Danger ahead: the burden of diseases, injuries, and risk factors in the Eastern Mediterranean Region, 1990-2015

被引：19

作者：

Mokdad, Ali H. ^{[1
]}

El Bcheraoui, Charbel ^{[1
]}

Charara, Raghid ^{[2
]}

Khalil, Ibrahim ^{[1
]}

Moradi-Lakeh, Maziar ^{[3
]}

Afshin, Ashkan ^{[1
]}

Collison, Michael ^{[1
]}

Daoud, Farah ^{[1
]}

Krohn, Kristopher J. ^{[1
]}

Chew, Adrienne ^{[1
]}

Biryukov, Stan ^{[1
]}

Casey, Daniel ^{[1
]}

Cercy, Kelly ^{[1
]}

Charlson, Fiona J. ^{[1
,4
,5
]}

Cornaby, Leslie ^{[1
]}

Dicker, Daniel ^{[1
]}

Erskine, Holly E. ^{[1
,4
,5
]}

Ferrari, Alize J. ^{[1
,4
,5
]}

Fitzmaurice, Christina ^{[1
]}

Foreman, Kyle J. ^{[1
,6
]}

Fraser, Maya ^{[1
]}

Frostad, Joseph ^{[1
]}

Godwin, William W. ^{[1
]}

Griswold, Max ^{[1
]}

Kassebaum, Nicholas J. ^{[1
,7
]}

Kemmer, Laura ^{[1
]}

Kutz, Michael ^{[1
]}

Kyu, Hmwe H. ^{[1
]}

Leung, Janni ^{[1
,4
,8
]}

Liu, Patrick

Mikesell, Joseph ^{[1
]}

Nguyen, Grant ^{[1
]}

Olsen, Helen E. ^{[1
]}

Reiner, Robert ^{[1
]}

Reitsma, Marissa ^{[1
]}

Roth, Gregory ^{[1
]}

Santomauro, Damian ^{[1
,4
,5
]}

Smith, Alison ^{[1
]}

Stanaway, Jeffrey D. ^{[1
]}

Sur, Patrick ^{[1
]}

Wang, Haidong ^{[1
]}

Whiteford, Harvey A. ^{[1
,4
,5
]}

Afifi, Rima ^{[9
]}

Kiadaliri, Aliasghar Ahmad ^{[10
]}

Ahmadi, Alireza ^{[11
]}

Ahmadieh, Hamid ^{[12
,13
]}

Alam, Khurshid ^{[14
,15
,16
]}

Alam, Noore ^{[17
]}

Ali, Raghib ^{[18
]}

Alizadeh-Navaei, Reza ^{[19
]}

机构：

[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98195 USA

[2] Amer Univ Beirut, Beirut, Lebanon

[3] Iran Univ Med Sci, Preventat Med & Publ Hlth Res Ctr, Dept Community Med, Gastrointestinal & Liver Dis Res Ctr GILDRC, Tehran, Iran

[4] Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia

[5] Queensland Ctr Mental Hlth Res, Brisbane, Qld, Australia

[6] Imperial Coll London, London, England

[7] Seattle Childrens Hosp, Dept Anesthesiol, Seattle, WA USA

[8] Univ Washington, Seattle, WA USA

[9] Amer Univ Beirut, Dept Hlth Promot & Community Hlth, Fac Hlth Sci, Beirut, Lebanon

[10] Lund Univ, Dept Clin Sci Lund,Orthped, Clin Epidemiol Unit, Lund, Sweden

[11] Kermanshah Univ Med Sci, Kermanshah, Iran

[12] Shahid Beheshti Univ Med Sci, Ophthalm Res Ctr, Tehran, Iran

[13] Labbafinejad Med Ctr, Dept Ophthalmol, Tehran, Iran

[14] Univ Melbourne, Murdoch Childrens Res Inst, Parkville, Vic, Australia

[15] Univ Melbourne, Melbourne, Vic, Australia

[16] Univ Sydney, Sydney, NSW, Australia

[17] Dept Hlth, Brisbane, Qld, Australia

[18] Univ Oxford, Oxford, England

[19] Mazandaran Univ Med Sci, Gastrointestinal Canc Res Ctr, Sari, Mazandaran, Iran

[20] Joint Program Family & Community Med, Jeddah, Makkah, Saudi Arabia

[21] King Saud Univ, Riyadh, Saudi Arabia

[22] Mansoura Univ, Mansoura, Egypt

[23] Zahedan Univ Med Sci, Dept Epidemiol & Biostat, Hlth Promot Res Ctr, Zahedan, Iran

[24] Qom Univ Med Sci, Sch Paramed, Dept Med Emergency, Qom, Iran

[25] Mekelle Univ, Tigray, Ethiopia

[26] Univ Management & Technol, Sch Hlth Sci, Lahore, Punjab, Pakistan

[27] Charles R Drew Univ Med & Sci, Coll Med, 1621 E 120th St, Los Angeles, CA 90059 USA

[28] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA USA

[29] Coll Publ Hlth & Trop Med, Jazan, Saudi Arabia

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

[31] Hosp Sick Children, Ctr Global Child Hlth, Toronto, ON, Canada

[32] Univ Oxford, Nuffield Dept Med, Oxford, England

[33] Al Shifa Trust Eye Hosp, Rawalpindi, Punjab, Pakistan

[34] KEMRI Wellcome Trust Res Programme, Kilifi, Kenya

[35] Minist Hlth Med Educ, Undersecretary Res & Technol, Tehran, Iran

[36] Minist Hlth & Med Educ, Tehran, Iran

[37] Arak Univ Med Sci, Arak, Iran

[38] Univ Tehran Med Sci, Endocrinol & Metab Res Ctr, Tehran, Iran

[39] Harvard Univ, Dept Nutr, Harvard TH Chan Sch Publ Hlth, Boston, MA USA

[40] Massachusetts Gen Hosp, Mongan Inst Hlth Policy, Harvard MGH Ctr Genom Vulnerable Populat & Hlth D, Boston, MA 02114 USA

[41] Univ Tehran Med Sci, Noncommunicable Dis Res Ctr, Tehran, Iran

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

[43] Bielefeld Univ, Sch Publ Hlth, Bielefeld, North Rhine Wes, Germany

[44] Jimma Univ, Oromia, Ethiopia

[45] Arabian Gulf Univ, Manama, Bahrain

[46] Hamdan Bin Mohammed Smart Univ, Dubai, U Arab Emirates

[47] Baylor Univ, Coll Med, Houston, TX 77030 USA

[48] Salah Azaiz Inst, Dept Epidemiol, Tunis, Tunisia

[49] Heidelberg Univ, Med Fac Mannheim, Dept Ophthalmol, Mannheim, Germany

[50] Univ Tehran Med Sci, Hematol Oncol & Stem Cell Transplantat Res Ctr, Tehran, Iran

来源：

INTERNATIONAL JOURNAL OF PUBLIC HEALTH | 2018年 / 63卷

关键词：

Burden of disease; Eastern Mediterranean Region; Injuries; Risk factors; Disability-adjusted life years; GLOBAL BURDEN; SYSTEMATIC ANALYSIS; HEALTH; MORTALITY;

D O I：

10.1007/s00038-017-1017-y

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The Eastern Mediterranean Region faces several health challenges at a difficult time with wars, unrest, and economic change. We used the Global Burden of Disease 2015 study to present the burden of diseases, injuries, and risk factors in the Eastern Mediterranean Region from 1990 to 2015. Ischemic heart disease was the leading cause of death in the region in 2015, followed by cerebrovascular disease. Changes in total deaths ranged from a reduction of 25% for diarrheal diseases to an increase of about 42% for diabetes and tracheal, bronchus, and lung cancer. Collective violence and legal intervention increased by 850% during the time period. Diet was the leading risk factor for disability-adjusted life years (DALYs) for men compared to maternal malnutrition for females. Childhood undernutrition was the leading risk factor for DALYs in 1990 and 2005, but the second in 2015 after high blood pressure. Our study shows that the region is facing several health challenges and calls for global efforts to stabilise the region and to address the current and future burden of disease.

引用

页码：11 / 23

页数：13

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