ArticleThe Lancet. Global health2023
The burden of diseases and risk factors in Bangladesh, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.
Article in The Lancet. Global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
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42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
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- Long-Term Dynamics of Pelvic Inflammatory Disease Attributable toInternational journal of women's health · 2026Article
- Socio-economic inequalities in hypertension prevalence and care cascade in Bangladesh: Insights from a nationally representative survey.PLOS global public health · 2026Article
- Machine learning and deep learning-based prediction of hypertension and analysis of its major risk factors in Bangladesh.PloS one · 2026Article
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- Inequitable morbidity and injuries burden among informal sector workers in an urban area in Dhaka: a retrospective analysis of Médecins Sans Frontières occupational health clinics, Bangladesh, 2014-2023.BMC public health · 2025Article
- May Measurement Month 2022: an analysis of blood pressure screening results from Bangladesh.European heart journal supplements : journal of the European Society of Cardiology · 2025Article
- Adolescent and young adult mortality in Bangladesh: findings from household surveys.Journal of global health · 2025Article
- Water, sanitation, and hygiene (WASH) factors and the incidence of communicable diseases in Urban Bangladesh: Evidence from municipal areas.PLoS neglected tropical diseases · 2025Article
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Abstract
backgroundBangladesh has made substantial progress in improving socioeconomic and health indicators over the past 50 years, but data on national disease burden are scarce. We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 to estimate the burden of diseases and risk factors in Bangladesh from 1990 to 2019.
methodsFor this systematic analysis, we analysed data from vital registration systems, surveys, and censuses using multistage modelling processes to estimate life expectancy at birth, mortality rate, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs). Additionally, we compared the health status of Bangladesh with that of the other countries in the GBD south Asia region-Bhutan, India, Nepal, and Pakistan.
findingsLife expectancy at birth in Bangladesh increased from 58·2 years (95% uncertainty interval 57·1-59·2) in 1990 to 74·6 years (72·4-76·7) in 2019. Between 1990 and 2019, the age-standardised mortality rate decreased from 1509·3 (1428·6-1592·1) to 714·4 (604·9-838·2) deaths per 100 000 population. In 2019, non-communicable diseases represented 14 of the top 20 causes of death; the leading three causes were stroke, ischaemic heart disease, and chronic obstructive pulmonary disease. High blood pressure, high fasting plasma glucose, and smoking were the top three risk factors. From 1990 to 2019, the rate of all-cause DALYs decreased by 54·9% (48·8-60·4). In 2019, the leading causes of DALYs and YLLs were neonatal disorders, stroke, and ischaemic heart disease, whereas musculoskeletal disorders, depressive disorders, and low back pain were the leading causes of YLDs. Bangladesh has the lowest age-standardised rates of mortality, YLDs, and YLLs and the highest life expectancy at birth in south Asia.
interpretationOver the past 30 years, mortality rates have reduced by more than half in Bangladesh. Bangladesh must now address the double burden of communicable and non-communicable diseases. Cost-effective, multisectoral efforts are needed to prevent and control non-communicable diseases, promote healthy lifestyles, and prevent premature mortality and disabilities.
fundingBill & Melinda Gates Foundation. TRANSLATION: For the Bangla translation of the abstract see Supplementary Materials section.
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