine (5553 DALYs per 100,000). The difference in injury DALY rates by country was larger for males compared to females. The DALY rate ratio was highest in 2005, with DALY rate in the lowest-ranking country (Russian Federation) 6.0 times higher compared to the highest-ranking country (Malta). After 2005, the DALY rate ratio between the lowest- and the highest-ranking country gradually decreased to 3.7 in 2019.

CONCLUSIONS: Injury mortality and DALY rates were highest in Eastern Europe and lowest in Western Europe, although differences in injury DALY rates declined rapidly, particularly in the past decade. The injury DALY rate ratio of highest- and lowest-ranking country declined from 2005 onwards, indicating declining inequalities in injuries between European countries.

Item Type
Publication Type
Irish-related, International, Open Access, Article
Drug Type
Alcohol, All substances
Intervention Type
Harm reduction
20 May 2022
Identification #
doi: 10.1186/s13690-022-00891-6

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