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The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: Findings from the Global Burden of Disease Study 2019
G. Castelpietra, AKS. Knudsen, EE. Agardh, B. Armocida, M. Beghi, KM. Iburg, G. Logroscino, R. Ma, F. Starace, N. Steel, G. Addolorato, CL. Andrei, T. Andrei, JL. Ayuso-Mateos, M. Banach, TW. Bärnighausen, F. Barone-Adesi, AS. Bhagavathula, F....
Jazyk angličtina Země Velká Británie
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2021
PubMed Central
od 2021
Elsevier Open Access Journals
od 2021-02-01
ROAD: Directory of Open Access Scholarly Resources
od 2020
- Publikační typ
- časopisecké články MeSH
Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 - 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432-912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9-412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (-29·1%;23·8-38·5). YLLs decreased in self-harm (-27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation.
Academic Public Health England London UK
Associated Laboratory for Green Chemistry University of Porto Porto Portugal
Biomedical Research Networking Center for Mental Health Network Barcelona Spain
Cardiology Department Carol Davila University of Medicine and Pharmacy Bucharest Romania
Catalan Institution for Research and Advanced Studies Barcelona Spain
Center for Global Mental Health London School of Hygiene and Tropical Medicine London UK
Center for Innovation in Medical Education Pomeranian Medical University Szczecin Poland
Centre for Disease Burden Norwegian Institute of Public Health Bergen Norway
Child and Adolescent Mental Health Services Hospital Garcia de Orta Almada Portugal
CIBERSAM Institute of Health Carlos 3 Madrid Spain
Clinic of Social and Family Medicine University of Crete Heraklion Greece
Clinical and Epidemiological Research in Primary Care Cordoba Spain
Clinical and Experimental Medicine University of Catania Catania Italy
Clinical Microbiology and Parasitology Unit Dr Zora Profozic Polyclinic Zagreb Croatia
Department of Anatomy and Embryology Romania Bucharest Romania
Department of Biological Sciences University of Porto Porto Portugal
Department of Biomedical and Neuromotor Sciences University of Bologna Bologna Italy
Department of Chemical Sciences University of Porto Porto Portugal
Department of Chemistry University of Porto Porto Portugal
Department of Clinical Toxicology Guy's and St Thomas' NHS Foundation Trust London UK
Department of Epidemiology and Prevention IRCCS Neuromed Pozzilli Italy
Department of Epidemiology and Public Health University College London London UK
Department of Family Medicine and Public Health University of Opole Opole Poland
Department of General Surgery Carol Davila University of Medicine and Pharmacy Bucharest Romania
Department of General Surgery Emergency Hospital of Bucharest Bucharest Romania
Department of Global Community Health and Behavioral Sciences Tulane University New Orleans LA USA
Department of Global Public Health Karolinska Institute Stockholm Sweden
Department of Health and Behavior Studies Columbia University New York NY USA
Department of Health Care Management Technical University of Berlin Berlin Germany
Department of Health Sciences University of Leicester Leicester UK
Department of Healthcare University of Vlora Vlora city Albania
Department of Hypertension Medical University of Lodz Lodz Poland
Department of Internal Medicine Catholic University of Rome Rome Italy
Department of International Public Health University of Liverpool Liverpool UK
Department of Medicine University of Porto Porto Portugal
Department of Medicine University of Valencia Valencia Spain
Department of Mental Health and Drug Abuse AUSL Modena Modena Italy
Department of Mental Health AUSL Romagna Ravenna Italy
Department of Molecular Medicine and Surgery Karolinska Institute Stockholm Sweden
Department of Neurology Technical University of Munich Munich Germany
Department of Nursing and Health Promotion Oslo Metropolitan University Oslo Norway
Department of Nursing Debre Berhan University Debre Berhan Ethiopia
Department of Ophthalmology Heidelberg University Mannheim Germany
Department of Pathology and Legal Medicine University of São Paulo Ribeirão Preto Brazil
Department of Pediatrics National Hospital Abuja Nigeria
Department of Pharmacy University of Huddersfield Huddersfield UK
Department of Primary Care and Mental Health University of Liverpool Liverpool UK
Department of Primary Care and Public Health Imperial College London London UK
Department of Primary Care and Public Health University of East Anglia Norwich UK
Department of Psychiatry and Psychotherapy University of Regensburg Regensburg Germany
Department of Psychiatry Universidad Autónoma de Madrid Madrid Spain
Department of Psychiatry University of Nairobi Nairobi Kenya
Department of Psychology Reykjavik University Reykjavik Iceland
Department of Psychosocial Science University of Bergen Bergen Norway
Department of Public Health Aarhus University Aarhus Denmark
Department of Public Health Erasmus University Medical Center Rotterdam Netherlands
Department of Public Health University of Helsinki Helsinki Finland
Department of Public Health University of Naples Federico 2 Naples Italy
Department of Social and Clinical Pharmacy Charles University Hradec Kralova Czech Republic
Department of Statistics and Econometrics Bucharest University of Economic Studies Bucharest Romania
Department of Surgery General University Hospital of Patras Patras Greece
Department of Translational Medicine University of Eastern Piedmont Novara Italy
Division of Psychiatry and Applied Psychology University of Nottingham Nottingham UK
Division of Psychology and Language Sciences University College London London UK
Division of Pulmonary Medicine University of Lausanne Lausanne Switzerland
Epidemiology and Medical Statistics University of Ibadan Ibadan Nigeria
Faculty of Health and Public Administration Semmelweis University Budapest Hungary
Faculty of Health Sciences University Fernando Pessoa Porto Portugal
Faculty of Life Sciences and Medicine King's College London London UK
Faculty of Medical Sciences University of the West Indies St Augustine Trinidad and Tobago
Faculty of Medicine and Health Technology Tampere University Tampere Finland
Family Medicine Department United Arab Emirates University Al Ain United Arab Emirates
Finnish Institute of Occupational Health Helsinki Finland
Functional Neurosurgery Research Center Shahid Beheshti University of Medical Sciences Tehram Iran
Global Health Governance Programme University of Edinburgh Edinburgh UK
Health Policy Research Public Health Foundation of India Gurugram India
Health Services Management Training Centre Semmelweis University Budapest Hungary
Health Systems and Policy Research Unit Ahmadu Bello University Zaria Nigeria
Heidelberg Institute of Global Health Heidelberg University Heidelberg Germany
Independent Consultant Athens Greece
Institute of Addiction Research Frankfurt University of Applied Sciences Frankfurt Germany
Institute of Applied Health Research University of Birmingham Birmingham UK
Institute of Epidemiology and Medical Biometry Ulm University Ulm Germany
Institute of Health and Society University of Oslo Oslo Norway
Institute of Infection and Immunity St George's University of London London UK
Institute of Molecular and Clinical Ophthalmology Basel Basel Switzerland
Institute of Population Health Sciences University of Liverpool Liverpool UK
Institute of Public Health Charité Universitätsmedizin Berlin Berlin Germany
Institute of Public Health United Arab Emirates University Al Ain United Arab Emirates
Laboratory of Toxicology University of Porto Porto Portugal
London Institute for Healthcare Engineering King's College London London UK
Medical School University of Thessaly Larissa Greece
MRC CSO Social and Public Health Sciences Unit University of Glasgow Glasgow UK
National Centre for AIDS and STD Control Save the Children Kathmandu Nepal
National Centre for Register based Research Aarhus University Aarhus Denmark
National School of Public Health Institute of Health Carlos 3 Madrid Spain
Outpatient and Inpatient Care Service Central Health Directorate Region Friuli Venezia Giulia Italy
Polish Mothers' Memorial Hospital Research Institute Lodz Poland
Population and Behavioural Sciences University of St Andrews St Andrews UK
Primary Care Department NHS North West London London UK
Privatpraxis Heidelberg Germany
Psychiatry and Medical Psychology Department University of Lisbon Lisbon Portugal
Psychiatry Department Hospital Universitario Doctor Peset Valencia Spain
Public Health England London UK
Research Center in Epidemiology and Preventive Medicine University of Insubria Varese Italy
Research Center on Public Health University of Milan Bicocca Monza Italy
Research Unit on Applied Molecular Biosciences University of Porto Porto Portugal
Research Unit University of Barcelona Barcelona Spain
School of Biomedical Sciences and Pharmacy University of Newcastle Newcastle NSW Australia
School of Dentistry University of Leeds Leeds UK
School of Health Polytechnic Institute of Porto Portugal
School of Health Sciences Kristiania University College Oslo Norway
School of Public Health The University of Queensland Brisbane QLD Australia
Surgery Research Unit University of Oulu Oulu Finland
Surgery Sf Pantelimon Emergency Clinical Hospital Bucharest Bucharest Romania
Swiss Research Institute for Public Health and Addiction University of Zürich Zurich Switzerland
T H Chan School of Public Health Harvard University Boston MA USA
UCD Centre for Disability Studies University College Dublin Dublin Ireland
UCL Great Ormond Street Institute of Child Health University College London London UK
University Centre Varazdin University North Varazdin Croatia
University College London Hospitals London UK
University Research Institute National and Kapodistrian University of Athens Athens Greece
Vision and Eye Research Institute Anglia Ruskin University Cambridge UK
WHO Collaborating Centre for Public Health Education and Training Imperial College London London UK
Citace poskytuje Crossref.org
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- $a The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: Findings from the Global Burden of Disease Study 2019 / $c G. Castelpietra, AKS. Knudsen, EE. Agardh, B. Armocida, M. Beghi, KM. Iburg, G. Logroscino, R. Ma, F. Starace, N. Steel, G. Addolorato, CL. Andrei, T. Andrei, JL. Ayuso-Mateos, M. Banach, TW. Bärnighausen, F. Barone-Adesi, AS. Bhagavathula, F. Carvalho, M. Carvalho, JS. Chandan, VK. Chattu, RAS. Couto, N. Cruz-Martins, PI. Dargan, K. Deuba, DD. da Silva, AF. Fagbamigbe, E. Fernandes, P. Ferrara, F. Fischer, PA. Gaal, A. Gialluisi, JA. Haagsma, JM. Haro, MT. Hasan, SS. Hasan, S. Hostiuc, L. Iacoviello, I. Iavicoli, E. Jamshidi, JB. Jonas, T. Joo, JJ. Jozwiak, SV. Katikireddi, JH. Kauppila, MAB. Khan, A. Kisa, S. Kisa, M. Kivimäki, KN. Koly, A. Koyanagi, M. Kumar, T. Lallukka, B. Langguth, C. Ledda, PH. Lee, I. Lega, C. Linehan, JA. Loureiro, ÁM. Madureira-Carvalho, J. Martinez-Raga, MR. Mathur, JJ. McGrath, EA. Mechili, AA. Mentis, T. Mestrovic, B. Miazgowski, A. Mirica, A. Mirijello, B. Moazen, S. Mohammed, F. Mulita, G. Nagel, I. Negoi, RI. Negoi, VE. Nwatah, A. Padron-Monedero, S. Panda-Jonas, S. Pardhan, M. Pasovic, J. Patel, IR. Petcu, M. Pinheiro, RCG. Pollok, MJ. Postma, DL. Rawaf, S. Rawaf, E. Romero-Rodríguez, L. Ronfani, D. Sagoe, F. Sanmarchi, MP. Schaub, NT. Sharew, R. Shiri, F. Shokraneh, ID. Sigfusdottir, JP. Silva, R. Silva, B. Socea, M. Szócska, R. Tabarés-Seisdedos, M. Torrado, MR. Tovani-Palone, TJ. Vasankari, M. Veroux, RM. Viner, A. Werdecker, AS. Winkler, SI. Hay, AJ. Ferrari, M. Naghavi, P. Allebeck, L. Monasta
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- $a Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 - 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432-912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9-412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (-29·1%;23·8-38·5). YLLs decreased in self-harm (-27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation.
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- 700 1_
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- 700 1_
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- 700 1_
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- 700 1_
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