Affiliation: | 1.Parc Sanitari Sant Joan de Déu,Universitat de Barcelona, Fundació Sant Joan de Déu. Dr Antoni Pujades,Barcelona,Spain;2.Instituto de Salud Carlos III,Centro de Investigación Biomédica en Red de Salud Mental CIBERSAM,Madrid,Spain;3.Unitat de Reumatologia. Hospital de la Santa Creu i Sant Pau,Universitat Autònoma de Barcelona,Barcelona,Spain;4.Instituto de Salud Musculoesquelética (InMusc),Calle Hilarión,Madrid,Spain;5.Institute of Bone and Joint Research,Royal North Shore Hospital, University of Sydney, Pacific Hwy,St Leonards,Australia;6.Institut d’Investigació Biomèdica de Bellvitge,Hospital Universitari de Bellvitge, Freixa Llarga s/n, 08907?L’Hospitalet de Llobregat,Barcelona,Spain;7.Rheumatology Division,Cruces University Hospital, Crystal-induced arthritis investigation team, BioCruces Health Investigation Institute,Baracaldo,Spain;8.Institute for Health Metrics and Evaluation,University of Washington,Seattle,USA |
Abstract: | BackgroundWe herein evaluate the Spanish population’s trends in health burden by comparing results of two Global Burden of Diseases, Injuries, and Risk Factors Studies (the GBD studies) performed 20 years apart.MethodsData is part of the GBD study for 1990 and 2010. We present results for mortality, years of life lost (YLLs), years lived with disability, and disability-adjusted life years (DALYs) for the Spanish population. Uncertainty intervals for all measures have been estimated.ResultsNon-communicable diseases accounted for 3,703,400 (95% CI 3,648,270–3,766,720) (91.3%) of 4,057,400 total deaths, in the Spanish population. Cardiovascular and circulatory diseases were the main cause of mortality among non-communicable diseases (34.7% of total deaths), followed by neoplasms (27.1% of total deaths). Neoplasms, cardiovascular and circulatory diseases, and chronic respiratory diseases were the top three leading causes for YLLs. The most important causes of DALYs in 2010 were neoplasms, cardiovascular and circulatory diseases, musculoskeletal disorders, and mental and behavioral disorders.ConclusionsMortality and disability in Spain have become even more linked to non-communicable diseases over the last years, following the worldwide trends. Cardiovascular and circulatory diseases, neoplasms, mental and behavioral disorders, and neurological disorders are the leading causes of mortality and disability. Specific focus is needed from health care providers and policy makers to develop health promotion and health education programs directed towards non-communicable disorders. |