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@article{Hay:2017:10.1016/S0140-6736(17)32130-X,
author = {Hay, SI and Abajobir, AA and Abate, KH and Abbafati, C and Abbas, KM and Abd-Allah, F and Abdulle, AM and Abebo, TA and Abera, SF and Aboyans, V and Abu-Raddad, LJ and Ackerman, IN and Adedeji, IA and Adetokunboh, O and Afshin, A and Aggarwal, R and Agrawal, S and Agrawal, A and Kiadaliri, AA and Ahmed, MB and Aichour, AN and Aichour, I and Aichour, MTE and Aiyar, S and Akinyemiju, TF and Akseer, N and Al, Lami FH and Alahdab, F and Al-Aly, Z and Alam, K and Alam, N and Alam, T and Alasfoor, D and Alene, KA and Ali, R and Alizadeh-Navaei, R and Alkaabi, JM and Alkerwi, A and Alla, F and Allebeck, P and Allen, C and Al-Maskari, F and AlMazroa, MA and Al-Raddadi, R and Alsharif, U and Alsowaidi, S and Althouse, BM and Altirkawi, KA and Alvis-Guzman, N and Amare, AT and Amini, E and Ammar, W and Ampem, YA and Ansha, MG and Antonio, CAT and Anwari, P and Arnlov, J and Arora, M and Al, A and Aryal, KK and Asgedom, SW and Atey, TM and Atnafu, NT and Avila-Burgos, L and Avokpaho, EFGA and Awa},
doi = {10.1016/S0140-6736(17)32130-X},
journal = {Lancet},
pages = {1260--1344},
title = {Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016},
url = {http://dx.doi.org/10.1016/S0140-6736(17)32130-X},
volume = {390},
year = {2017}
}

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TY  - JOUR
AB  - BackgroundMeasurement of changes in health across locations is useful to compare and contrast changing epidemiological patterns against health system performance and identify specific needs for resource allocation in research, policy development, and programme decision making. Using the Global Burden of Diseases, Injuries, and Risk Factors Study 2016, we drew from two widely used summary measures to monitor such changes in population health: disability-adjusted life-years (DALYs) and healthy life expectancy (HALE). We used these measures to track trends and benchmark progress compared with expected trends on the basis of the Socio-demographic Index (SDI).MethodsWe used results from the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 for all-cause mortality, cause-specific mortality, and non-fatal disease burden to derive HALE and DALYs by sex for 195 countries and territories from 1990 to 2016. We calculated DALYs by summing years of life lost and years of life lived with disability for each location, age group, sex, and year. We estimated HALE using age-specific death rates and years of life lived with disability per capita. We explored how DALYs and HALE differed from expected trends when compared with the SDI: the geometric mean of income per person, educational attainment in the population older than age 15 years, and total fertility rate.FindingsThe highest globally observed HALE at birth for both women and men was in Singapore, at 75·2 years (95% uncertainty interval 71·9–78·6) for females and 72·0 years (68·8–75·1) for males. The lowest for females was in the Central African Republic (45·6 years [42·0–49·5]) and for males was in Lesotho (41·5 years [39·0–44·0]). From 1990 to 2016, global HALE increased by an average of 6·24 years (5·97–6·48) for both sexes combined. Global HALE increased by 6·04 years (
AU  - Hay,SI
AU  - Abajobir,AA
AU  - Abate,KH
AU  - Abbafati,C
AU  - Abbas,KM
AU  - Abd-Allah,F
AU  - Abdulle,AM
AU  - Abebo,TA
AU  - Abera,SF
AU  - Aboyans,V
AU  - Abu-Raddad,LJ
AU  - Ackerman,IN
AU  - Adedeji,IA
AU  - Adetokunboh,O
AU  - Afshin,A
AU  - Aggarwal,R
AU  - Agrawal,S
AU  - Agrawal,A
AU  - Kiadaliri,AA
AU  - Ahmed,MB
AU  - Aichour,AN
AU  - Aichour,I
AU  - Aichour,MTE
AU  - Aiyar,S
AU  - Akinyemiju,TF
AU  - Akseer,N
AU  - Al,Lami FH
AU  - Alahdab,F
AU  - Al-Aly,Z
AU  - Alam,K
AU  - Alam,N
AU  - Alam,T
AU  - Alasfoor,D
AU  - Alene,KA
AU  - Ali,R
AU  - Alizadeh-Navaei,R
AU  - Alkaabi,JM
AU  - Alkerwi,A
AU  - Alla,F
AU  - Allebeck,P
AU  - Allen,C
AU  - Al-Maskari,F
AU  - AlMazroa,MA
AU  - Al-Raddadi,R
AU  - Alsharif,U
AU  - Alsowaidi,S
AU  - Althouse,BM
AU  - Altirkawi,KA
AU  - Alvis-Guzman,N
AU  - Amare,AT
AU  - Amini,E
AU  - Ammar,W
AU  - Ampem,YA
AU  - Ansha,MG
AU  - Antonio,CAT
AU  - Anwari,P
AU  - Arnlov,J
AU  - Arora,M
AU  - Al,A
AU  - Aryal,KK
AU  - Asgedom,SW
AU  - Atey,TM
AU  - Atnafu,NT
AU  - Avila-Burgos,L
AU  - Avokpaho,EFGA
AU  - Awasthi,A
AU  - Awasthi,S
AU  - Quintanilla,BPA
AU  - Azarpazhooh,MR
AU  - Azzopardi,P
AU  - Babalola,TK
AU  - Bacha,U
AU  - Badawi,A
AU  - Balakrishnan,K
AU  - Bannick,MS
AU  - Barac,A
AU  - Barker-Collo,SL
AU  - Barnighausen,T
AU  - Barquera,S
AU  - Barrero,LH
AU  - Basu,S
AU  - Battista,R
AU  - Battle,KE
AU  - Baune,BT
AU  - Bazargan-Hejazi,S
AU  - Beardsley,J
AU  - Bedi,N
AU  - Bejot,Y
AU  - Bekele,BB
AU  - Bell,ML
AU  - Bennett,DA
AU  - Bennett,JR
AU  - Bensenor,IM
AU  - Benson,J
AU  - Berhane,A
AU  - Berhe,DF
AU  - Bernabe,E
AU  - Betsu,BD
AU  - Beuran,M
AU  - Beyene,AS
AU  - Bhansali,A
AU  - Bhatt,S
AU  - Bhutta,ZA
AU  - Biadgilign,S
AU  - Bienhoff,K
AU  - Bikbov,B
AU  - Birungi,C
AU  - Biryukov,S
AU  - Bisanzio,D
AU  - Bizuayehu,HM
AU  - Blyth,FM
AU  - Boneya,DJ
AU  - Bose,D
AU  - Bou-Orm,IR
AU  - Bourne,RRA
AU  - Brainin,M
AU  - Brayne,CEG
AU  - Brazinova,A
AU  - Breitborde,NJK
AU  - Briant,PS
AU  - Britton,G
AU  - Brugha,TS
AU  - Buchbinder,R
AU  - Bulto,LNB
AU  - Bumgarner,B
AU  - Butt,ZA
AU  - Cahuana-Hurtado,L
AU  - Cameron,E
AU  - Ricardo,Campos-Nonato I
AU  - Carabin,H
AU  - Cardenas,R
AU  - Carpenter,DO
AU  - Carrero,JJ
AU  - Carter,A
AU  - Carvalho,F
AU  - Casey,D
AU  - Castaneda-Orjuela,CA
AU  - Rivas,JC
AU  - Castle,CD
AU  - Catala-Lopez,F
AU  - Chang,J-C
AU  - Charlson,FJ
AU  - Chaturvedi,P
AU  - Chen,H
AU  - Chibalabala,M
AU  - Chibueze,CE
AU  - Chisumpa,VH
AU  - Chitheer,AA
AU  - Chowdhury,R
AU  - Christopher,DJ
AU  - Ciobanu,LG
AU  - Cirillo,M
AU  - Colombara,D
AU  - Cooper,LT
AU  - Cooper,C
AU  - Cortesi,PA
AU  - Cortinovis,M
AU  - Criqui,MH
AU  - Cromwell,EA
AU  - Cross,M
AU  - Crump,JA
AU  - Dadi,AF
AU  - Dalal,K
AU  - Damasceno,A
AU  - Dandona,L
AU  - Dandona,R
AU  - das,Neves J
AU  - Davitoiu,DV
AU  - Davletov,K
AU  - de,Cour
DO  - 10.1016/S0140-6736(17)32130-X
EP  - 1344
PY  - 2017///
SN  - 0140-6736
SP  - 1260
TI  - Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
T2  - Lancet
UR  - http://dx.doi.org/10.1016/S0140-6736(17)32130-X
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000410630000005&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - http://hdl.handle.net/10044/1/54151
VL  - 390
ER  -

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