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

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.

Metadata

Item Type:	Article
Authors/Creators:	Haagsma, JA Charalampous, P Ariani, F Gallay, A Moesgaard Iburg, K Nena, E Ngwa, CH Rommel, A Zelviene, A Abegaz, KH Al Hamad, H Albano, L Liliana Andrei, C Andrei, T Antonazzo, IC Aremu, O Arumugam, A Atreya, A Aujayeb, A Ayuso-Mateos, JL Engelbert Bain, L Banach, M Winfried Bärnighausen, T Barone-Adesi, F Beghi, M Bennett, DA Bhagavathula, AS Carvalho, F Castelpietra, G Caterina, L Chandan, JS Couto, RAS Cruz-Martins, N Damiani, G Dastiridou, A Demetriades, AK Dias-da-Silva, D Francis Fagbamigbe, A Fereshtehnejad, S-M Fernandes, E Ferrara, P Fischer, F Fra Paleo, U Ghirini, S Glasbey, JC Glavan, I-R Gomes, NGM Grivna, M Harlianto, NI Haro, JM Hasan, MT Hostiuc, S Iavicoli, I Ilic, MD Ilic, IM Jakovljevic, M Jonas, JB Jerzy Jozwiak, J Jürisson, M Kauppila, JH Kayode, GA Khan, MAB Kisa, A Kisa, S Koyanagi, A Kumar, M Kurmi, OP La-Vecchia, C Lamnisos, D Lasrado, S Lauriola, P Linn, S Loureiro, JA Lunevicius, R Madureira-Carvalho, A Mechili, EA Majeed, A Menezes, RG Mentis, A-FA Meretoja, A Mestrovic, T Miazgowski, T Miazgowski, B Mirica, A Molokhia, M Mohammed, S Monasta, L Mulita, F David Naimzada, M Negoi, I Neupane, S Oancea, B Orru, H Otoiu, A Otstavnov, N Otstavnov, SS Padron-Monedero, A Panda-Jonas, S Pardhan, S Patel, J Pedersini, P Pinheiro, M Rakovac, I Rao, CR Rawaf, S Rawaf, DL Rodrigues, V Ronfani, L Sagoe, D Sanmarchi, F Santric-Milicevic, MM Sathian, B Sheikh, A Shiri, R Shivalli, S Dora Sigfusdottir, I Sigurvinsdottir, R Yurievich Skryabin, V Aleksandrovna Skryabina, A Smarandache, C-G Socea, B Sousa, RARC Steiropoulos, P Tabarés-Seisdedos, R Roberto Tovani-Palone, M Tozija, F Van de Velde, S Juhani Vasankari, T Veroux, M Violante, FS Vlassov, V Wang, Y Yadollahpour, A Yaya, S Sergeevich Zastrozhin, M Zastrozhina, A Polinder, S Majdan, M
Copyright, Publisher and Additional Information:	© The Author(s) 2022. Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Keywords:	Burden of disease; Injuries; Disability adjusted life years; Mortality; Europe
Dates:	Published: 20 May 2022 Published (online): 20 May 2022 Accepted: 2 May 2022
Institution:	The University of Sheffield
Academic Units:	The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield)
Depositing User:	Symplectic Sheffield
Date Deposited:	23 May 2022 11:47
Last Modified:	23 May 2022 11:47
Status:	Published
Publisher:	BioMed Central
Refereed:	Yes
Identification Number:	10.1186/s13690-022-00891-6
Related URLs:	PubMed URL
Open Archives Initiative ID (OAI ID):	oai:eprints.whiterose.ac.uk:187222

Download

Published Version

Filename: s13690-022-00891-6.pdf

Licence: CC-BY 4.0

CLICK TO DOWNLOAD

CORE (COnnecting REpositories)

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

Abstract

Metadata

Download

Published Version

Export

Statistics