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dc.contributor.authorKisa, Adnanen_US
dc.contributor.authorKnudsen, Ann Kristinen_US
dc.contributor.authorAllebeck, Peteren_US
dc.contributor.authorTollånes, Mette Christophersenen_US
dc.contributor.authorSkogen, Jens Christofferen_US
dc.contributor.authorIburg, Kim Moesgaarden_US
dc.contributor.authorMcGrath, John Jen_US
dc.contributor.authorJuel, Knuden_US
dc.contributor.authorAgardh, Emilie Elisabeten_US
dc.contributor.authorArnlöv, Johanen_US
dc.contributor.authorBjørge, Toneen_US
dc.contributor.authorCarrero, Juan J.en_US
dc.contributor.authorCederroth, Christopher Ren_US
dc.contributor.authorEggen, Anne Eliseen_US
dc.contributor.authorEl-Khatib, Ziaden_US
dc.contributor.authorLycke Ellingsen, Christianen_US
dc.contributor.authorFereshtehnejad, Seyed-Mohammaden_US
dc.contributor.authorGissler, Mikaen_US
dc.contributor.authorHadkhale, Kishoren_US
dc.contributor.authorHavmoeller, Rasmusen_US
dc.contributor.authorJohansson, Larsen_US
dc.contributor.authorJuliusson, Petur Benedikten_US
dc.contributor.authorKiadaliri, Aliasghar A.en_US
dc.contributor.authorKisa, Sezeren_US
dc.contributor.authorLallukka, Teaen_US
dc.contributor.authorMekonnen, Teferien_US
dc.contributor.authorMeretoja, Tuomo J.en_US
dc.contributor.authorMeretoja, Atteen_US
dc.contributor.authorNaghavi, Mohsenen_US
dc.contributor.authorNeupane, Subasen_US
dc.contributor.authorNguyen, Truc Trungen_US
dc.contributor.authorPetzold, Maxen_US
dc.contributor.authorPlana-Ripoll, Olegueren_US
dc.contributor.authorShiri, Rahmanen_US
dc.contributor.authorSigurvinsdottir, Rannveigen_US
dc.contributor.authorSkirbekk, Vegarden_US
dc.contributor.authorSkou, Søren Ten_US
dc.contributor.authorSigfusdottir, Inga Doraen_US
dc.contributor.authorSteiner, Timothy J.en_US
dc.contributor.authorSulo, Gerharden_US
dc.contributor.authorTruelsen, Thomas Clementen_US
dc.contributor.authorVasankari, Tommi Juhanien_US
dc.contributor.authorWeiderpass, Elisabeteen_US
dc.contributor.authorVollset, Stein Emilen_US
dc.contributor.authorVos, Theoen_US
dc.contributor.authorØverland, Simonen_US
dc.PublishedKisa A, Knudsen AK, Allebeck P, Tollånes MC, Skogen JC, Iburg KM, McGrath JJ, Juel K, Agardh EE, Arnlöv J, Bjørge T, Carrero JJ, Cederroth CR, Eggen AE, El-Khatib Z, Lycke Ellingsen C, Fereshtehnejad S, Gissler M, Hadkhale K, Havmoeller R, Johansson L, Juliusson P, Kiadaliri AA, Kisa S, Lallukka T, Mekonnen T, Meretoja TJ, Meretoja A, Naghavi M, Neupane, Nguyen TT, Petzold M, Plana-Ripoll O, Shiri R, Sigurvinsdottir, Skirbekk V, Skou ST, Sigfusdottir ID, Steiner TJ, Sulo G, Truelsen, Vasankari TJ, Weiderpass E, Vollset SE, Vos T, Øverland S. Life expectancy and disease burden in the Nordic countries: results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. The Lancet Public Health. 2019;(4)12:E658-E669eng
dc.description.abstractBackground The Nordic countries have commonalities in gender equality, economy, welfare, and health care, but differ in culture and lifestyle, which might create country-wise health differences. This study compared life expectancy, disease burden, and risk factors in the Nordic region. Methods Life expectancy in years and age-standardised rates of overall, cause-specific, and risk factor-specific estimates of disability-adjusted life-years (DALYs) were analysed in the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017. Data were extracted for Denmark, Finland, Iceland, Norway, and Sweden (ie, the Nordic countries), and Greenland, an autonomous area of Denmark. Estimates were compared with global, high-income region, and Nordic regional estimates, including Greenland. Findings All Nordic countries exceeded the global life expectancy; in 2017, the highest life expectancy was in Iceland among females (85·9 years [95% uncertainty interval [UI] 85·5–86·4] vs 75·6 years [75·3–75·9] globally) and Sweden among males (80·8 years [80·2–81·4] vs 70·5 years [70·1–70·8] globally). Females (82·7 years [81·9–83·4]) and males (78·8 years [78·1–79·5]) in Denmark and males in Finland (78·6 years [77·8–79·2]) had lower life expectancy than in the other Nordic countries. The lowest life expectancy in the Nordic region was in Greenland (females 77·2 years [76·2–78·0], males 70·8 years [70·3–71·4]). Overall disease burden was lower in the Nordic countries than globally, with the lowest age-standardised DALY rates among Swedish males (18 555·7 DALYs [95% UI 15 968·6–21 426·8] per 100 000 population vs 35 834·3 DALYs [33 218·2–38 740·7] globally) and Icelandic females (16 074·1 DALYs [13 216·4–19 240·8] vs 29 934·6 DALYs [26 981·9–33 211·2] globally). Greenland had substantially higher DALY rates (26 666·6 DALYs [23 478·4–30 218·8] among females, 33 101·3 DALYs [30 182·3–36 218·6] among males) than the Nordic countries. Country variation was primarily due to differences in causes that largely contributed to DALYs through mortality, such as ischaemic heart disease. These causes dominated male disease burden, whereas non-fatal causes such as low back pain were important for female disease burden. Smoking and metabolic risk factors were high-ranking risk factors across all countries. DALYs attributable to alcohol use and smoking were particularly high among the Danes, as was alcohol use among Finnish males. Interpretation Risk factor differences might drive differences in life expectancy and disease burden that merit attention also in high-income settings such as the Nordic countries. Special attention should be given to the high disease burden in Greenland. Funding Bill & Melinda Gates Foundation. The work on this paper was supported by the Research Council of Norway through FRIPRO (project number 262030 ) and by the Norwegian Institute of Public Health.en_US
dc.rightsAttribution CC BYeng
dc.titleLife expectancy and disease burden in the Nordic countries: results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017en_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright the authors
dc.source.journalThe Lancet Public Health

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