Changes in life expectancy and disease burden in Norway, 1990–2019: an analysis of the Global Burden of Disease Study 2019
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 heal...
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ftunivtroemsoe:oai:munin.uit.no:10037/25786 2023-05-15T16:13:40+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 Pasvic, Masa Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Kisa, Adnan Juliusson, Pétur Benedikt Månsson, Johan Mekonnen, Teferi Kisa, Sezer Murray, Christopher J L Norheim, Ole Frithjof Ottersen, Trygve Sagoe, Dominic 2022-07 https://hdl.handle.net/10037/25786 https://doi.org/10.1016/S2468-2667(22)00092-5 eng eng Elsevier The Lancet Public Health Clarsen B, Nylenna M, Klitkou, Vollset SE, Baravelli CM, Bølling A, Aasvang GM, Sulo G, Naghavi M, Pasvic, Asaduzzaman M, Bjørge T, Eggen AE, Eikemo TAE, Ellingsen CL, Haaland ØA, Hailu A, Hassan S, Hay SI, Kisa A, Juliusson P, Månsson J, Mekonnen T, Kisa S, Murray CJL, Norheim OF, Ottersen T, Sagoe D. Changes in life expectancy and disease burden in Norway, 1990–2019: an analysis of the Global Burden of Disease Study 2019. The Lancet Public Health. 2022;7(7) FRIDAID 2036802 doi:10.1016/S2468-2667(22)00092-5 2468-2667 https://hdl.handle.net/10037/25786 openAccess Copyright 2022 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1016/S2468-2667(22)00092-5 2022-07-13T22:58:57Z 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 inequality in disease burden between counties. However, inequalities ... Article in Journal/Newspaper Finnmark Finnmark Troms University of Tromsø: Munin Open Research Archive Daly ENVELOPE(63.761,63.761,-67.513,-67.513) Hale ENVELOPE(-86.317,-86.317,-78.067,-78.067) Norway Troms og Finnmark ENVELOPE(23.712,23.712,69.724,69.724) The Lancet Public Health 7 7 e593 e605 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
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ftunivtroemsoe |
language |
English |
description |
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 inequality in disease burden between counties. However, inequalities ... |
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 Pasvic, Masa Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Kisa, Adnan Juliusson, Pétur Benedikt Månsson, Johan Mekonnen, Teferi Kisa, Sezer Murray, Christopher J L Norheim, Ole Frithjof Ottersen, Trygve Sagoe, Dominic |
spellingShingle |
Clarsen, Benjamin Matthew Nylenna, Magne Klitkou, Søren Toksvig Vollset, Stein Emil Baravelli, Carl Michael Bølling, Anette Kocbach Aasvang, Gunn Marit Sulo, Gerhard Naghavi, Mohsen Pasvic, Masa Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Kisa, Adnan Juliusson, Pétur Benedikt Månsson, Johan Mekonnen, Teferi Kisa, Sezer Murray, Christopher J L Norheim, Ole Frithjof Ottersen, Trygve Sagoe, Dominic Changes in life expectancy and disease burden in Norway, 1990–2019: an analysis of the Global Burden of Disease Study 2019 |
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 Pasvic, Masa Asaduzzaman, Muhammad Bjørge, Tone Eggen, Anne Elise Eikemo, Terje Andreas Ellingsen, Christian Lycke Haaland, Øystein Ariansen Hailu, Alemayehu Hassan, Shoaib Hay, Simon I. Kisa, Adnan Juliusson, Pétur Benedikt Månsson, Johan Mekonnen, Teferi Kisa, Sezer Murray, Christopher J L Norheim, Ole Frithjof Ottersen, Trygve Sagoe, Dominic |
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 |
publisher |
Elsevier |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/25786 https://doi.org/10.1016/S2468-2667(22)00092-5 |
long_lat |
ENVELOPE(63.761,63.761,-67.513,-67.513) ENVELOPE(-86.317,-86.317,-78.067,-78.067) ENVELOPE(23.712,23.712,69.724,69.724) |
geographic |
Daly Hale Norway Troms og Finnmark |
geographic_facet |
Daly Hale Norway Troms og Finnmark |
genre |
Finnmark Finnmark Troms |
genre_facet |
Finnmark Finnmark Troms |
op_relation |
The Lancet Public Health Clarsen B, Nylenna M, Klitkou, Vollset SE, Baravelli CM, Bølling A, Aasvang GM, Sulo G, Naghavi M, Pasvic, Asaduzzaman M, Bjørge T, Eggen AE, Eikemo TAE, Ellingsen CL, Haaland ØA, Hailu A, Hassan S, Hay SI, Kisa A, Juliusson P, Månsson J, Mekonnen T, Kisa S, Murray CJL, Norheim OF, Ottersen T, Sagoe D. Changes in life expectancy and disease burden in Norway, 1990–2019: an analysis of the Global Burden of Disease Study 2019. The Lancet Public Health. 2022;7(7) FRIDAID 2036802 doi:10.1016/S2468-2667(22)00092-5 2468-2667 https://hdl.handle.net/10037/25786 |
op_rights |
openAccess Copyright 2022 The Author(s) |
op_doi |
https://doi.org/10.1016/S2468-2667(22)00092-5 |
container_title |
The Lancet Public Health |
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7 |
container_issue |
7 |
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e593 |
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e605 |
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