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Pre-COVID life expectancy, mortality, and burden of diseases for adults 70 years and older in Australia : A systematic analysis for the Global Burden of Disease 2019 Study
Ciobanu, Liliana G. Baryshnikova, Nadezhda V. Jawahar, Magdalene Catharine Toben, Catherine G. Sokolenko, Elysia Arnet, Victoria Kiriaki Addo, Isaac Yeboah Adegboye, Oyelola A. Ahinkorah, Bright Opoku Alam, Khurshid
Ciobanu, Liliana G.
Baryshnikova, Nadezhda V.
Jawahar, Magdalene Catharine
Toben, Catherine G.
Sokolenko, Elysia
Arnet, Victoria Kiriaki
Addo, Isaac Yeboah
Adegboye, Oyelola A.
Ahinkorah, Bright Opoku
Alam, Khurshid
Author
Ciobanu, Liliana G.
Baryshnikova, Nadezhda V.
Jawahar, Magdalene Catharine
Toben, Catherine G.
Sokolenko, Elysia
Arnet, Victoria Kiriaki
Addo, Isaac Yeboah
Adegboye, Oyelola A.
Ahinkorah, Bright Opoku
Alam, Khurshid
Alif, Sheikh Mohammad
Ameyaw, Edward Kwabena
Anderlini, Deanna
Angell, Blake
Ansar, Adnan
Anyasodor, Anayochukwu Edward
Astell-Burt, Thomas
Atorkey, Prince
Ayala Quintanilla, Beatriz Paulina
Ayano, Getinet
Babu, Abraham Samuel
Bagheri, Nasser
Baune, Bernhard T.
Bhandari, Dinesh
Bhaskar, Sonu
Boufous, Soufiane
Briggs, Andrew M.
Bulamu, Norma B.
Burns, Richard A.
Carvalho, Andre F.
Cerin, Ester
Cherbuin, Nicolas
Chowdhury, Enayet Karim
Cross, Marita
De Leo, Diego
Driscoll, Tim Robert
Du, Mi
Edvardsson, David
Edvardsson, Kristina
Efendi, Ferry
Endalamaw, Aklilu
Fauk, Nelsensius Klau
Flavel, Joanne
Franklin, Richard Charles
Gill, Tiffany K.
Gupta, Bhawna
Gupta, Vivek Kumar
Hamiduzzaman, Mohammad
Hankey, Graeme J.
Hay, Simon I.
Hebert, Jeffrey J.
Hendrie, Delia
Hill, Catherine L.
Huda, M. Mamun
Shariful Islam, Sheikh Mohammed
Kaambwa, Billingsley
Kandel, Himal
Kassie, Gizat M.
Kerr, Jessica A.
Khan, Asaduzzaman
Khan, M. Nuruzzaman
Kulkarni, Vishnutheertha
Lalloo, Ratilal
Dao Le, Long Khanh
Leigh, James
Liu, Gang
Mahumud, Rashidul Alam
Mamun, Abdullah A.
McGrath, John J.
Meretoja, Atte
Miller, Ted R.
Mitchell, Philip B.
Mokdad, Ali H.
Morawska, Lidia
Obamiro, Kehinde O.
Peden, Amy E.
Pesudovs, Konrad
Rahman, Azizur
Rahman, Md Mijanur
Rahman, Muhammad Aziz
Ratan, Zubair Ahmed
Rawal, Lal
Rumisha, Susan Fred
Sachdev, Perminder S.
Seidu, Abdul-Aziz
Sharma, Saurab
Shorofi, Seyed Afshin
Siabani, Soraya
Singh, Ambrish
Singh, Balbir Bagicha
Slater, Helen
Stokes, Mark A.
Subedi, Narayan
Tadakamadla, Santosh Kumar
Thrift, Amanda G.
Ngoc Tran, Mai Thi
Vandelanotte, Corneel
Wang, Ning
Ward, Paul
Woodward, Mark
Xu, Xiaoyue
Yadav, Lalit
Zaman, Sojib Bin
Zhang, Jianrong
Clark, Scott Richard
Baryshnikova, Nadezhda V.
Jawahar, Magdalene Catharine
Toben, Catherine G.
Sokolenko, Elysia
Arnet, Victoria Kiriaki
Addo, Isaac Yeboah
Adegboye, Oyelola A.
Ahinkorah, Bright Opoku
Alam, Khurshid
Alif, Sheikh Mohammad
Ameyaw, Edward Kwabena
Anderlini, Deanna
Angell, Blake
Ansar, Adnan
Anyasodor, Anayochukwu Edward
Astell-Burt, Thomas
Atorkey, Prince
Ayala Quintanilla, Beatriz Paulina
Ayano, Getinet
Babu, Abraham Samuel
Bagheri, Nasser
Baune, Bernhard T.
Bhandari, Dinesh
Bhaskar, Sonu
Boufous, Soufiane
Briggs, Andrew M.
Bulamu, Norma B.
Burns, Richard A.
Carvalho, Andre F.
Cerin, Ester
Cherbuin, Nicolas
Chowdhury, Enayet Karim
Cross, Marita
De Leo, Diego
Driscoll, Tim Robert
Du, Mi
Edvardsson, David
Edvardsson, Kristina
Efendi, Ferry
Endalamaw, Aklilu
Fauk, Nelsensius Klau
Flavel, Joanne
Franklin, Richard Charles
Gill, Tiffany K.
Gupta, Bhawna
Gupta, Vivek Kumar
Hamiduzzaman, Mohammad
Hankey, Graeme J.
Hay, Simon I.
Hebert, Jeffrey J.
Hendrie, Delia
Hill, Catherine L.
Huda, M. Mamun
Shariful Islam, Sheikh Mohammed
Kaambwa, Billingsley
Kandel, Himal
Kassie, Gizat M.
Kerr, Jessica A.
Khan, Asaduzzaman
Khan, M. Nuruzzaman
Kulkarni, Vishnutheertha
Lalloo, Ratilal
Dao Le, Long Khanh
Leigh, James
Liu, Gang
Mahumud, Rashidul Alam
Mamun, Abdullah A.
McGrath, John J.
Meretoja, Atte
Miller, Ted R.
Mitchell, Philip B.
Mokdad, Ali H.
Morawska, Lidia
Obamiro, Kehinde O.
Peden, Amy E.
Pesudovs, Konrad
Rahman, Azizur
Rahman, Md Mijanur
Rahman, Muhammad Aziz
Ratan, Zubair Ahmed
Rawal, Lal
Rumisha, Susan Fred
Sachdev, Perminder S.
Seidu, Abdul-Aziz
Sharma, Saurab
Shorofi, Seyed Afshin
Siabani, Soraya
Singh, Ambrish
Singh, Balbir Bagicha
Slater, Helen
Stokes, Mark A.
Subedi, Narayan
Tadakamadla, Santosh Kumar
Thrift, Amanda G.
Ngoc Tran, Mai Thi
Vandelanotte, Corneel
Wang, Ning
Ward, Paul
Woodward, Mark
Xu, Xiaoyue
Yadav, Lalit
Zaman, Sojib Bin
Zhang, Jianrong
Clark, Scott Richard
Abstract
Background
The Australian population aged 70 and above is increasing and imposing new challenges for policy makers and providers to deliver accessible, appropriate and affordable health care. We examine pre-COVID patterns of health loss between 1990 and 2019 to inform policies and practices.
Methods
Using the standardised methodology framework and analytical strategies from GBD 2019 methodologies, we estimated mortality, causes of death, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs), life expectancy at age 70 and above (LE-70), and healthy life expectancy (HALE-70) in Australia comparing them globally and with high socio-demographic index (SDI) groups.
Findings
DALY rates have been improving steadily over the past 30 years among Australians aged 70 and above. Decreases in DALY rates were primarily attributed to a fall in YLLs attributable to cardiovascular diseases (60%) and chronic respiratory disorders (30.2%) and transport injuries (56.9%), while the non-fatal burden remained stable from 1990 to 2019. According to the DALY rates, the top five leading causes are ischemic heart disease, Alzheimer's disease, COPD, stroke, and falls, where falls exhibited the largest increase since 1990.
Interpretation
This study provides an in-depth report on the main causes of mortality and disability in Australia's population aged 70 and above. It sheds light on the shifts in burden over three decades, emphasising the need for the Australian health system to enhance its readiness in addressing the escalating demands of an ageing population. These findings establish pre-COVID baseline estimates for Australia's population aged 70 and above, informing healthcare preparedness.
Funding
Bill & Melinda Gates Foundation.
Keywords
GBD 2019, Global Burden of Disease Study, Australia, aged 70 and above
Date
2024
Type
Journal article
Journal
The Lancet Regional Health - Western Pacific
Book
Volume
47
Issue
Page Range
1-14
Article Number
Article 101092
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY 4.0
File Access
Open
Notes
© 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).