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dc.contributor.authorKisa, Adnan
dc.contributor.authorKnudsen, Ann Kristin
dc.contributor.authorAllebeck, Peter
dc.contributor.authorTollånes, Mette Christophersen
dc.contributor.authorSkogen, Jens Christoffer
dc.contributor.authorIburg, Kim Moesgaard
dc.contributor.authorMcGrath, John J
dc.contributor.authorJuel, Knud
dc.contributor.authorAgardh, Emilie Elisabet
dc.contributor.authorArnlöv, Johan
dc.contributor.authorBjørge, Tone
dc.contributor.authorCarrero, Juan J.
dc.contributor.authorCederroth, Christopher R
dc.contributor.authorEggen, Anne Elise
dc.contributor.authorEl-Khatib, Ziad
dc.contributor.authorLycke Ellingsen, Christian
dc.contributor.authorFereshtehnejad, Seyed-Mohammad
dc.contributor.authorGissler, Mika
dc.contributor.authorHadkhale, Kishor
dc.contributor.authorHavmoeller, Rasmus
dc.contributor.authorJohansson, Lars
dc.contributor.authorJuliusson, Petur Benedikt
dc.contributor.authorKiadaliri, Aliasghar A.
dc.contributor.authorKisa, Sezer
dc.contributor.authorLallukka, Tea
dc.contributor.authorMekonnen, Teferi
dc.contributor.authorMeretoja, Tuomo J.
dc.contributor.authorMeretoja, Atte
dc.contributor.authorNaghavi, Mohsen
dc.contributor.authorNeupane, Subas
dc.contributor.authorNguyen, Truc Trung
dc.contributor.authorPetzold, Max
dc.contributor.authorPlana-Ripoll, Oleguer
dc.contributor.authorShiri, Rahman
dc.contributor.authorSigurvinsdottir, Rannveig
dc.contributor.authorSkirbekk, Vegard
dc.contributor.authorSkou, Søren T
dc.contributor.authorSigfusdottir, Inga Dora
dc.contributor.authorSteiner, Timothy J.
dc.contributor.authorSulo, Gerhard
dc.contributor.authorTruelsen, Thomas Clement
dc.contributor.authorVasankari, Tommi Juhani
dc.contributor.authorWeiderpass, Elisabete
dc.contributor.authorVollset, Stein Emil
dc.contributor.authorVos, Theo
dc.contributor.authorØverland, Simon
dc.identifier.citationKisa A, Knudsen AK, Allebeck P, Tollånes MC, Skogen JC, Iburg KM, McGrath JJ, Juel K, Agardh EE, Arnlöv J, Bjørge T, Carrero JJ, Cederroth CR, Eggen AE, El-Khatib Z, Lycke Ellingsen C, Fereshtehnejad S, Gissler M, Hadkhale K, Havmoeller R, Johansson L, Juliusson P, Kiadaliri AA, Kisa S, Lallukka T, Mekonnen T, Meretoja TJ, Meretoja A, Naghavi M, Neupane, Nguyen TT, Petzold M, Plana-Ripoll O, Shiri R, Sigurvinsdottir, Skirbekk V, Skou ST, Sigfusdottir ID, Steiner TJ, Sulo G, Truelsen, Vasankari TJ, Weiderpass E, Vollset SE, Vos T, Øverland S. Life expectancy and disease burden in the Nordic countries: results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. The Lancet Public Health. 2019en
dc.description.abstractBackground The Nordic countries have commonalities in gender equality, economy, welfare, and health care, but differ in culture and lifestyle, which might create country-wise health differences. This study compared life expectancy, disease burden, and risk factors in the Nordic region. Methods Life expectancy in years and age-standardised rates of overall, cause-specific, and risk factor-specific estimates of disability-adjusted life-years (DALYs) were analysed in the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017. Data were extracted for Denmark, Finland, Iceland, Norway, and Sweden (ie, the Nordic countries), and Greenland, an autonomous area of Denmark. Estimates were compared with global, high-income region, and Nordic regional estimates, including Greenland. Findings All Nordic countries exceeded the global life expectancy; in 2017, the highest life expectancy was in Iceland among females (85·9 years [95% uncertainty interval [UI] 85·5–86·4] vs 75·6 years [75·3–75·9] globally) and Sweden among males (80·8 years [80·2–81·4] vs 70·5 years [70·1–70·8] globally). Females (82·7 years [81·9–83·4]) and males (78·8 years [78·1–79·5]) in Denmark and males in Finland (78·6 years [77·8–79·2]) had lower life expectancy than in the other Nordic countries. The lowest life expectancy in the Nordic region was in Greenland (females 77·2 years [76·2–78·0], males 70·8 years [70·3–71·4]). Overall disease burden was lower in the Nordic countries than globally, with the lowest age-standardised DALY rates among Swedish males (18 555·7 DALYs [95% UI 15 968·6–21 426·8] per 100 000 population vs 35 834·3 DALYs [33 218·2–38 740·7] globally) and Icelandic females (16 074·1 DALYs [13 216·4–19 240·8] vs 29 934·6 DALYs [26 981·9–33 211·2] globally). Greenland had substantially higher DALY rates (26 666·6 DALYs [23 478·4–30 218·8] among females, 33 101·3 DALYs [30 182·3–36 218·6] among males) than the Nordic countries. Country variation was primarily due to differences in causes that largely contributed to DALYs through mortality, such as ischaemic heart disease. These causes dominated male disease burden, whereas non-fatal causes such as low back pain were important for female disease burden. Smoking and metabolic risk factors were high-ranking risk factors across all countries. DALYs attributable to alcohol use and smoking were particularly high among the Danes, as was alcohol use among Finnish males. Interpretation Risk factor differences might drive differences in life expectancy and disease burden that merit attention also in high-income settings such as the Nordic countries. Special attention should be given to the high disease burden in Greenland.en
dc.description.sponsorshipBill & Melinda Gates Foundation. The work on this paper was supported by the Research Council of Norway through FRIPRO (project number 262030) and by the Norwegian Institute of Public Health.en
dc.relation.ispartofseriesLancet Public Health;Published Online November 20, 2019
dc.rights© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.en
dc.subjectLife expectanciesen
dc.subjectDisease burdensen
dc.subjectRisk factorsen
dc.subjectNordic countriesen
dc.titleLife expectancy and disease burden in the Nordic countries: results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017en
dc.typeJournal articleen
dc.typePeer revieweden
dc.relation.projectIDNorges Forskningsråd 262030
dc.relation.journalThe Lancet Public Health

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© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.
Except where otherwise noted, this item's license is described as © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license.