<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">João Vasco Santos</style></author><author><style face="normal" font="default" size="100%">Alicia Padron-Monedero</style></author><author><style face="normal" font="default" size="100%">Boris Bikbov</style></author><author><style face="normal" font="default" size="100%">Diana Alecsandra Grad</style></author><author><style face="normal" font="default" size="100%">Dietrich Plass</style></author><author><style face="normal" font="default" size="100%">Enkeleint A. Mechili</style></author><author><style face="normal" font="default" size="100%">Federica Gazzelloni</style></author><author><style face="normal" font="default" size="100%">Florian Fischer</style></author><author><style face="normal" font="default" size="100%">Gerhard Sulo</style></author><author><style face="normal" font="default" size="100%">Che Henry Ngwa</style></author><author><style face="normal" font="default" size="100%">Isabel Noguer-Zambrano</style></author><author><style face="normal" font="default" size="100%">José L. Peñalvo</style></author><author><style face="normal" font="default" size="100%">Juanita A. Haagsma</style></author><author><style face="normal" font="default" size="100%">Katarzyna Kissimova-Skarbek</style></author><author><style face="normal" font="default" size="100%">Lorenzo Monasta</style></author><author><style face="normal" font="default" size="100%">Nermin Ghith</style></author><author><style face="normal" font="default" size="100%">Rodrigo Sarmiento-Suarez</style></author><author><style face="normal" font="default" size="100%">Rok Hrzic</style></author><author><style face="normal" font="default" size="100%">Romana Haneef</style></author><author><style face="normal" font="default" size="100%">Rónán O’Caoimh</style></author><author><style face="normal" font="default" size="100%">Sarah Cuschieri</style></author><author><style face="normal" font="default" size="100%">Stefania Mondello</style></author><author><style face="normal" font="default" size="100%">Zubair Kabir</style></author><author><style face="normal" font="default" size="100%">Alberto Freitas</style></author><author><style face="normal" font="default" size="100%">Brecht Devleesschauwer</style></author></authors><translated-authors><author><style face="normal" font="default" size="100%">GBD 2019 EU State of Health Collaborators</style></author></translated-authors></contributors><titles><title><style face="normal" font="default" size="100%">The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019</style></title><secondary-title><style face="normal" font="default" size="100%">BMC Public Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">European burden of disease network</style></keyword><keyword><style  face="normal" font="default" size="100%">European Union</style></keyword><keyword><style  face="normal" font="default" size="100%">Global Burden of Diseases</style></keyword><keyword><style  face="normal" font="default" size="100%">Health status</style></keyword><keyword><style  face="normal" font="default" size="100%">population health</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2024</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Jan-12-2024</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">24</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background&lt;/p&gt;

&lt;p&gt;The European Union (EU) faces many health-related challenges. Burden of diseases information and the resulting trends over time are essential for health planning. This paper reports estimates of disease burden in the EU and individual 27 EU countries in 2019, and compares them with those in 2010.&lt;/p&gt;

&lt;p&gt;Methods&lt;/p&gt;

&lt;p&gt;We used the Global Burden of Disease 2019 study estimates and 95% uncertainty intervals for the whole EU and each country to evaluate age-standardised death, years of life lost (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) rates for Level 2 causes, as well as life expectancy and healthy life expectancy (HALE).&lt;/p&gt;

&lt;p&gt;Results&lt;/p&gt;

&lt;p&gt;In 2019, the age-standardised death and DALY rates in the EU were 465.8 deaths and 20,251.0 DALYs per 100,000 inhabitants, respectively. Between 2010 and 2019, there were significant decreases in age-standardised death and YLL rates across EU countries. However, YLD rates remained mainly unchanged. The largest decreases in age-standardised DALY rates were observed for “HIV/AIDS and sexually transmitted diseases” and “transport injuries” (each -19%). “Diabetes and kidney diseases” showed a significant increase for age-standardised DALY rates across the EU (3.5%). In addition, “mental disorders” showed an increasing age-standardised YLL rate (14.5%).&lt;/p&gt;

&lt;p&gt;Conclusions&lt;/p&gt;

&lt;p&gt;There was a clear trend towards improvement in the overall health status of the EU but with differences between countries. EU health policymakers need to address the burden of diseases, paying specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease.&lt;/p&gt;
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