Injury burden in individuals aged 50 years or older in the Eastern Mediterranean region, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019

Al-Hajj, Samar; Farran, Sarah; Sibai, Abla Mehio; Hamadeh, Randah Ribhi; Rahimi‐Movaghar, Vafa; Al‐Raddadi, Rajaa; Sadeghian, Farideh; Ghodsi, Zahra; Alhajyaseeh, Wael; Rmeileh, Niveen Me Abu; Mokdad, Ali H.

doi:10.1016/s2666-7568(22)00038-1

Cited by 12 publications

(6 citation statements)

References 25 publications

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“…In our study, information from Palestine was not available and not include. We assigned countries into 5 socio-demographic Index (SDI), high SDI (Kuwait, United Arab Emirates, Qatar), high middle SDI (Libya, Jordan, Saudi Arabia, Lebanon, Bahrain, Oman), middle SDI (Tunisia, Iran (Islamic Republic of), Iraq, Syrian Arab Republic, Egypt), low middle (Djibouti, Morocco, Sudan) and low SDI (Somalia, Pakistan, Yemen, Afghanistan) (7).…”

Section: Methodsmentioning

confidence: 99%

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The burden of Ischemic Heart Disease and the Epidemiologic Transition in the Eastern Mediterranean Region: 1990-2019

Sadeghi

Jamalian

Mehrabani-Zeinabad

et al. 2023

Preprint

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Introduction The purpose of this study is to investigate the trends of the burden of ischemic heart disease (IHD) in the Eastern Mediterranean Region (EMR) countries from 1990 to 2019. Method Prevalence, disability-adjusted life years (DALYs), death, DALYs attribution risk factors, healthcare access and quality index (HAQ), and universal health care (UHC) were extracted from the database of the Global Burden of Disease study (GBD) for the EMR countries. Data stratification is based on the social demographic index (SDI). Cardiac rehabilitation data was obtained from the International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) and other information was e obtained by an advanced search of individualized countries’ data. Result IHD age-standardized prevalence increased from 4.96% to 5.31% in the EMR from 1990-2019 while it decreased at the global level. In the EMR, the trend of age-standardized IHD death and DALYs rates decreased by 11.39% and 15.36% between 1990 and 2019 respectively, however, both rates were higher than the global rates. The burden of IHD in males was higher than females. The highest decrease of IHD age-standardized prevalence, death and DALYs rate in the EMR countries occurred in Bahrain (-3.72%, -64.95%and-69.08%, respectively). However, the most increase of prevalence happened in Oman with a change of 14.40% and for death and DALY rates was in Pakistan (29.62% and 31.93%, respectively) in the studied period. The top three attributed risk factor to IHD DALYs in the EMR in 2019 were high systolic blood pressure, high low-density lipoprotein cholesterol, and particular matter pollution. The 29-year trend of an attributed risk factor to IHD DALYs in the EMR (1990-2019) showed that the two factors of high fasting plasma glucose (64.03%) and high BMI (23.39%) had an increasing trend, respectively. Conclusion Our results showed an increased trend of the prevalence of IHD in the EMR that requires well planned prevention and treatment strategies. Developing and implementing programs to address the risk factors through health promotion and education, preventive programs, and medical care should be a priority for countries in this region.

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Section: Methodsmentioning

confidence: 99%

“…EMR countries are divided to 5 social demographic index (SDI) level including high (3countries), High middle (6 countries), middle (5 countries) and low middle (3countries) and low (4 countries) by the GBD (7).…”

Section: Introductionmentioning

confidence: 99%

The burden of Ischemic Heart Disease and the Epidemiologic Transition in the Eastern Mediterranean Region: 1990-2019

Sadeghi

Jamalian

Mehrabani-Zeinabad

et al. 2023

Preprint

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“…This region in particular stands out by having one of the highest rates of mortality and disability, due to injuries mainly caused by traffic accidents and violence (Mokdad et al 2018 ; Khalil et al 2018 ). The mortality rate related to injuries in these countries both in the younger and adult population is higher than the global rate (Al-Hajj et al 2022 , 2020 ). Injury stands for nearly 20% of global child injury deaths in the EMR countries and is the leading cause of death in children and adolescent population of these countries (Al-Hajj et al 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The contributions of injury deaths to the gender gap in life expectancy and life disparity in Eastern Mediterranean Region

Bairami¹,

Hajizadeh

Kiadaliri

2023

Inj. Epidemiol.

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Background Injury deaths constitute a major avoidable cause of death affecting life expectancy to a different degree in men and women. This study quantified the contributions of injury deaths to the gender gap in life expectancy (GGLE) and life disparity (GGLD) in nine Eastern Mediterranean Region (EMR) countries. Methods We retrieved annual data on age-sex specific causes of death from the World Health Organization mortality database for EMR countries with at least 2-year consecutive data during 2010–2019. The injury-related deaths were categorized into five groups: transport accidents, other accidental injuries, intentional self-harm, assault and events of undetermined intent. Considering women as the reference, the GGLE and GGLD were decomposed by age and causes of death, using a continuous-change model. Results The largest and smallest GGLE were observed in Kuwait (5.2 years) and Qatar (− 1.2 years), respectively. Qatar (− 2.2 years) and Oman (0.2 years) had the highest and lowest GGLD. The highest contributions of injury deaths to the GGLE/GGLD were seen in Libya (1.8/− 1.2 years), followed by Iran (1.2/− 0.8 years). Among injury causes, transport accidents were the leading cause of GGLE in all countries but Libya and Morocco, with Iran having the greatest contributions (0.6 years). Injury deaths in men aged 15–29 years accounted for 33% [41%] (Kuwait) to 55% [65%] (Oman) of total GGLE [GGLD] attributable to injury deaths. Conclusions High injury deaths, particularly transport accidents, among young men contributed substantially to the GGLE and GGLD across nine EMR countries in this study. This highlights the need for implementing preventing policies to reduce the burden of injury deaths specifically in young men.

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“…The Eastern Mediterranean Region (EMR) reported the highest rate of injuries related to deaths and disability-adjusted life years (DALYs) among LMICs, particularly injuries related to road traffic crashes and violence [ 5 – 8 ]. According to estimates from the Global Burden of Disease (GBD 2019), injury-related deaths in the EMR were approximately 56.2 per 100,000, ranking the 4th highest rate globally [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Physical injuries and burns among refugees in Lebanon: implications for programs and policies

Al-Hajj,

Moustafa,

El Hechi

et al. 2023

Confl Health

Self Cite

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Background Refugees are prone to higher risks of injury due to often austere living conditions, social and economic disadvantages, and limited access to health care services in host countries. This study aims to systematically quantify the prevalence of physical injuries and burns among the refugee community in Western Lebanon and to examine injury characteristics, risk factors, and outcomes. Methods We conducted a cluster-based population survey across 21 camps in the Beqaa region of Lebanon from February to April 2019. A modified version of the ‘Surgeons Overseas Assessment of Surgical Need (SOSAS)’ tool (Version 3.0) was administered to the head of the refugee households and documented all injuries sustained by family members over the last 12 months. Descriptive and univariate regression analyses were performed to understand the association between variables. Results 750 heads of households were surveyed. 112 (14.9%) households sustained injuries in the past 12 months, 39 of which (34.9%) reported disabling injuries that affected their work and daily living. Injuries primarily occurred inside the tent (29.9%). Burns were sustained by at least one household member in 136 (18.1%) households in total. The majority (63.7%) of burns affected children under 5 years and were mainly due to boiling liquid (50%). Significantly more burns were reported in households where caregivers cannot lock children outside the kitchen while cooking (25.6% vs 14.9%, p-value = 0.001). Similarly, households with unemployed heads had significantly more reported burns (19.7% vs. 13.3%, p value = 0.05). Nearly 16.1% of the injured refugees were unable to seek health care due to the lack of health insurance coverage and financial liability. Conclusions Refugees severely suffer from injuries and burns, causing substantial human and economic repercussions on the affected individuals, their families, and the host healthcare system. Resources should be allocated toward designing safe camps as well as implementing educational awareness campaigns specifically focusing on teaching about heating and cooking safety practices.

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Injury burden in individuals aged 50 years or older in the Eastern Mediterranean region, 1990–2019: a systematic analysis from the Global Burden of Disease Study 2019

Cited by 12 publications

References 25 publications

The burden of Ischemic Heart Disease and the Epidemiologic Transition in the Eastern Mediterranean Region: 1990-2019

The burden of Ischemic Heart Disease and the Epidemiologic Transition in the Eastern Mediterranean Region: 1990-2019

The contributions of injury deaths to the gender gap in life expectancy and life disparity in Eastern Mediterranean Region

Physical injuries and burns among refugees in Lebanon: implications for programs and policies

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