Archives of Public Health (May 2022)
The burden of injury in Central, Eastern, and Western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study
- Juanita A. Haagsma,
- Periklis Charalampous,
- Filippo Ariani,
- Anne Gallay,
- Kim Moesgaard Iburg,
- Evangelia Nena,
- Che Henry Ngwa,
- Alexander Rommel,
- Ausra Zelviene,
- Kedir Hussein Abegaz,
- Hanadi Al Hamad,
- Luciana Albano,
- Catalina Liliana Andrei,
- Tudorel Andrei,
- Ippazio Cosimo Antonazzo,
- Olatunde Aremu,
- Ashokan Arumugam,
- Alok Atreya,
- Avinash Aujayeb,
- Jose Luis Ayuso-Mateos,
- Luchuo Engelbert Bain,
- Maciej Banach,
- Till Winfried Bärnighausen,
- Francesco Barone-Adesi,
- Massimiliano Beghi,
- Derrick A. Bennett,
- Akshaya S. Bhagavathula,
- Félix Carvalho,
- Giulio Castelpietra,
- Ledda Caterina,
- Joht Singh Chandan,
- Rosa A. S. Couto,
- Natália Cruz-Martins,
- Giovanni Damiani,
- Anna Dastiridou,
- Andreas K. Demetriades,
- Diana Dias-da-Silva,
- Adeniyi Francis Fagbamigbe,
- Seyed-Mohammad Fereshtehnejad,
- Eduarda Fernandes,
- Pietro Ferrara,
- Florian Fischer,
- Urbano Fra.Paleo,
- Silvia Ghirini,
- James C. Glasbey,
- Ionela-Roxana Glavan,
- Nelson G. M. Gomes,
- Michal Grivna,
- Netanja I. Harlianto,
- Josep Maria Haro,
- M. Tasdik Hasan,
- Sorin Hostiuc,
- Ivo Iavicoli,
- Milena D. Ilic,
- Irena M. Ilic,
- Mihajlo Jakovljevic,
- Jost B. Jonas,
- Jacek Jerzy Jozwiak,
- Mikk Jürisson,
- Joonas H. Kauppila,
- Gbenga A. Kayode,
- Moien A. B. Khan,
- Adnan Kisa,
- Sezer Kisa,
- Ai Koyanagi,
- Manasi Kumar,
- Om P. Kurmi,
- Carlo La-Vecchia,
- Demetris Lamnisos,
- Savita Lasrado,
- Paolo Lauriola,
- Shai Linn,
- Joana A. Loureiro,
- Raimundas Lunevicius,
- Aurea Madureira-Carvalho,
- Enkeleint A. Mechili,
- Azeem Majeed,
- Ritesh G. Menezes,
- Alexios-Fotios A. Mentis,
- Atte Meretoja,
- Tomislav Mestrovic,
- Tomasz Miazgowski,
- Bartosz Miazgowski,
- Andreea Mirica,
- Mariam Molokhia,
- Shafiu Mohammed,
- Lorenzo Monasta,
- Francesk Mulita,
- Mukhammad David Naimzada,
- Ionut Negoi,
- Subas Neupane,
- Bogdan Oancea,
- Hans Orru,
- Adrian Otoiu,
- Nikita Otstavnov,
- Stanislav S. Otstavnov,
- Alicia Padron-Monedero,
- Songhomitra Panda-Jonas,
- Shahina Pardhan,
- Jay Patel,
- Paolo Pedersini,
- Marina Pinheiro,
- Ivo Rakovac,
- Chythra R. Rao,
- Salman Rawaf,
- David Laith Rawaf,
- Violet Rodrigues,
- Luca Ronfani,
- Dominic Sagoe,
- Francesco Sanmarchi,
- Milena M. Santric-Milicevic,
- Brijesh Sathian,
- Aziz Sheikh,
- Rahman Shiri,
- Siddharudha Shivalli,
- Inga Dora Sigfusdottir,
- Rannveig Sigurvinsdottir,
- Valentin Yurievich Skryabin,
- Anna Aleksandrovna Skryabina,
- Catalin-Gabriel Smarandache,
- Bogdan Socea,
- Raúl A. R. C. Sousa,
- Paschalis Steiropoulos,
- Rafael Tabarés-Seisdedos,
- Marcos Roberto Tovani-Palone,
- Fimka Tozija,
- Sarah Van de Velde,
- Tommi Juhani Vasankari,
- Massimiliano Veroux,
- Francesco S. Violante,
- Vasiliy Vlassov,
- Yanzhong Wang,
- Ali Yadollahpour,
- Sanni Yaya,
- Mikhail Sergeevich Zastrozhin,
- Anasthasia Zastrozhina,
- Suzanne Polinder,
- Marek Majdan
Affiliations
- Juanita A. Haagsma
- Department of Public Health, Erasmus MC, University Medical Center
- Periklis Charalampous
- Department of Public Health, Erasmus MC, University Medical Center
- Filippo Ariani
- Epidemiology Unit, Central Tuscany Local Health Authority
- Anne Gallay
- Department of Non-Communicable Diseases and Injuries, Santé Publique France
- Kim Moesgaard Iburg
- Department of Public Health, Aarhus University
- Evangelia Nena
- Laboratory of Social Medicine, Medical School, Democritus University of Thrace
- Che Henry Ngwa
- School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg
- Alexander Rommel
- Department of Epidemiology and Health Monitoring, Robert Koch Institute
- Ausra Zelviene
- Institute of Hygiene, Health Information Center
- Kedir Hussein Abegaz
- Department of Biostatistics, Near East University
- Hanadi Al Hamad
- Geriatrics and Long Term Care Department, Hamad Medical Corporation
- Luciana Albano
- Department of Experimental Medicine, University of Campania Luigi Vanvitelli
- Catalina Liliana Andrei
- Cardiology Department, Carol Davila University of Medicine and Pharmacy
- Tudorel Andrei
- Department of Statistics and Econometrics, Bucharest University of Economic Studies
- Ippazio Cosimo Antonazzo
- Research Center On Public Health, University of Milan-Bicocca
- Olatunde Aremu
- Department of Public Health, Birmingham City University
- Ashokan Arumugam
- Department of Physiotherapy, College of Health Sciences, University of Sharjah
- Alok Atreya
- Department of Forensic Medicine, Lumbini Medical College
- Avinash Aujayeb
- Northumbria Healthcare NHS Foundation Trust
- Jose Luis Ayuso-Mateos
- Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-Princesa)
- Luchuo Engelbert Bain
- Lincoln International Institute for Rural Health (LIIRH), University of Lincoln
- Maciej Banach
- Department of Hypertension, Medical University of Lodz
- Till Winfried Bärnighausen
- Heidelberg Institute of Global Health (HIGH), Heidelberg University
- Francesco Barone-Adesi
- Department of Translational Medicine, University of Eastern Piedmont
- Massimiliano Beghi
- Department of Mental Health, AUSL Romagna
- Derrick A. Bennett
- Clinical Trials Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford
- Akshaya S. Bhagavathula
- Institute of Public Health, United Arab Emirates University
- Félix Carvalho
- Research Unit On Applied Molecular Biosciences (UCIBIO), University of Porto
- Giulio Castelpietra
- Outpatient and Inpatient Care Service, Central Health Directorate, Friuli Venezia Giulia Region
- Ledda Caterina
- Department of Clinical and Experimental Medicine, University of Catania
- Joht Singh Chandan
- Institute of Applied Health Research, University of Birmingham
- Rosa A. S. Couto
- Department of Chemical Sciences, University of Porto
- Natália Cruz-Martins
- Faculty of Medicine, University of Porto
- Giovanni Damiani
- Clinical Dermatology, IRCCS Istituto Ortopedico Galeazzi, University of Milan
- Anna Dastiridou
- Department of Ophthalmology, University Hospital of Larissa
- Andreas K. Demetriades
- Edinburgh Spinal Surgery Outcome Studies Group, Department of Neurosurgery, Royal Infirmary of Edinburgh
- Diana Dias-da-Silva
- Laboratory of Toxicology, Faculty of Pharmacy, University of Porto
- Adeniyi Francis Fagbamigbe
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan
- Seyed-Mohammad Fereshtehnejad
- Division of Neurology, Department of Medicine, University of Ottawa
- Eduarda Fernandes
- Associated Laboratory for Green Chemistry (LAQV), University of Porto
- Pietro Ferrara
- Research Center On Public Health, University of Milan-Bicocca
- Florian Fischer
- Institute of Public Health, Charité-Universitätsmedizin Berlin
- Urbano Fra.Paleo
- Research Institute for Sustainable Land Development (Interra), University of Extremadura
- Silvia Ghirini
- National Center On Addictions and Doping, Istituto Superiore Di Sanità
- James C. Glasbey
- NIHR Global Health Research Unit On Global Surgery, University of Birmingham
- Ionela-Roxana Glavan
- Department of Statistics and Econometrics, Bucharest University of Economic Studies
- Nelson G. M. Gomes
- Associated Laboratory for Green Chemistry (LAQV), University of Porto
- Michal Grivna
- Institute of Public Health, United Arab Emirates University
- Netanja I. Harlianto
- Department of Orthopedics, University Medical Center Utrecht
- Josep Maria Haro
- Biomedical Research Networking Center for Mental Health Network (CiberSAM)
- M. Tasdik Hasan
- International Centre for Diarrhoeal Disease Research
- Sorin Hostiuc
- Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy
- Ivo Iavicoli
- Department of Public Health, University of Naples Federico II
- Milena D. Ilic
- Department of Epidemiology, University of Kragujevac
- Irena M. Ilic
- Faculty of Medicine, University of Belgrade
- Mihajlo Jakovljevic
- N. A. Semashko Department of Public Health and Healthcare, I. M. Sechenov First Moscow State Medical University
- Jost B. Jonas
- Department of Ophthalmology, Heidelberg University
- Jacek Jerzy Jozwiak
- Department of Family Medicine and Public Health, University of Opole
- Mikk Jürisson
- Institute of Family Medicine and Public Health, University of Tartu
- Joonas H. Kauppila
- Department of Molecular Medicine and Surgery, Karolinska Institute
- Gbenga A. Kayode
- International Research Center of Excellence, Institute of Human Virology Nigeria
- Moien A. B. Khan
- Department of Family Medicine, United Arab Emirates University
- Adnan Kisa
- School of Health Sciences, Kristiania University College
- Sezer Kisa
- Department of Nursing and Health Promotion, Oslo Metropolitan University
- Ai Koyanagi
- Biomedical Research Networking Center for Mental Health Network (CiberSAM)
- Manasi Kumar
- Department of Psychiatry, University of Nairobi
- Om P. Kurmi
- Division of Respirology, Department of Medicine, McMaster University
- Carlo La-Vecchia
- Department of Clinical Sciences and Community Health, University of Milan
- Demetris Lamnisos
- Department of Health Sciences, School of Sciences, European University Cyprus
- Savita Lasrado
- Department of Otorhinolaryngology, Father Muller Medical College
- Paolo Lauriola
- Institute of Clinical Physiology, National Research Council
- Shai Linn
- School of Public Health, University of Haifa
- Joana A. Loureiro
- Laboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto
- Raimundas Lunevicius
- Department of General Surgery, School of Medicine, Liverpool University Hospitals NHS Foundation Trust, University of Liverpool
- Aurea Madureira-Carvalho
- Institute of Research and Advanced, Training in Health Sciences and Technologies (INFACTS)
- Enkeleint A. Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete
- Azeem Majeed
- Department of Primary Care and Public Health, Imperial College London
- Ritesh G. Menezes
- Forensic Medicine Division, Imam Abdulrahman Bin Faisal University
- Alexios-Fotios A. Mentis
- Public Health Laboratories, Hellenic Pasteur Institute
- Atte Meretoja
- School of Health Sciences, University of Melbourne
- Tomislav Mestrovic
- Clinical Microbiology and Parasitology Unit, Dr Zora Profozic Polyclinic
- Tomasz Miazgowski
- Department of Propedeutics of Internal Diseases & Arterial Hypertension, Pomeranian Medical University
- Bartosz Miazgowski
- Center for Innovation in Medical Education, Pomeranian Medical University
- Andreea Mirica
- Department of Statistics and Econometrics, Bucharest University of Economic Studies
- Mariam Molokhia
- Faculty of Life Sciences and Medicine, King’s College London
- Shafiu Mohammed
- Heidelberg Institute of Global Health (HIGH), Heidelberg University
- Lorenzo Monasta
- Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health
- Francesk Mulita
- Department of General Surgery, University General Hospital of Patras
- Mukhammad David Naimzada
- Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology
- Ionut Negoi
- Department of General Surgery, Carol Davila University of Medicine and Pharmacy
- Subas Neupane
- Faculty of Social Sciences, Unit of Health Sciences, Tampere University
- Bogdan Oancea
- Administrative and Economic Sciences Department, University of Bucharest
- Hans Orru
- Institute of Family Medicine and Public Health, University of Tartu
- Adrian Otoiu
- Department of Statistics and Econometrics, Bucharest University of Economic Studies
- Nikita Otstavnov
- Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology
- Stanislav S. Otstavnov
- Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology
- Alicia Padron-Monedero
- National School of Public Health, Institute of Health Carlos III
- Songhomitra Panda-Jonas
- Department of Ophthalmology, Heidelberg University
- Shahina Pardhan
- Vision and Eye Research Institute, Anglia Ruskin University
- Jay Patel
- Faculty of Medicine and Health, University of Leeds
- Paolo Pedersini
- IRCCS Fondazione Don Carlo Gnocchi
- Marina Pinheiro
- Department of Chemistry, University of Porto
- Ivo Rakovac
- World Health Organization (WHO) European Office for the Prevention and Control of Noncommunicable Diseases, Division of Country Health Programmes, WHO Regional Office for Europe
- Chythra R. Rao
- Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education
- Salman Rawaf
- Department of Primary Care and Public Health, Imperial College London
- David Laith Rawaf
- World Health Organization (WHO) Collaborating Centre for Public Health Education and Training, Imperial College London
- Violet Rodrigues
- Community Nursing Unit, Ireland Hospital
- Luca Ronfani
- Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health
- Dominic Sagoe
- Department of Psychosocial Science, University of Bergen
- Francesco Sanmarchi
- Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna
- Milena M. Santric-Milicevic
- Faculty of Medicine, University of Belgrade
- Brijesh Sathian
- Geriatrics and Long Term Care Department, Hamad Medical Corporation
- Aziz Sheikh
- Centre for Medical Informatics, University of Edinburgh
- Rahman Shiri
- Finnish Institute of Occupational Health
- Siddharudha Shivalli
- Department of Medical Statistics, London School of Hygiene & Tropical Medicine
- Inga Dora Sigfusdottir
- Department of Psychology, Reykjavik University
- Rannveig Sigurvinsdottir
- Department of Psychology, Reykjavik University
- Valentin Yurievich Skryabin
- Department No.16, Moscow Research and Practical Centre On Addictions
- Anna Aleksandrovna Skryabina
- Therapeutic Department, Balashiha Central Hospital
- Catalin-Gabriel Smarandache
- Department of General Surgery, Carol Davila University of Medicine and Pharmacy
- Bogdan Socea
- Department of General Surgery, Carol Davila University of Medicine and Pharmacy
- Raúl A. R. C. Sousa
- Professional Association of Licensed Optometry Professionals
- Paschalis Steiropoulos
- Department of Respiratory Medicine, Medical School, Democritus University of Thrace, University General Hospital Dragana
- Rafael Tabarés-Seisdedos
- Carlos III Health Institute, Biomedical Research Networking Center for Mental Health Network (CiberSAM)
- Marcos Roberto Tovani-Palone
- Department of Pathology and Legal Medicine, University of São Paulo
- Fimka Tozija
- Institute of Public Health of Republic of North Macedonia, Saints Cyril and Methodius University of Skopje
- Sarah Van de Velde
- Centre for Population, Family and Health, Department of Sociology, University of Antwerp
- Tommi Juhani Vasankari
- UKK Institute
- Massimiliano Veroux
- Department of Medical, Surgical Sciences and Advanced Technologies, University of Catania
- Francesco S. Violante
- Department of Medical and Surgical Sciences, University of Bologna
- Vasiliy Vlassov
- Department of Health Care Administration and Economics, National Research University Higher School of Economics
- Yanzhong Wang
- School of Population Health and Environmental Sciences, King’s College London
- Ali Yadollahpour
- Psychology Department, University of Sheffield
- Sanni Yaya
- School of International Development and Global Studies, University of Ottawa
- Mikhail Sergeevich Zastrozhin
- Laboratory of Genetics and Genomics, Moscow Research and Practical Centre On Addictions
- Anasthasia Zastrozhina
- Pediatrics Department, Russian Medical Academy of Continuous Professional Education
- Suzanne Polinder
- Department of Public Health, Erasmus MC, University Medical Center
- Marek Majdan
- Department of Public Health, Institute for Global Health and Epidemiology, Faculty of Health Sciences and Social Work, Trnava University
- DOI
- https://doi.org/10.1186/s13690-022-00891-6
- Journal volume & issue
-
Vol. 80,
no. 1
pp. 1 – 14
Abstract
Abstract 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.
Keywords
