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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
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, Volume 7, No. 7, Year 2022
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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 still exist at a within-county level and along other sociodemographic gradients. Because of insufficient Norwegian primary data, there remains substantial uncertainty associated with regional estimates for non-fatal disease burden and exposure to risk factors. Funding: Bill & Melinda Gates Foundation, Research Council of Norway, and Norwegian Institute of Public Health. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC9253891/bin/mmc1.pdf
Authors & Co-Authors
Clarsen, Benjamin Matthew
Norway, Oslo
Folkehelseinstituttet
Norway, Oslo
Norges Idrettshøgskole
Norway, Bergen
Western Norway University of Applied Sciences
Vollset, Stein Emil
United States, Seattle
University of Washington
Aasvang, Gunn Marit
Norway, Oslo
Centre for Disease Burden
Sulo, Gerhard
Norway, Oslo
Folkehelseinstituttet
Naghavi, Mohsen
United States, Seattle
University of Washington
Pasovic, Maja
United States, Seattle
University of Washington
Asaduzzaman, Muhammad
Norway, Oslo
Universitetet I Oslo
Björge, Tone
Norway, Bergen
Universitetet I Bergen
Norway, Oslo
Cancer Registry of Norway
Eikemo, Terje Andreas
Norway, Trondheim
Norges Teknisk-naturvitenskapelige Universitet
Ellingsen, Christian Lycke
Norway, Stavanger
Stavanger Universitetssjukehus
Haaland, Øystein Ariansen
Norway, Bergen
Universitetet I Bergen
Hailu, Alemayehu Desalegne
Norway, Bergen
Universitetet I Bergen
Hassan, Shoaib K.
Norway, Bergen
Universitetet I Bergen
Hay, Simon I.
United States, Seattle
University of Washington
Júlíusson, Pétur Benedikt
Norway, Oslo
Folkehelseinstituttet
Norway, Bergen
Universitetet I Bergen
Kisa, Adnan
Norway, Oslo
Kristiania University College
United States, New Orleans
Tulane University
Kisa, Sezer
Norway, Oslo
Oslomet – Storbyuniversitetet
Månsson, Johan C.
United States, Seattle
University of Washington
Mekonnen, Teferi
Norway, Oslo
Universitetet I Oslo
Murray, Christopher J.L.
United States, Seattle
University of Washington
Norheim, Ole Frithjof
Norway, Bergen
Universitetet I Bergen
United States, Cambridge
Harvard University
Ottersen, Trygve
Norway, Oslo
Universitetet I Oslo
Sagoe, Dominic
Norway, Bergen
Universitetet I Bergen
Sripada, Kam
Norway, Trondheim
Norges Teknisk-naturvitenskapelige Universitet
Winkler, Andrea Sylvia
Norway, Oslo
Universitetet I Oslo
Germany, Munich
Technische Universität München
Knudsen, Ann Kristin Skrindo
Norway, Oslo
Folkehelseinstituttet
Statistics
Citations: 9
Authors: 26
Affiliations: 16
Identifiers
Doi:
10.1016/S2468-2667(22)00092-5
ISSN:
24682667
Research Areas
Disability
Health System And Policy
Noncommunicable Diseases