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The burden and trend of diseases and their risk factors in Australia, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

The Lancet Public Health, ISSN: 2468-2667, Vol: 8, Issue: 8, Page: e585-e599
2023
  • 10
    Citations
  • 2
    Usage
  • 96
    Captures
  • 8
    Mentions
  • 42
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    10
  • Usage
    2
  • Captures
    96
  • Mentions
    8
    • News Mentions
      8
      • News
        8
  • Social Media
    42
    • Shares, Likes & Comments
      42
      • Facebook
        42

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Shifu Sun,1,2,* Yongqing Cheng,2,* Lei Li,2 Honghong Zhu,3 Changxia Liu,2 Yongjun Cao1 1Department of Neurology, the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province,

Article Description

A comprehensive understanding of temporal trends in the disease burden in Australia is lacking, and these trends are required to inform health service planning and improve population health. We explored the burden and trends of diseases and their risk factors in Australia from 1990 to 2019 through a comprehensive analysis of the Global Burden of Disease Study (GBD) 2019. In this systematic analysis for GBD 2019, we estimated all-cause mortality using the standardised GBD methodology. Data sources included primarily vital registration systems with additional data from sample registrations, censuses, surveys, surveillance, registries, and verbal autopsies. A composite measure of health loss caused by fatal and non-fatal disease burden (disability-adjusted life-years [DALYs]) was calculated as the sum of years of life lost (YLLs) and years of life lived with disability (YLDs). Comparisons between Australia and 14 other high-income countries were made. Life expectancy at birth in Australia improved from 77·0 years (95% uncertainty interval [UI] 76·9–77·1) in 1990 to 82·9 years (82·7–83·1) in 2019. Between 1990 and 2019, the age-standardised death rate decreased from 637·7 deaths (95% UI 634·1–641·3) to 389·2 deaths (381·4–397·6) per 100 000 population. In 2019, non-communicable diseases remained the major cause of mortality in Australia, accounting for 90·9% (95% UI 90·4–91·9) of total deaths, followed by injuries (5·7%, 5·3–6·1) and communicable, maternal, neonatal, and nutritional diseases (3·3%, 2·9–3·7). Ischaemic heart disease, self-harm, tracheal, bronchus, and lung cancer, stroke, and colorectal cancer were the leading causes of YLLs. The leading causes of YLDs were low back pain, depressive disorders, other musculoskeletal diseases, falls, and anxiety disorders. The leading risk factors for DALYs were high BMI, smoking, high blood pressure, high fasting plasma glucose, and drug use. Between 1990 and 2019, all-cause DALYs decreased by 24·6% (95% UI 21·5–28·1). Relative to similar countries, Australia's ranking improved for age-standardised death rates and life expectancy at birth but not for YLDs and YLLs between 1990 and 2019. An important challenge for Australia is to address the health needs of people with non-communicable diseases. The health systems must be prepared to address the increasing demands of non-communicable diseases and ageing. Bill & Melinda Gates Foundation.

Bibliographic Details

Sheikh Mohammed Shariful Islam; Ralph Maddison; Riaz Uddin; Kylie Ball; Katherine M. Livingstone; Jo Salmon; Narayan Subedi Subedi; David A. Crawford; Thomas Astell-Burt; Marita Cross; Saurab Sharma; Hossein Hassanian-Moghaddam; Ilana N. Ackerman; Zanfina Ademi; Sheikh Mohammad Alif; Aklilu Endalamaw; Tanvir M. Huda; Luke D. Knibbs; Shanshan Li; Lennert J. Veerman; Himal Kandel; James Leigh; Rashidul Alam Mahumud; Balbir Bagicha Singh; Raaj Kishore Biswas; Asaduzzaman Khan; Deanna Anderlini; Jianrong Zhang; M. Mamun Huda; Abdullah A. Mamun; Ratilal Lalloo; John J. McGrath; Jaimon Terence Kelly; Mark Woodward; Rachelle Buchbinder; Bernadette Mary Fitzgibbon; Rakibul M. Islam; Enayet Karim Chowdhury; Barbora de Courten; Kevan R. Polkinghorne; Amanda G. Thrift; Sojib Bin Zaman; Jo Taylor; Tim Adair; Oyelola A. Adegboye; Abdul Aziz Seidu; Ripon Kumar Adhikary; Nasser Bagheri; Richard A. Burns; Nicolas Cherbuin; Bright Opoku Ahinkorah; Soraya Siabani; Jing Sun; Khurshid Alam; Kefyalew Addis Alene; Getinet Ayano; Ted R. Miller; Andrew M. Briggs; Helen Slater; Susan Fred Rumisha; Azmeraw T. Amare; Victoria Kiriaki Arnet; Scott Richard Clark; Liliana G. Ciobanu; Tiffany K. Gill; Blesson Mathew Varghese; Edward Kwabena Ameyaw; Leopold N. Aminde; Santosh Kumar Tadakamadla; Blake Angell; Adnan Ansar; David Edvardsson; Ferry Efendi; Muhammad Aziz Rahman; Beatriz Paulina Ayala Quintanilla; M. Mofizul Islam; Melvin Barrientos Marzan; Benny Antony; Ambrish Singh; Amin Zarghami; Anayochukwu Edward Anyasodor; Zubair Ahmed Ratan; Prince Atorkey; Mitiku Teshome Hambisa; Amanual Getnet Mersha; Mohammad Saidul Islam; Daniel Nigusse Tollosa; Befikadu Legesse Wubishet; Mamaru Ayenew Awoke; Rohan Borschmann; Atte Meretoja; Lennart Reifels; Cassandra E.I. Szoeke; Eyob Alemayehu Alemayehu Gebreyohannes; Graeme J. Hankey; Danial Roshandel; Markus P. Schlaich; Anthony Barnett; Ester Cerin; Bernhard T. Baune; Dinesh Bhandari; Sonu Bhaskar; Jessica A. Kerr; Soufiane Boufous; Xiaoqi Feng; Xiaoyue Xu; Philip B. Mitchell; Amy E. Peden; Aletta Elisabeth Schutte; Konrad Pesudovs; Mai Thi Ngoc Tran; Johan Sundström; Pengpeng Ye; Norma B. Bulamu; Abel Fekadu Dadi; Hailay Abrha Gesesew; Billingsley Kaambwa; Christine Mpundu-Kaambwa; Seyed Afshin Shorofi; Andre F. Carvalho; Gizat M. Kassie; Diego De Leo; Katie de Luca; Kerrie E. Doyle; Kristina Edvardsson; Paul Ward; Nelsensius Klau Fauk; Ning Wang; Joanne Flavel; Myron Anthony Godinho; Bhawna Gupta; Vivek Kumar Gupta; Mohammad Hamiduzzaman; Simon I. Hay; Max L. Mehlman; Ali H. Mokdad; Christopher J.L. Murray; Jeffrey J. Hebert; Girmay Tsegay Kiross; Vishnutheertha Vishnutheertha Kulkarni; Long Khanh Dao Le; Janni Leung; Corneel Vandelanotte; Lidia Morawska; William Mude; Lal Rawal; Sandhya Neupane Kandel; Tafadzwa Nyanhanda; Kehinde O. Obamiro; Azizur Rahman; Andre M.N. Renzaho; Paul A. Saunders; Stephen R. Robinson; Susan M. Sawyer; Quyen G. To; Jacqueline H. Stephens; Mark A. Stokes; Chandra Datta Sumi; Ken Takahashi; Melkamu B.Tessema Tessema

Elsevier BV

Medicine

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