Convergences and Divergences in the Burden of Disease in Older People Across The Organisation for Economic Cooperation and Development Countries

IF 4.7 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Archives of Medical Research Pub Date : 2024-09-15 DOI:10.1016/j.arcmed.2024.103082
Marcela Agudelo-Botero , Tobias Vogt , Liliana Giraldo-Rodríguez
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Abstract

Background

The Organization for Economic Cooperation and Development (OECD) member states are heterogeneous in their social, economic, and health conditions.

Aims

a) to analyze age-specific mortality rate (ASMR) and age-specific disability-adjusted life year (DALY) rate among older people in countries by age groups (65–74 years and 75+ years) and sex, and b) to estimate the association between age-specific DALY rate with Socio-Demographic Index (SDI) and with Healthcare Access and Quality Index (HAQI).

Methods

Secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. The ASMR and the age-specific DALY rate were reported for the years 1990, 2005, and 2019. Correlation between age-specific DALY rate with SDI and HAQI was estimated.

Results

There were differences in the level and change in ASMR and the age-specific DALY rates among OECD countries. Overall, men had a higher rate for both age groups in both indicators. Although the rates have been reduced between 1990 and 2019, some countries stand out for continuing to have higher rates than countries with better socioeconomic levels. The disease burden profile also differed between adults aged 65–74 years and those aged 75+ years. In almost all cases, there was a negative and statistically significant correlation between the age-specific DALY rate with SDI and HAQI.

Conclusions

The burden of mortality and DALY in OECD countries is convergent because they have decreased over time in all countries but diverge in the magnitude and speed of change.

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经济合作与发展组织各国老年人疾病负担的趋同与差异
背景经济合作与发展组织(OECD)成员国的社会、经济和健康状况各不相同。目的a)按年龄组(65-74 岁和 75 岁以上)和性别分析各国老年人的年龄特异性死亡率(ASMR)和年龄特异性残疾调整生命年(DALY)率;b)估计年龄特异性残疾调整生命年率与社会人口指数(SDI)和医疗保健可及性与质量指数(HAQI)之间的关联。方法对《2019 年全球疾病负担、伤害和风险因素研究》(GBD)进行二次分析。报告了 1990 年、2005 年和 2019 年的 ASMR 和特定年龄 DALY 率。结果经合组织国家之间的 ASMR 和特定年龄 DALY 率的水平和变化存在差异。总体而言,在这两项指标中,男性在两个年龄组中的比率都较高。虽然 1990 年至 2019 年期间的比率有所下降,但一些国家的比率仍然高于社会经济水平较高的国家,这一点非常突出。65-74 岁成年人和 75 岁以上成年人的疾病负担情况也有所不同。几乎在所有情况下,特定年龄段的残疾调整寿命年数率与 SDI 和 HAQI 之间都存在负相关,且在统计学上具有显著意义。结论经合组织国家的死亡率和残疾调整寿命年数负担是趋同的,因为随着时间的推移,所有国家的死亡率和残疾调整寿命年数都有所下降,但在变化的幅度和速度上存在差异。
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来源期刊
Archives of Medical Research
Archives of Medical Research 医学-医学:研究与实验
CiteScore
12.50
自引率
0.00%
发文量
84
审稿时长
28 days
期刊介绍: Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.
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