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Population vulnerability to COVID-19 in Europe: a burden of disease analysis

2020-05-29Journal article Open access
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dc.contributor.authorWyper, Grant M.A.
dc.contributor.authorAssunção, Ricardo
dc.contributor.authorCuschieri, Sarah
dc.contributor.authorDevleesschauwer, Brecht
dc.contributor.authorFletcher, Eilidh
dc.contributor.authorHaagsma, Juanita A.
dc.contributor.authorHilderink, Henk B.M.
dc.contributor.authorIdavain, Jane
dc.contributor.authorLesnik, Tina
dc.contributor.authorVon der Lippe, Elena
dc.contributor.authorMajdan, Marek
dc.contributor.authorMilicevic, Milena S.
dc.contributor.authorPallari, Elena
dc.contributor.authorPeñalvo, José L.
dc.contributor.authorPires, Sara M.
dc.contributor.authorPlaß, Dietrich
dc.contributor.authorSantos, João V.
dc.contributor.authorStockton, Diane L.
dc.contributor.authorThomsen, Sofie Theresa
dc.contributor.authorGrant, Ian
dc.date.accessioned2021-03-15T15:37:19Z
dc.date.available2021-03-15T15:37:19Z
dc.date.issued2020-05-29
dc.descriptionErratum in: Wyper GMA, Assunção R, Cuschieri S, Devleesschauwer B, Fletcher E, Haagsma JA, Hilderink HBM, Idavain J, Lesnik T, Von der Lippe E, Majdan M, Milicevic MS, Pallari E, Peñalvo JL, Pires SM, Plaß D, Santos JV, Stockton DL, Thomsen ST, Grant I. Arch Public Health. 2020 Jun 18;78:57. doi: 10.1186/s13690-020-00437-8. eCollection 2020. "[This corrects the article DOI: 10.1186/s13690-020-00433-y.]."
dc.description.abstractBackground: Evidence has emerged showing that elderly people and those with pre-existing chronic health conditions may be at higher risk of developing severe health consequences from COVID-19. In Europe, this is of particular relevance with ageing populations living with non-communicable diseases, multi-morbidity and frailty. Published estimates of Years Lived with Disability (YLD) from the Global Burden of Disease (GBD) study help to characterise the extent of these effects. Our aim was to identify the countries across Europe that have populations at highest risk from COVID-19 by using estimates of population age structure and YLD for health conditions linked to severe illness from COVID-19. Methods: Population and YLD estimates from GBD 2017 were extracted for 45 countries in Europe. YLD was restricted to a list of specific health conditions associated with being at risk of developing severe consequences from COVID-19 based on guidance from the United Kingdom Government. This guidance also identified individuals aged 70 years and above as being at higher risk of developing severe health consequences. Study outcomes were defined as: (i) proportion of population aged 70 years and above; and (ii) rate of YLD for COVID-19 vulnerable health conditions across all ages. Bivariate groupings were established for each outcome and combined to establish overall population-level vulnerability. Results: Countries with the highest proportions of elderly residents were Italy, Greece, Germany, Portugal and Finland. When assessments of population-level YLD rates for COVID-19 vulnerable health conditions were made, the highest rates were observed for Bulgaria, Czechia, Croatia, Hungary and Bosnia and Herzegovina. A bivariate analysis indicated that the countries at high-risk across both measures of vulnerability were: Bulgaria; Portugal; Latvia; Lithuania; Greece; Germany; Estonia; and Sweden. Conclusion: Routine estimates of population structures and non-fatal burden of disease measures can be usefully combined to create composite indicators of vulnerability for rapid assessments, in this case to severe health consequences from COVID-19. Countries with available results for sub-national regions within their country, or national burden of disease studies that also use sub-national levels for burden quantifications, should consider using non-fatal burden of disease estimates to estimate geographical vulnerability to COVID-19.pt_PT
dc.description.sponsorshipThis research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors. Journal open access publications fees upon acceptance of this article in a peer-reviewed journal will be reimbursed under the COST action CA18218 (European Burden of Disease Network)pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArch Public Health. 2020 May 29;78:47. doi: 10.1186/s13690-020-00433-y. eCollection 2020pt_PT
dc.identifier.doi10.1186/s13690-020-00433-ypt_PT
dc.identifier.issn0778-7367
dc.identifier.urihttp://hdl.handle.net/10400.18/7495
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBMCpt_PT
dc.relation.publisherversionhttps://archpublichealth.biomedcentral.com/articles/10.1186/s13690-020-00433-ypt_PT
dc.subjectBurden of Diseasept_PT
dc.subjectCOVID-19pt_PT
dc.subjectCoronaviruspt_PT
dc.subjectDALYpt_PT
dc.subjectEuropean Burden of Disease Networkpt_PT
dc.subjectGBDpt_PT
dc.subjectSummary Measures of Population Healthpt_PT
dc.subjectVulnerabilitypt_PT
dc.subjectYLDpt_PT
dc.subjectEuropept_PT
dc.subjectAvaliação do Impacte em Saúdept_PT
dc.titlePopulation vulnerability to COVID-19 in Europe: a burden of disease analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage47pt_PT
oaire.citation.titleArchives of Public Healthpt_PT
oaire.citation.volume78pt_PT
rcaap.embargofctAcesso de acordo com página web do editor da revista.pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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