TY - JOUR
T1 - The burden and trend of diseases and their risk factors in Australia, 1990–2019a systematic analysis for the Global Burden of Disease Study 2019
AU - GBD 2019 Australia Collaborators
AU - Islam, Sheikh Mohammed Shariful
AU - Maddison, Ralph
AU - Uddin, Riaz
AU - Ball, Kylie
AU - Livingstone, Katherine M.
AU - Khan, Asaduzzaman
AU - Salmon, Jo
AU - Ackerman, Ilana N.
AU - Adair, Tim
AU - Adegboye, Oyelola A.
AU - Ademi, Zanfina
AU - Adhikary, Ripon Kumar
AU - Ahinkorah, Bright Opoku
AU - Alam, Khurshid
AU - Alene, Kefyalew Addis
AU - Alif, Sheikh Mohammad
AU - Amare, Azmeraw T.
AU - Ameyaw, Edward Kwabena
AU - Aminde, Leopold N.
AU - Anderlini, Deanna
AU - Angell, Blake
AU - Ansar, Adnan
AU - Antony, Benny
AU - Anyasodor, Anayochukwu Edward
AU - Arnet, Victoria Kiriaki
AU - Astell-Burt, Thomas
AU - Atorkey, Prince
AU - Awoke, Mamaru Ayenew
AU - Quintanilla, Beatriz Paulina Ayala
AU - Ayano, Getinet
AU - Bagheri, Nasser
AU - Barnett, Anthony
AU - Baune, Bernhard T.
AU - Bhandari, Dinesh
AU - Bhaskar, Sonu
AU - Biswas, Raaj Kishore
AU - Borschmann, Rohan
AU - Boufous, Soufiane
AU - Briggs, Andrew M.
AU - Buchbinder, Rachelle
AU - Bulamu, Norma B.
AU - Burns, Richard A.
AU - Carvalho, Andre F.
AU - Cerin, Ester
AU - Cherbuin, Nicolas
AU - Chowdhury, Enayet Karim
AU - Ciobanu, Liliana G.
AU - Clark, Scott Richard
AU - Cross, Marita
AU - Dadi, Abel Fekadu
AU - de Courten, Barbora
AU - De Leo, Diego
AU - de Luca, Katie
AU - Doyle, Kerrie E.
AU - Edvardsson, David
AU - Edvardsson, Kristina
AU - Efendi, Ferry
AU - Endalamaw, Aklilu
AU - Fauk, Nelsensius Klau
AU - Feng, Xiaoqi
AU - Fitzgibbon, Bernadette Mary
AU - Flavel, Joanne
AU - Gebreyohannes, Eyob Alemayehu Alemayehu
AU - Gesesew, Hailay Abrha
AU - Gill, Tiffany K.
AU - Godinho, Myron Anthony
AU - Gupta, Bhawna
AU - Gupta, Vivek Kumar
AU - Hambisa, Mitiku Teshome
AU - Hamiduzzaman, Mohammad
AU - Hankey, Graeme J.
AU - Hassanian-Moghaddam, Hossein
AU - Hay, Simon I.
AU - Hebert, Jeffrey J.
AU - Huda, M. Mamun
AU - Huda, Tanvir M.
AU - Islam, M. Mofizul
AU - Islam, Mohammad Saidul
AU - Islam, Rakibul M.
AU - Kaambwa, Billingsley
AU - Kandel, Himal
AU - Kassie, Gizat M.
AU - Kelly, Jaimon Terence
AU - Kerr, Jessica A.
AU - Kiross, Girmay Tsegay
AU - Knibbs, Luke D.
AU - Kulkarni, Vishnutheertha Vishnutheertha
AU - Lalloo, Ratilal
AU - Le, Long Khanh Dao
AU - Leigh, James
AU - Leung, Janni
AU - Li, Shanshan
AU - Mahumud, Rashidul Alam
AU - Mamun, Abdullah A.
AU - Marzan, Melvin Barrientos
AU - McGrath, John J.
AU - Mehlman, Max L.
AU - Meretoja, Atte
AU - Mersha, Amanual Getnet
AU - Miller, Ted R.
AU - Mitchell, Philip B.
AU - Mokdad, Ali H.
AU - Morawska, Lidia
AU - Mpundu-Kaambwa, Christine
AU - Mude, William
AU - Murray, Christopher J.L.
AU - Kandel, Sandhya Neupane
AU - Nyanhanda, Tafadzwa
AU - Obamiro, Kehinde O.
AU - Peden, Amy E.
AU - Pesudovs, Konrad
AU - Polkinghorne, Kevan R.
AU - Rahman, Azizur
AU - Rahman, Muhammad Aziz
AU - Ratan, Zubair Ahmed
AU - Rawal, Lal
AU - Reifels, Lennart
AU - Renzaho, Andre M.N.
AU - Robinson, Stephen R.
AU - Roshandel, Danial
AU - Rumisha, Susan Fred
AU - Saunders, Paul A.
AU - Sawyer, Susan M.
AU - Schlaich, Markus P.
AU - Schutte, Aletta Elisabeth
AU - Seidu, Abdul Aziz
AU - Sharma, Saurab
AU - Shorofi, Seyed Afshin
AU - Siabani, Soraya
AU - Singh, Ambrish
AU - Singh, Balbir Bagicha
AU - Slater, Helen
AU - Stephens, Jacqueline H.
AU - Stokes, Mark A.
AU - Subedi, Narayan Subedi
AU - Sumi, Chandra Datta
AU - Sun, Jing
AU - Sundström, Johan
AU - Szoeke, Cassandra E.I.
AU - Tadakamadla, Santosh Kumar
AU - Takahashi, Ken
AU - Taylor, Jo
AU - Tessema, Melkamu B.Tessema
AU - Thrift, Amanda G.
AU - To, Quyen G.
AU - Tollosa, Daniel Nigusse
AU - Tran, Mai Thi Ngoc
AU - Vandelanotte, Corneel
AU - Varghese, Blesson Mathew
AU - Veerman, Lennert J.
AU - Wang, Ning
AU - Ward, Paul
AU - Woodward, Mark
AU - Wubishet, Befikadu Legesse
AU - Xu, Xiaoyue
AU - Ye, Pengpeng
AU - Zaman, Sojib Bin
AU - Zarghami, Amin
AU - Zhang, Jianrong
AU - Crawford, David A.
N1 - Publisher Copyright:
© 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
PY - 2023/8
Y1 - 2023/8
N2 - Background: 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. Methods: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. Findings: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. Interpretation: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. Funding: Bill & Melinda Gates Foundation.
AB - Background: 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. Methods: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. Findings: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. Interpretation: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. Funding: Bill & Melinda Gates Foundation.
UR - http://www.scopus.com/inward/record.url?scp=85165952948&partnerID=8YFLogxK
U2 - 10.1016/S2468-2667(23)00123-8
DO - 10.1016/S2468-2667(23)00123-8
M3 - Article
C2 - 37516475
AN - SCOPUS:85165952948
SN - 2468-2667
VL - 8
SP - e585-e599
JO - The Lancet Public Health
JF - The Lancet Public Health
IS - 8
ER -