Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019
This is an Open Access article under the CC BY 4.0 license. Background: Geographical differences in health outcomes are reported in many countries. Norway has led an active policy aiming for regional balance since the 1970s. Using data from the Global Burden of Disease Study (GBD) 2019, we examined...
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ftnihoegskole:oai:nih.brage.unit.no:11250/3015119 2023-05-15T16:13:41+02:00 Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 Clarsen, Benjamin Matthew Nylenna, Magne Klitkou, Søren Toksvig Vollset, Stein Emil Baravelli, Carl Michael Bølling, Anette Kocbach Aasvang, Gunn Marit Sulo, Gerhard Naghavi, Mohsen Pasovic, Maja Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Knudsen, Ann Kristin Skrindo 2022 application/pdf https://hdl.handle.net/11250/3015119 https://doi.org/10.1016/S2468-2667(22)00092-5 eng eng The Lancet Public Health. 2022, 7(7). Side e593-e605. urn:issn:2468-2667 https://hdl.handle.net/11250/3015119 https://doi.org/10.1016/S2468-2667(22)00092-5 cristin:2036417 © 2022 The Author(s) e593-e605 7 The Lancet Public Health disease burden GBD Global Burden of Disease Study health life expectancy Norway regional differences Peer reviewed Journal article 2022 ftnihoegskole https://doi.org/10.1016/S2468-2667(22)00092-5 2022-09-07T22:40:56Z This is an Open Access article under the CC BY 4.0 license. Background: Geographical differences in health outcomes are reported in many countries. Norway has led an active policy aiming for regional balance since the 1970s. Using data from the Global Burden of Disease Study (GBD) 2019, we examined regional differences in development and current state of health across Norwegian counties. Methods: Data for life expectancy, healthy life expectancy (HALE), years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) in Norway and its 11 counties from 1990 to 2019 were extracted from GBD 2019. County-specific contributors to changes in life expectancy were compared. Inequality in disease burden was examined by use of the Gini coefficient. Findings: Life expectancy and HALE improved in all Norwegian counties from 1990 to 2019. Improvements in life expectancy and HALE were greatest in the two counties with the lowest values in 1990: Oslo, in which life expectancy and HALE increased from 71·9 years (95% uncertainty interval 71·4–72·4) and 63·0 years (60·5–65·4) in 1990 to 81·3 years (80·0–82·7) and 70·6 years (67·4–73·6) in 2019, respectively; and Troms og Finnmark, in which life expectancy and HALE increased from 71·9 years (71·5–72·4) and 63·5 years (60·9–65·6) in 1990 to 80·3 years (79·4–81·2) and 70·0 years (66·8–72·2) in 2019, respectively. Increased life expectancy was mainly due to reductions in cardiovascular disease, neoplasms, and respiratory infections. No significant differences between the national YLD or DALY rates and the corresponding age-standardised rates were reported in any of the counties in 2019; however, Troms og Finnmark had a higher age-standardised YLL rate than the national rate (8394 per 100 000 [95% UI 7801–8944] vs 7536 per 100 000 [7391–7691]). Low inequality between counties was shown for life expectancy, HALE, all level-1 causes of DALYs, and exposure to level-1 risk factors. Interpretation: Over the past 30 years, Norway has reduced ... Article in Journal/Newspaper Finnmark Finnmark Troms Norwegian School of Sport Sciences: BRAGE Norway Hale ENVELOPE(-86.317,-86.317,-78.067,-78.067) Daly ENVELOPE(63.761,63.761,-67.513,-67.513) Troms og Finnmark ENVELOPE(23.712,23.712,69.724,69.724) The Lancet Public Health 7 7 e593 e605 |
institution |
Open Polar |
collection |
Norwegian School of Sport Sciences: BRAGE |
op_collection_id |
ftnihoegskole |
language |
English |
topic |
disease burden GBD Global Burden of Disease Study health life expectancy Norway regional differences |
spellingShingle |
disease burden GBD Global Burden of Disease Study health life expectancy Norway regional differences Clarsen, Benjamin Matthew Nylenna, Magne Klitkou, Søren Toksvig Vollset, Stein Emil Baravelli, Carl Michael Bølling, Anette Kocbach Aasvang, Gunn Marit Sulo, Gerhard Naghavi, Mohsen Pasovic, Maja Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Knudsen, Ann Kristin Skrindo Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 |
topic_facet |
disease burden GBD Global Burden of Disease Study health life expectancy Norway regional differences |
description |
This is an Open Access article under the CC BY 4.0 license. Background: Geographical differences in health outcomes are reported in many countries. Norway has led an active policy aiming for regional balance since the 1970s. Using data from the Global Burden of Disease Study (GBD) 2019, we examined regional differences in development and current state of health across Norwegian counties. Methods: Data for life expectancy, healthy life expectancy (HALE), years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) in Norway and its 11 counties from 1990 to 2019 were extracted from GBD 2019. County-specific contributors to changes in life expectancy were compared. Inequality in disease burden was examined by use of the Gini coefficient. Findings: Life expectancy and HALE improved in all Norwegian counties from 1990 to 2019. Improvements in life expectancy and HALE were greatest in the two counties with the lowest values in 1990: Oslo, in which life expectancy and HALE increased from 71·9 years (95% uncertainty interval 71·4–72·4) and 63·0 years (60·5–65·4) in 1990 to 81·3 years (80·0–82·7) and 70·6 years (67·4–73·6) in 2019, respectively; and Troms og Finnmark, in which life expectancy and HALE increased from 71·9 years (71·5–72·4) and 63·5 years (60·9–65·6) in 1990 to 80·3 years (79·4–81·2) and 70·0 years (66·8–72·2) in 2019, respectively. Increased life expectancy was mainly due to reductions in cardiovascular disease, neoplasms, and respiratory infections. No significant differences between the national YLD or DALY rates and the corresponding age-standardised rates were reported in any of the counties in 2019; however, Troms og Finnmark had a higher age-standardised YLL rate than the national rate (8394 per 100 000 [95% UI 7801–8944] vs 7536 per 100 000 [7391–7691]). Low inequality between counties was shown for life expectancy, HALE, all level-1 causes of DALYs, and exposure to level-1 risk factors. Interpretation: Over the past 30 years, Norway has reduced ... |
format |
Article in Journal/Newspaper |
author |
Clarsen, Benjamin Matthew Nylenna, Magne Klitkou, Søren Toksvig Vollset, Stein Emil Baravelli, Carl Michael Bølling, Anette Kocbach Aasvang, Gunn Marit Sulo, Gerhard Naghavi, Mohsen Pasovic, Maja Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Knudsen, Ann Kristin Skrindo |
author_facet |
Clarsen, Benjamin Matthew Nylenna, Magne Klitkou, Søren Toksvig Vollset, Stein Emil Baravelli, Carl Michael Bølling, Anette Kocbach Aasvang, Gunn Marit Sulo, Gerhard Naghavi, Mohsen Pasovic, Maja Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Knudsen, Ann Kristin Skrindo |
author_sort |
Clarsen, Benjamin Matthew |
title |
Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 |
title_short |
Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 |
title_full |
Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 |
title_fullStr |
Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 |
title_full_unstemmed |
Changes in life expectancy and disease burden in Norway, 1990–2019: An analysis of the Global Burden of Disease Study 2019 |
title_sort |
changes in life expectancy and disease burden in norway, 1990–2019: an analysis of the global burden of disease study 2019 |
publishDate |
2022 |
url |
https://hdl.handle.net/11250/3015119 https://doi.org/10.1016/S2468-2667(22)00092-5 |
long_lat |
ENVELOPE(-86.317,-86.317,-78.067,-78.067) ENVELOPE(63.761,63.761,-67.513,-67.513) ENVELOPE(23.712,23.712,69.724,69.724) |
geographic |
Norway Hale Daly Troms og Finnmark |
geographic_facet |
Norway Hale Daly Troms og Finnmark |
genre |
Finnmark Finnmark Troms |
genre_facet |
Finnmark Finnmark Troms |
op_source |
e593-e605 7 The Lancet Public Health |
op_relation |
The Lancet Public Health. 2022, 7(7). Side e593-e605. urn:issn:2468-2667 https://hdl.handle.net/11250/3015119 https://doi.org/10.1016/S2468-2667(22)00092-5 cristin:2036417 |
op_rights |
© 2022 The Author(s) |
op_doi |
https://doi.org/10.1016/S2468-2667(22)00092-5 |
container_title |
The Lancet Public Health |
container_volume |
7 |
container_issue |
7 |
container_start_page |
e593 |
op_container_end_page |
e605 |
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1765999497751560192 |