ArticleInternational journal of public health2020
European Union state of health from 1990 to 2017: time trends and its enlargements' effects.
Article in International journal of public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Spatial Differences in Avoidable Mortality Across 581 European Districts, 2002-2019.European journal of population = Revue europeenne de demographie · 2025Article
- Getting closer to each other? Convergence and divergence patterns of life expectancy in 277 border regions of Western Europe 1995-2019.European journal of epidemiology · 2025Article
- The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019.BMC public health · 2024Article
- Inequalities in the burden of non-communicable diseases across European countries: a systematic analysis of the Global Burden of Disease 2019 study.International journal for equity in health · 2023Article
- Article
- A Cross-National Comparison on Life Expectancy of Non-Hispanic White Americans.International journal of public health · 2022Article
- The Short-Term Effects of European Integration on Mortality Convergence: A Case Study of European Union's 2004 Enlargement.European journal of population = Revue europeenne de demographie · 2021Article
- Impact of Policies in Nutrition and Physical Activity on Diabetes and Its Risk Factors in the 28 Member States of the European Union.Nutrients · 2021Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to study health status' time trends in the European Union (EU) during 1990-2017 and its enlargements' impact.
methodsUsing estimates from the Global Burden of Disease 2017 study and calculating age-sex-standardized rates, we have described time trends and analysed the differences between EU groups regarding the state of health. Interrupted time-series analyses were also performed in order to assess the enlargement impact in the EU state of health.
resultsAll age-sex-standardized rates (mortality, years of life lost, years lived with disability and disability-adjusted life years) declined (annualized rates of change of - 1.7%, - 1.52%, - 0.06% and - 1.01%, respectively) between 1990 and 2017 (except between 2014 and 2015). For EU-28, life expectancy and healthy life expectancy increased 5.9 and 4.6 years, respectively. With the EU-25 and EU-27 enlargements, all age-sex-standardized rates and life expectancies worsened (with statistical significance). The EU-28 enlargement revealed the same tendency, contrasting with the EU-15 one.
conclusionsOverall, the EU health status is improving, despite changes in its composition over the years. However, the average EU state of health declined with the 2004, 2007 and 2013 EU enlargements.
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