Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019

European Burden of Disease Network; JL Peñalvo; E Mertens; B Devleesschauwer; DA Grad; R Hrzic; B Bikbov; C Abbafati; M Balaj; S Cuschieri; TA Eikemo; F Fischer; N Ghith; JA Haagsma; CH Ngwa; I Noguer-Zambrano; R O'Caoimh; L Paalanen; A Padron-Monedero; E Pallari; R Sarmiento Suárez; G Sulo; G Tecirli; J Vasco Santos

doi:10.1093/eurpub/ckab164.045

Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019

European Burden of Disease Network, JL Peñalvo^* (Member of author collaboration), E Mertens (Member of author collaboration), B Devleesschauwer (Member of author collaboration), DA Grad (Member of author collaboration), R Hrzic (Member of author collaboration), B Bikbov (Member of author collaboration), C Abbafati (Member of author collaboration), M Balaj (Member of author collaboration), S Cuschieri (Member of author collaboration), TA Eikemo (Member of author collaboration), F Fischer (Member of author collaboration), N Ghith (Member of author collaboration), JA Haagsma (Member of author collaboration), CH Ngwa (Member of author collaboration), I Noguer-Zambrano (Member of author collaboration), R O'Caoimh (Member of author collaboration), L Paalanen (Member of author collaboration), A Padron-Monedero (Member of author collaboration), E Pallari (Member of author collaboration)R Sarmiento Suárez (Member of author collaboration), G Sulo (Member of author collaboration), G Tecirli (Member of author collaboration), J Vasco Santos (Member of author collaboration)

^*Corresponding author for this work

Research output: Contribution to journal › Conference abstract in journal › Research › peer-review

Abstract

Background:
Non-communicable diseases (NCDs) remain the leading cause of disease burden in the European Union (EU). However, this burden varies across Member States, driven by the socioeconomic and demographic structure of the populations, as well as health care and social support systems in each country. This geographical gradient in the burden of NCDs represents health inequalities that may have expanded as a result of population ageing, migration, and economic crisis, and historic backgrounds.
Methods:
Using data from the GBD 2019 study, we quantify the inequality gap between EU countries, characterize the geographical gradient of total and individual NCDs, and analyze the trends over the last 20 years.
Results:
A considerable gap exists in the rates of NCD-related DALYs between the country with the lowest burden (Slovenia in 2019) and the highest (Bulgaria in 2019), with a constant (p-trend >0.05) ratio of 1.6 (95%CI, 1.57; 1.64) since the year 2000. The largest inequality was observed for the burden of stroke between the lowest (France in 2019) and the highest (Bulgaria in 2019) with a ratio of 7.47 (6.78; 8.24) Increasing steadily (p-trend< 0.001) since 2000. Using the relative index of inequality to characterize the gradient of inequalities across the EU, a decreasing trend (p < 0.001) can be observed for NCD-related DALYs rates from 1.56 (1.44; 1.7) in 2000 to in1.42 (1.33; 1.52) 2019.
Conclusions:
Despite overall improvements in health, spatial disparities related to NCDs in the EU persist. Our estimates provide a baseline to inform future equitable health policies.

Original language	English
Article number	ckab164.045
Journal	European Journal of Public Health
Volume	31
Issue number	Supplement_3
Pages (from-to)	20-20
Number of pages	1
ISSN	1101-1262
DOIs	https://doi.org/10.1093/eurpub/ckab164.045
Publication status	Published - 2021
Event	14^th European Public Health Conference 2021 - Virtual event Duration: 10 Nov 2021 → 12 Nov 2021

Conference

Conference	14^th European Public Health Conference 2021
Location	Virtual event
Period	10/11/2021 → 12/11/2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1093/eurpub/ckab164.045

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European Burden of Disease Network, Peñalvo, JL., Mertens, E., Devleesschauwer, B., Grad, DA., Hrzic, R., Bikbov, B., Abbafati, C., Balaj, M., Cuschieri, S., Eikemo, TA., Fischer, F., Ghith, N., Haagsma, JA., Ngwa, CH., Noguer-Zambrano, I., O'Caoimh, R., Paalanen, L., Padron-Monedero, A., ... Santos, J. V. (2021). Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019. European Journal of Public Health, 31(Supplement_3), 20-20. [ckab164.045]. https://doi.org/10.1093/eurpub/ckab164.045

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title = "Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019",

abstract = "Background:Non-communicable diseases (NCDs) remain the leading cause of disease burden in the European Union (EU). However, this burden varies across Member States, driven by the socioeconomic and demographic structure of the populations, as well as health care and social support systems in each country. This geographical gradient in the burden of NCDs represents health inequalities that may have expanded as a result of population ageing, migration, and economic crisis, and historic backgrounds.Methods:Using data from the GBD 2019 study, we quantify the inequality gap between EU countries, characterize the geographical gradient of total and individual NCDs, and analyze the trends over the last 20 years.Results:A considerable gap exists in the rates of NCD-related DALYs between the country with the lowest burden (Slovenia in 2019) and the highest (Bulgaria in 2019), with a constant (p-trend >0.05) ratio of 1.6 (95%CI, 1.57; 1.64) since the year 2000. The largest inequality was observed for the burden of stroke between the lowest (France in 2019) and the highest (Bulgaria in 2019) with a ratio of 7.47 (6.78; 8.24) Increasing steadily (p-trend< 0.001) since 2000. Using the relative index of inequality to characterize the gradient of inequalities across the EU, a decreasing trend (p < 0.001) can be observed for NCD-related DALYs rates from 1.56 (1.44; 1.7) in 2000 to in1.42 (1.33; 1.52) 2019.Conclusions:Despite overall improvements in health, spatial disparities related to NCDs in the EU persist. Our estimates provide a baseline to inform future equitable health policies.",

author = "{European Burden of Disease Network} and JL Pe{\~n}alvo and E Mertens and B Devleesschauwer and DA Grad and R Hrzic and B Bikbov and C Abbafati and M Balaj and S Cuschieri and TA Eikemo and F Fischer and N Ghith and JA Haagsma and CH Ngwa and I Noguer-Zambrano and R O'Caoimh and L Paalanen and A Padron-Monedero and E Pallari and Su{\'a}rez, {R Sarmiento} and G Sulo and G Tecirli and Santos, {J Vasco}",

year = "2021",

doi = "10.1093/eurpub/ckab164.045",

language = "English",

volume = "31",

pages = "20--20",

journal = "European Journal of Public Health",

issn = "1101-1262",

publisher = "Oxford University Press",

number = "Supplement_3",

note = "14<sup>th</sup> European Public Health Conference 2021 ; Conference date: 10-11-2021 Through 12-11-2021",

}

European Burden of Disease Network, Peñalvo, JL, Mertens, E, Devleesschauwer, B, Grad, DA, Hrzic, R, Bikbov, B, Abbafati, C, Balaj, M, Cuschieri, S, Eikemo, TA, Fischer, F, Ghith, N, Haagsma, JA, Ngwa, CH, Noguer-Zambrano, I, O'Caoimh, R, Paalanen, L, Padron-Monedero, A, Pallari, E, Suárez, RS, Sulo, G, Tecirli, G & Santos, JV 2021, 'Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019', European Journal of Public Health, vol. 31, no. Supplement_3, ckab164.045, pp. 20-20. https://doi.org/10.1093/eurpub/ckab164.045

Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019. / European Burden of Disease Network; Peñalvo, JL (Member of author collaboration); Mertens, E (Member of author collaboration) et al.
In: European Journal of Public Health, Vol. 31, No. Supplement_3, ckab164.045, 2021, p. 20-20.

Research output: Contribution to journal › Conference abstract in journal › Research › peer-review

TY - ABST

T1 - Inequalities in non-communicable diseases across the European Union

T2 - 14<sup>th</sup> European Public Health Conference 2021

AU - European Burden of Disease Network

A2 - Peñalvo, JL

A2 - Mertens, E

A2 - Devleesschauwer, B

A2 - Grad, DA

A2 - Hrzic, R

A2 - Bikbov, B

A2 - Abbafati, C

A2 - Balaj, M

A2 - Cuschieri, S

A2 - Eikemo, TA

A2 - Fischer, F

A2 - Ghith, N

A2 - Haagsma, JA

A2 - Ngwa, CH

A2 - Noguer-Zambrano, I

A2 - O'Caoimh, R

A2 - Paalanen, L

A2 - Padron-Monedero, A

A2 - Pallari, E

A2 - Suárez, R Sarmiento

A2 - Sulo, G

A2 - Tecirli, G

A2 - Santos, J Vasco

PY - 2021

Y1 - 2021

N2 - Background:Non-communicable diseases (NCDs) remain the leading cause of disease burden in the European Union (EU). However, this burden varies across Member States, driven by the socioeconomic and demographic structure of the populations, as well as health care and social support systems in each country. This geographical gradient in the burden of NCDs represents health inequalities that may have expanded as a result of population ageing, migration, and economic crisis, and historic backgrounds.Methods:Using data from the GBD 2019 study, we quantify the inequality gap between EU countries, characterize the geographical gradient of total and individual NCDs, and analyze the trends over the last 20 years.Results:A considerable gap exists in the rates of NCD-related DALYs between the country with the lowest burden (Slovenia in 2019) and the highest (Bulgaria in 2019), with a constant (p-trend >0.05) ratio of 1.6 (95%CI, 1.57; 1.64) since the year 2000. The largest inequality was observed for the burden of stroke between the lowest (France in 2019) and the highest (Bulgaria in 2019) with a ratio of 7.47 (6.78; 8.24) Increasing steadily (p-trend< 0.001) since 2000. Using the relative index of inequality to characterize the gradient of inequalities across the EU, a decreasing trend (p < 0.001) can be observed for NCD-related DALYs rates from 1.56 (1.44; 1.7) in 2000 to in1.42 (1.33; 1.52) 2019.Conclusions:Despite overall improvements in health, spatial disparities related to NCDs in the EU persist. Our estimates provide a baseline to inform future equitable health policies.

AB - Background:Non-communicable diseases (NCDs) remain the leading cause of disease burden in the European Union (EU). However, this burden varies across Member States, driven by the socioeconomic and demographic structure of the populations, as well as health care and social support systems in each country. This geographical gradient in the burden of NCDs represents health inequalities that may have expanded as a result of population ageing, migration, and economic crisis, and historic backgrounds.Methods:Using data from the GBD 2019 study, we quantify the inequality gap between EU countries, characterize the geographical gradient of total and individual NCDs, and analyze the trends over the last 20 years.Results:A considerable gap exists in the rates of NCD-related DALYs between the country with the lowest burden (Slovenia in 2019) and the highest (Bulgaria in 2019), with a constant (p-trend >0.05) ratio of 1.6 (95%CI, 1.57; 1.64) since the year 2000. The largest inequality was observed for the burden of stroke between the lowest (France in 2019) and the highest (Bulgaria in 2019) with a ratio of 7.47 (6.78; 8.24) Increasing steadily (p-trend< 0.001) since 2000. Using the relative index of inequality to characterize the gradient of inequalities across the EU, a decreasing trend (p < 0.001) can be observed for NCD-related DALYs rates from 1.56 (1.44; 1.7) in 2000 to in1.42 (1.33; 1.52) 2019.Conclusions:Despite overall improvements in health, spatial disparities related to NCDs in the EU persist. Our estimates provide a baseline to inform future equitable health policies.

U2 - 10.1093/eurpub/ckab164.045

DO - 10.1093/eurpub/ckab164.045

M3 - Conference abstract in journal

SN - 1101-1262

VL - 31

SP - 20

EP - 20

JO - European Journal of Public Health

JF - European Journal of Public Health

IS - Supplement_3

M1 - ckab164.045

Y2 - 10 November 2021 through 12 November 2021

ER -

Inequalities in non-communicable diseases across the European Union: current state and trends from 2000 to 2019

Abstract

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UN SDGs

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