TY - JOUR PY - 2022// TI - The burden of injury in central, eastern, and western European sub-region: a systematic analysis from the Global Burden of Disease 2019 Study JO - Archives of public health A1 - Haagsma, Juanita A. A1 - Charalampous, Periklis A1 - Ariani, Filippo A1 - Gallay, Anne A1 - Moesgaard Iburg, Kim A1 - Nena, Evangelia A1 - Ngwa, Che Henry A1 - Rommel, Alexander A1 - Zelviene, Ausra A1 - Abegaz, Kedir Hussein A1 - Al Hamad, Hanadi A1 - Albano, Luciana A1 - Liliana Andrei, Catalina A1 - Andrei, Tudorel A1 - Antonazzo, Ippazio Cosimo A1 - Aremu, Olatunde A1 - Arumugam, Ashokan A1 - Atreya, Alok A1 - Aujayeb, Avinash A1 - Ayuso-Mateos, José Luis A1 - Engelbert Bain, Luchuo A1 - Banach, Maciej A1 - Winfried Bärnighausen, Till A1 - Barone-Adesi, Francesco A1 - Beghi, Massimiliano A1 - Bennett, Derrick A. A1 - Bhagavathula, Akshaya S. A1 - Carvalho, Felix A1 - Castelpietra, Giulio A1 - Caterina, Ledda A1 - Chandan, Joht Singh A1 - Couto, Rosa A. S. A1 - Cruz-Martins, Natália A1 - Damiani, Giovanni A1 - Dastiridou, Anna A1 - Demetriades, Andreas K. A1 - Dias-da-Silva, Diana A1 - Francis Fagbamigbe, Adeniyi A1 - Fereshtehnejad, Seyed-Mohammad A1 - Fernandes, Eduarda A1 - Ferrara, Pietro A1 - Fischer, Florian A1 - Fra Paleo, Urbano A1 - Ghirini, Silvia A1 - Glasbey, James C. A1 - Glavan, Ionela-Roxana A1 - Gomes, Nelson G. M. A1 - Grivna, Michal A1 - Harlianto, Netanja I. A1 - Haro, Josep Maria A1 - Hasan, M. Tasdik A1 - Hostiuc, Sorin A1 - Iavicoli, Ivo A1 - Ilic, Milena D. A1 - Ilic, Irena M. A1 - Jakovljevic, Mihajlo A1 - Jonas, Jost B. A1 - Jerzy Jozwiak, Jacek A1 - Jürisson, Mikk A1 - Kauppila, Joonas H. A1 - Kayode, Gbenga A. A1 - Khan, Moien A. B. A1 - Kisa, Adnan A1 - Kisa, Sezer A1 - Koyanagi, Ai A1 - Kumar, Manasi A1 - Kurmi, Om P. A1 - La-Vecchia, Carlo A1 - Lamnisos, Demetris A1 - Lasrado, Savita A1 - Lauriola, Paolo A1 - Linn, Shai A1 - Loureiro, Joana A. A1 - Lunevicius, Raimundas A1 - Madureira-Carvalho, Aurea A1 - Mechili, Enkeleint A. A1 - Majeed, Azeem A1 - Menezes, Ritesh G. A1 - Mentis, Alexios-Fotios A. A1 - Meretoja, Atte A1 - Mestrovic, Tomislav A1 - Miazgowski, Tomasz A1 - Miazgowski, Bartosz A1 - Mirica, Andreea A1 - Molokhia, Mariam A1 - Mohammed, Shafiu A1 - Monasta, Lorenzo A1 - Mulita, Francesk A1 - David Naimzada, Mukhammad A1 - Negoi, Ionut A1 - Neupane, Subas A1 - Oancea, Bogdan A1 - Orru, Hans A1 - Otoiu, Adrian A1 - Otstavnov, Nikita A1 - Otstavnov, Stanislav S. A1 - Padrón-Monedero, Alicia A1 - Panda-Jonas, Songhomitra A1 - Pardhan, Shahina A1 - Patel, Jay A1 - Pedersini, Paolo A1 - Pinheiro, Marina A1 - Rakovac, Ivo A1 - Rao, Chythra R. A1 - Rawaf, Salman A1 - Rawaf, David Laith A1 - Rodrigues, Violet A1 - Ronfani, Luca A1 - Sagoe, Dominic A1 - Sanmarchi, Francesco A1 - Santric-Milicevic, Milena M. A1 - Sathian, Brijesh A1 - Sheikh, Aziz A1 - Shiri, Rahman A1 - Shivalli, Siddharudha A1 - Dora Sigfusdottir, Inga A1 - Sigurvinsdottir, Rannveig A1 - Yurievich Skryabin, Valentin A1 - Aleksandrovna Skryabina, Anna A1 - Smarandache, Catalin-Gabriel A1 - Socea, Bogdan A1 - Sousa, Raúl A. R. C. A1 - Steiropoulos, Paschalis A1 - Tabarés-Seisdedos, Rafael A1 - Roberto Tovani-Palone, Marcos A1 - Tozija, Fimka A1 - Van de Velde, Sarah A1 - Juhani Vasankari, Tommi A1 - Veroux, Massimiliano A1 - Violante, Francesco S. A1 - Vlassov, Vasiliy A1 - Wang, Yanzhong A1 - Yadollahpour, Ali A1 - Yaya, Sanni A1 - Sergeevich Zastrozhin, Mikhail A1 - Zastrozhina, Anasthasia A1 - Polinder, Suzanne A1 - Majdan, Marek SP - e142 EP - e142 VL - 80 IS - 1 N2 - 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.

Language: en

LA - en SN - 0778-7367 UR - http://dx.doi.org/10.1186/s13690-022-00891-6 ID - ref1 ER -