Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Injury burden in individuals aged 50 years or older in the Eastern Mediterranean region, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019

Sun May 26 21:41:38 2024

(2022) Injury burden in individuals aged 50 years or older in the Eastern Mediterranean region, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019. The Lancet Healthy Longevity. e253-e262. ISSN 26667568 (ISSN)

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Background: Injury poses a major threat to health and longevity in adults aged 50 years or older. The increased life expectancy in the Eastern Mediterranean region warrants a further understanding of the ageing population's inevitable changing health demands and challenges. We aimed to examine injury-related morbidity and mortality among adults aged 50 years or older in 22 Eastern Mediterranean countries. Methods: Drawing on data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we categorised the population into adults aged 50–69 years and adults aged 70 years and older. We examined estimates for transport injuries, self-harm injuries, and unintentional injuries for both age groups, with sex differences reported, and analysed the percentage changes from 1990 to 2019. We reported injury-related mortality rates and disability-adjusted life-years (DALYs). The Socio-demographic Index (SDI) and the Healthcare Access and Quality (HAQ) Index were used to better understand the association of socioeconomic factors and health-care system performance, respectively, with injuries and health status in older people. Healthy life expectancy (HALE) was compared with injury-related deaths and DALYs and to the SDI and HAQ Index to understand the effect of injuries on healthy ageing. Finally, risk factors for injury deaths between 1990 and 2019 were assessed. 95 uncertainty intervals (UIs) are given for all estimates. Findings: Estimated injury mortality rates in the Eastern Mediterranean region exceeded the global rates in 2019, with higher injury mortality rates in males than in females for both age groups. Transport injuries were the leading cause of deaths in adults aged 50–69 years (43·0 95% UI 31·0–51·8 per 100 000 population) and in adults aged 70 years or older (66·2 52·5–75·5 per 100 000 population), closely followed by conflict and terrorism for both age groups (10·2 9·3–11·3 deaths per 100 000 population for 50–69 years and 45·7 41·5–50·3 deaths per 100 000 population for ≥70 years). The highest annual percentage change in mortality rates due to injury was observed in Afghanistan among people aged 70 years or older (400·4% increase; mortality rate 1109·7 1017·7–1214·7 per 100 000 population). The leading cause of DALYs was transport injuries for people aged 50–69 years (1798·8 1394·1–2116·0 per 100 000 population) and unintentional injuries for those aged 70 years or older (2013·2 1682·2–2408·7 per 100 000 population). The estimates for HALE at 50 years and at 70 years in the Eastern Mediterranean region were lower than global estimates. Eastern Mediterranean countries with the lowest SDIs and HAQ Index values had high prevalence of injury DALYs and ranked the lowest for HALE at 50 years of age and HALE at 70 years. The leading injury mortality risk factors were occupational exposure in people aged 50–69 years and low bone mineral density in those aged 70 years or older. Interpretation: Injuries still pose a real threat to people aged 50 years or older living in the Eastern Mediterranean region, mainly due to transport and violence-related injuries. Dedicated efforts should be implemented to devise injury prevention strategies that are appropriate for older adults and cost-effective injury programmes tailored to the needs and resources of local health-care systems, and to curtail injury-associated risk and promote healthy ageing. Funding: Bill & Melinda Gates Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

Item Type: Article
Creators:
CreatorsEmail
Al-Hajj, S.UNSPECIFIED
Farran, S. H.UNSPECIFIED
Sibai, A. M.UNSPECIFIED
Hamadeh, R. R.UNSPECIFIED
Rahimi-Movaghar, V.UNSPECIFIED
Al-Raddadi, R. M.UNSPECIFIED
Sadeghian, F.UNSPECIFIED
Ghodsi, Z.UNSPECIFIED
Alhajyaseen, W.UNSPECIFIED
Abu-Rmeileh, N. M. E.UNSPECIFIED
Abbasi, B.UNSPECIFIED
Abbasi-Kangevari, M.UNSPECIFIED
Abdoli, A.UNSPECIFIED
Abdulrahman, S. A.UNSPECIFIED
Ali, H. A.UNSPECIFIED
Abu-Gharbieh, E.UNSPECIFIED
Afzal, M. S.UNSPECIFIED
Ahadinezhad, B.UNSPECIFIED
Ahmad, S.UNSPECIFIED
Ahmadi, A.UNSPECIFIED
Ahmed, A.UNSPECIFIED
Ahmed, H.UNSPECIFIED
Rashid, T. A.UNSPECIFIED
Ajami, M.UNSPECIFIED
Hamad, H. A.UNSPECIFIED
Alanezi, F. M.UNSPECIFIED
Alanzi, T. M.UNSPECIFIED
Alghnam, S. A.UNSPECIFIED
Alhalaiqa, F. N.UNSPECIFIED
Ali, B. A.UNSPECIFIED
Ali, L.UNSPECIFIED
Alimohamadi, Y.UNSPECIFIED
Alinia, C.UNSPECIFIED
Aljunid, S. M.UNSPECIFIED
Almustanyir, S.UNSPECIFIED
Amin, T. T.UNSPECIFIED
Amini, S.UNSPECIFIED
Amiri, S.UNSPECIFIED
Amirzade-Iranaq, M. H.UNSPECIFIED
Anoushirvani, A. A.UNSPECIFIED
Ansari-Moghaddam, A.UNSPECIFIED
Anvari, D.UNSPECIFIED
Aqeel, M.UNSPECIFIED
Arabloo, J.UNSPECIFIED
Arab-Zozani, M.UNSPECIFIED
Arulappan, J.UNSPECIFIED
Aryannejad, A.UNSPECIFIED
Asgary, S.UNSPECIFIED
Asghari-Jafarabadi, M.UNSPECIFIED
Ashraf, T.UNSPECIFIED
Athari, S. S.UNSPECIFIED
Atout, M. M. W.UNSPECIFIED
Azadmanjir, Z.UNSPECIFIED
Azadnajafabad, S.UNSPECIFIED
Azangou-Khyavy, M.UNSPECIFIED
Jafari, A. A.UNSPECIFIED
Azzam, A. Y. Y.UNSPECIFIED
Bagherieh, S.UNSPECIFIED
Bakhshaei, M. H.UNSPECIFIED
Batiha, A. M. M.UNSPECIFIED
Bedi, N.UNSPECIFIED
Bhagavathula, A. S.UNSPECIFIED
Bhutta, Z. A.UNSPECIFIED
Bibi, S.UNSPECIFIED
Bijani, A.UNSPECIFIED
Butt, N. S.UNSPECIFIED
Chegini, Z.UNSPECIFIED
Da'ar, O. B.UNSPECIFIED
Dahlawi, S. M. A.UNSPECIFIED
Delavari, S.UNSPECIFIED
Dianatinasab, M.UNSPECIFIED
Didehdar, M.UNSPECIFIED
Djalalinia, S.UNSPECIFIED
Doaei, S.UNSPECIFIED
Dodangeh, M.UNSPECIFIED
Eghbalian, F.UNSPECIFIED
Ehsani-Chimeh, E.UNSPECIFIED
Sayed, I. E.UNSPECIFIED
Zaki, M. E. S.UNSPECIFIED
Elhabashy, H. R.UNSPECIFIED
Elhadi, M.UNSPECIFIED
Eskandarieh, S.UNSPECIFIED
Etemadimanesh, A.UNSPECIFIED
Asar, M. E.UNSPECIFIED
Falahi, S.UNSPECIFIED
Farzadfar, F.UNSPECIFIED
Fatehizadeh, A.UNSPECIFIED
Fattahi, H.UNSPECIFIED
Foroutan, M.UNSPECIFIED
Ghafourifard, M.UNSPECIFIED
Ghamari, S. H.UNSPECIFIED
Ghanbari, R.UNSPECIFIED
Gheshlagh, R. G.UNSPECIFIED
Ghashghaee, A.UNSPECIFIED
Gholamalizadeh, M.UNSPECIFIED
Ghorbani, A.UNSPECIFIED
Gilani, S. A.UNSPECIFIED
Gohari, K.UNSPECIFIED
Goleij, P.UNSPECIFIED
Grivna, M.UNSPECIFIED
othersUNSPECIFIED
Divisions:
Page Range: e253-e262
Journal or Publication Title: The Lancet Healthy Longevity
Journal Index: Scopus
Volume: 3
Number: 4
Identification Number: https://doi.org/10.1016/S2666-7568(22)00038-1
ISSN: 26667568 (ISSN)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/4554

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