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dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorFRANCIS-OLIVIERO, Florence
dc.contributor.authorCONSTANTINOU, Panayotis
dc.contributor.authorHANEEF, Romana
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorSCHWARZINGER, Michael
dc.contributor.authorGALLAY, Anne
dc.contributor.authorRACHAS, Antoine
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorALLA, Francois
dc.date.accessioned2024-06-20T12:55:06Z
dc.date.available2024-06-20T12:55:06Z
dc.date.issued2024-04-01
dc.identifier.issn2666-7762en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/200588
dc.description.abstractEnBACKGROUND: France faces nowadays some major challenges regarding its health care system including medically underserved areas, social health inequalities, and hospital pressures. Various indicators and sources of data allow us to describe the health status of a population and, consequently, to assess the impact of these challenges. We assessed the burden of diseases before COVID-19 in France in 2019 and its evolution from 1990 to 2019, and compared it with Western European countries. METHODS: We used specific Global Burden of Diseases (GBD) metrics: socio-demographic index (SDI), life expectancy (LE), healthy life expectancy (HALE), years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) with their 95% uncertainty interval (95% UI). We compared French age-standardized metrics to those for other Western European Countries for both sexes and also between 1990 and 2019. We also described the specific causes of these different metrics. FINDINGS: We observed for life expectancy at birth in France a trend to an improvement over time from 77.2 (95% UI: 77.2-77.3) years in 1990 to 82.9 (82.7-83.1) in 2019, which represented the seventh highest life expectancy among 23 Western European countries. HALE at birth in France increased from 67.0 (64.0-69.7) to 71.5 (68.1-74.5), which represented the fourth highest HALE among 23 Western European countries. In France, the total number of DALY per 100.000 population tended to decrease from 25,192 (22,374-28,351) in 1990 to 18,782 (16,408-21,920) in 2019. As compared to other European countries, the burden due to cardiovascular diseases was lower. Neoplasms and cardio-vascular diseases were the two leading causes of YLLs. Mental and musculoskeletal disorders were the two leading causes of YLDs. INTERPRETATION: Overall, these results highlight a clear trend of improvement in the health status in France with certain differences between western European countries. The health policy makers need to devise interventional strategies to reduce the burden of diseases and injuries, with specific attention to causes such as cancers, cardiovascular diseases, mental health and musculoskeletal disorders. FUNDING: Bill & Melinda Gates Foundation.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subject.enFrance
dc.subject.enWestern Europe
dc.subject.en“Global Burden of disease” evolution
dc.title.enThe health state of France before COVID-19 pandemic between 1990 and 2019: an analysis of the Global Burden of Disease study 2019
dc.title.alternativeLancet Reg Health Euren_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.lanepe.2024.100848en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38803633en_US
bordeaux.journalThe Lancet Regional Health - Europeen_US
bordeaux.page100848en_US
bordeaux.volume39en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDBill and Melinda Gates Foundationen_US
bordeaux.identifier.funderIDCaisse nationale de l'Assurance Maladieen_US
bordeaux.identifier.funderIDFondation Mérieuxen_US
bordeaux.identifier.funderIDAssistance Publique - Hôpitaux de Parisen_US
hal.identifierhal-04618889
hal.version1
hal.date.transferred2024-06-20T12:55:10Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=The%20Lancet%20Regional%20Health%20-%20Europe&rft.date=2024-04-01&rft.volume=39&rft.spage=100848&rft.epage=100848&rft.eissn=2666-7762&rft.issn=2666-7762&rft.au=FRANCIS-OLIVIERO,%20Florence&CONSTANTINOU,%20Panayotis&HANEEF,%20Romana&SCHWARZINGER,%20Michael&GALLAY,%20Anne&rft.genre=article


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