Health trends in Canada 1990-2019: An analysis for the Global Burden of Disease Study

被引：0

作者：

Kopec, Jacek A. ^{[1
,2
]}

Pourmalek, Farshad ^{[1
]}

Adeyinka, Daniel A. ^{[3
,4
]}

Adibi, Amin ^{[5
]}

Agarwal, Gina ^{[6
]}

Alam, Samiah ^{[7
]}

Bhutta, Zulfiqar A. ^{[8
,9
]}

Butt, Zahid A. ^{[10
,11
]}

Chattu, Vijay K. ^{[12
,13
]}

Eyawo, Oghenowede ^{[14
]}

Fazli, Ghazal ^{[15
,16
]}

Fereshtehnejad, Seyed-Mohammad ^{[17
,18
]}

Hebert, Jeffrey J. ^{[19
,20
]}

Hossain, Md Belal ^{[1
,21
]}

Ilesanmi, Marcus M. ^{[3
,22
]}

Itiola, Ademola J. ^{[23
]}

Jahrami, Haitham ^{[24
,25
]}

Kissoon, Niranjan ^{[26
]}

Defo, Barthelemy K. ^{[27
,28
]}

Kurmi, Om P. ^{[29
,30
]}

Mokdad, Ali H. ^{[31
,32
]}

Murray, Christopher J. L. ^{[31
,32
]}

Olagunju, Andrew T. ^{[33
,34
]}

Pandi-Perumal, Seithikurippu R. ^{[35
]}

Patten, Scott B. ^{[36
]}

Rafiee, Ata ^{[37
]}

Rasali, Drona Prakash ^{[1
,38
]}

Sardiwalla, Yaeesh ^{[39
]}

Sathish, Thirunavukkarasu ^{[40
]}

Solmi, Marco ^{[41
]}

Somayaji, Ranjani ^{[42
,43
]}

Stranges, Saverio ^{[44
,45
]}

Tonelli, Marcello ^{[44
]}

Wang, Ziyue ^{[46
,47
]}

Yaya, Sanni ^{[48
,49
]}

Elgar, Frank J. ^{[50
]}

机构：

[1] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada

[2] Arthrit Res Canada, Richmond, BC, Canada

[3] Univ Saskatchewan, Dept Community Hlth & Epidemiol, Saskatoon, SK, Canada

[4] Fed Minist Hlth, Dept Publ Hlth, Abuja, Nigeria

[5] Univ British Columbia, Dept Pharmaceut Sci, Vancouver, BC, Canada

[6] McMaster Univ, Dept Family Med, Hamilton, ON, Canada

[7] Dalhousie Univ, Dept Community Hlth & Epidemiol, Halifax, NS, Canada

[8] Univ Toronto, Ctr Global Child Hlth, Toronto, ON, Canada

[9] Aga Khan Univ, Ctr Excellence Women & Child Hlth, Karachi, Pakistan

[10] Univ Waterloo, Sch Publ Hlth & Hlth Syst, Waterloo, ON, Canada

[11] Al Shifa Trust Eye Hosp, Al Shifa Sch Publ Hlth, Rawalpindi, Pakistan

[12] Datta Meghe Inst Med Sci, Dept Community Med, Sawangi, India

[13] Saveetha Univ, Saveetha Med Coll, Chennai, India

[14] York Univ, Fac Hlth, Toronto, ON, Canada

[15] St Michaels Hosp, MAP Ctr Urban Hlth Solut, Toronto, ON, Canada

[16] Univ Toronto, Interdisciplinary Ctr Hlth & Soc, Toronto, ON, Canada

[17] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden

[18] Univ Ottawa, Div Neurol, Ottawa, ON, Canada

[19] Univ New Brunswick, Fac Kinesiol, Fredericton, NB, Canada

[20] Murdoch Univ, Sch Psychol & Exercise Sci, Murdoch, WA, Australia

[21] BRAC Univ, James P Grant Sch Publ Hlth, Dhaka, Bangladesh

[22] State Primary Hlth Care Dev Agcy, Hlth Planning Res Stat Monitoring & Evaluat, Ado Ekiti, Nigeria

[23] Univ British Columbia, Ctr Hlth Serv & Policy Res, Vancouver, BC, Canada

[24] Arabian Gulf Univ, Coll Med & Med Sci, Manama, Bahrain

[25] Minist Hlth, Manama, Bahrain

[26] Univ Montreal, Dept Demog, Montreal, PQ, Canada

[27] Univ Montreal, Dept Social & Prevent Med, Montreal, PQ, Canada

[28] Univ British Columbia, Dept Pediat, Vancouver, BC, Canada

[29] McMaster Univ, Dept Med, Hamilton, ON, Canada

[30] Coventry Univ, Fac Hlth & Life Sci, Coventry, England

[31] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA

[32] Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA USA

[33] McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada

[34] Univ Lagos, Dept Pediat, Lagos, Nigeria

[35] Saveetha Univ, Saveetha Med Coll & Hosp, Chennai, India

[36] Univ Calgary, Dept Community Hlth Sci, Calgary, AB, Canada

[37] Univ Alberta, Dept Med, Edmonton, AB, Canada

[38] British Columbia Ctr Dis Control, Dept Data Analyt Serv, Vancouver, BC, Canada

[39] McMaster Univ, Div Plast & Reconstruct Surg, Hamilton, ON, Canada

[40] Emory Univ, Dept Family & Prevent Med, Atlanta, GA USA

[41] Univ Ottawa, Dept Neurosci, Ottawa, ON, Canada

[42] Univ Washington, Dept Med, Seattle, WA USA

[43] Univ Calgary, Dept Med, Calgary, AB, Canada

[44] Univ Western Ontario, Dept Epidemiol & Biostat, London, ON, Canada

[45] Luxembourg Inst Hlth, Dept Precis Hlth, Strassen, Luxembourg

[46] McGill Univ, Dept Family Med, Montreal, PQ, Canada

[47] Peking Univ, China Ctr Hlth Dev Studies, Beijing, Peoples R China

[48] Univ Ottawa, Sch Int Dev & Global Studies, Ottawa, ON, Canada

[49] Imperial Coll London, George Inst Global Hlth, London, England

[50] McGill Univ, Sch Populat & Global Hlth, Montreal, PQ, Canada

来源：

CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE | 2024年 / 115卷 / 02期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

Population health; Global Burden of Disease Study; Disability-adjusted life years; Sante populationnelle; etude mondiale sur le fardeau de la maladie; annees de vie ajustees en fonction de l'incapacite; SEX-SPECIFIC MORTALITY; SYSTEMATIC ANALYSIS; LIFE EXPECTANCY; 195; COUNTRIES; DISABILITY; TERRITORIES;

D O I：

10.17269/s41997-024-00851-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

ObjectiveMonitoring trends in key population health indicators is important for informing health policies. The aim of this study was to examine population health trends in Canada over the past 30 years in relation to other countries.MethodsWe used data on disability-adjusted life years (DALYs), years of life lost (YLL), years lived with disability, life expectancy (LE), and child mortality for Canada and other countries between 1990 and 2019 provided by the Global Burden of Disease Study.ResultsLife expectancy, age-standardized YLL, and age-standardized DALYs all improved in Canada between 1990 and 2019, although the rate of improvement has leveled off since 2011. The top five causes of all-age DALYs in Canada in 2019 were neoplasms, cardiovascular diseases, musculoskeletal disorders, neurological disorders, and mental disorders. The greatest increases in all-age DALYs since 1990 were observed for substance use, diabetes and chronic kidney disease, and sense organ disorders. Age-standardized DALYs declined for most conditions, except for substance use, diabetes and chronic kidney disease, and musculoskeletal disorders, which increased by 94.6%, 14.6%, and 7.3% respectively since 1990. Canada's world ranking for age-standardized DALYs declined from 9th place in 1990 to 24th in 2019.ConclusionCanadians are healthier today than in 1990, but progress has slowed in Canada in recent years in comparison with other high-income countries. The growing burden of substance abuse, diabetes/chronic kidney disease, and musculoskeletal diseases will require continued action to improve population health. ObjectifLa surveillance des tendances des indicateurs cles de la sante de la population est importante pour eclairer les politiques de sante. Dans cette etude, nous avons examine les tendances de la sante de la population au Canada au cours des 30 dernieres annees par rapport a d'autres pays.MethodesNous avons utilise des donnees sur les annees de vie ajustees en fonction de l'incapacite (DALY), les annees de vie perdues (YLL), les annees vecues avec un handicap, l'esperance de vie (LE) et la mortalite infantile pour le Canada et d'autres pays entre 1990 et 2019, fournies par l'etude mondiale sur le fardeau de la maladie.ResultatsL'esperance de vie, les YLL ajustees selon l'age et les DALY ajustees selon l'age ont tous connu une amelioration au Canada entre 1990 et 2019, bien que le taux d'amelioration se soit stabilise depuis 2011. Les cinq principales causes des DALY pour tous les ages au Canada en 2019 etaient les neoplasmes, les maladies cardiovasculaires, les affections musculosquelettiques, les affections neurologiques et les troubles mentaux. Les plus fortes augmentations des DALY pour tous les ages depuis 1990 ont ete observees pour l'usage de substances, le diabete et les maladies renales chroniques, ainsi que les troubles des organes sensoriels. Les DALY ajustees selon l'age ont diminue pour la plupart des conditions, a l'exception de l'usage de substances, du diabete et des maladies renales chroniques, ainsi que des troubles musculosquelettiques, qui ont augmente de 94,6 %, 14,6 % et 7,3 % respectivement depuis 1990. Le classement mondial du Canada pour les DALY ajustees selon l'age est diminue de la 9ieme place en 1990 a la 24ieme place en 2019.ConclusionLes Canadiens sont en meilleure sante aujourd'hui qu'en 1990, mais les progres se sont ralentis ces dernieres annees par rapport a d'autres pays a revenu eleve. La croissance du fardeau lie a l'abus de substances, au diabete/maladies renales chroniques et aux affections musculosquelettiques exigera des actions continues pour ameliorer la sante de la population.

引用

页码：259 / 270

页数：12

共 30 条

[1] Abbafati C, 2020, LANCET, V396, P1204
[2] The embodiment of inequity - Health disparities in Aboriginal Canada
Adelson, N
[J]. CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 2005, 96 (Suppl 2): : S45 - S61
[3] Changing relative and absolute socioeconomic health inequalities in Ontario, Canada: A population-based cohort study of adult premature mortality, 1992 to 2017
Buajitti, Emmalin
Frank, John
Watson, Tristan
Kornas, Kathy
Rosella, Laura C.
[J]. PLOS ONE, 2020, 15 (04):
[4] Canadian Public Health Association, 2022, The time has come to strengthen public health systems in Canada
[5] Dicker D, 2018, LANCET, V392, P1684, DOI 10.1016/s0140-6736(18)31891-9
[6] Canada's Global Position in Life Expectancy: A Longitudinal Comparison with the Healthiest Countries in the World
Fang, Raymond
Millar, John S.
[J]. CANADIAN JOURNAL OF PUBLIC HEALTH-REVUE CANADIENNE DE SANTE PUBLIQUE, 2009, 100 (01): : 9 - 13
[7] Global Burden of Disease Collaborative Network, 2020, Global Burden of Disease Study 2019 (GBD 2019)
[8] Addressing Inequities in Kidney Care for Indigenous People in Canada
Harasemiw, Oksana
Komenda, Paul
Tangri, Navdeep
[J]. JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2022, 33 (08): : 1474 - 1476
[9] IHME, 2022, GBD Compare
[10] IHME, 2020, Global Health Data Exchange (GHDx)

← 1 2 3 →