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المؤلفMokdad, Ali H
المؤلفForouzanfar, Mohammad Hossein
المؤلفDaoud, Farah
المؤلفEl Bcheraoui, Charbel
المؤلفMoradi-Lakeh, Maziar
المؤلفKhalil, Ibrahim
المؤلفAfshin, Ashkan
المؤلفTuffaha, Marwa
المؤلفCharara, Raghid
المؤلفBarber, Ryan M
المؤلفWagner, Joseph
المؤلفCercy, Kelly
المؤلفKravitz, Hannah
المؤلفCoates, Matthew M
المؤلفRobinson, Margaret
المؤلفEstep, Kara
المؤلفSteiner, Caitlyn
المؤلفJaber, Sara
المؤلفMokdad, Ali A
المؤلفO'Rourke, Kevin F
المؤلفChew, Adrienne
المؤلفKim, Pauline
المؤلفEl Razek, Mohamed Magdy Abd
المؤلفAbdalla, Safa
المؤلفAbd-Allah, Foad
المؤلفAbraham, Jerry P
المؤلفAbu-Raddad, Laith J
المؤلفAbu-Rmeileh, Niveen M E
المؤلفAl-Nehmi, Abdulwahab A
المؤلفAkanda, Ali S
المؤلفAl Ahmadi, Hanan
المؤلفAl Khabouri, Mazin J
المؤلفAl Lami, Faris H
المؤلفAl Rayess, Zulfa A
المؤلفAlasfoor, Deena
المؤلفAlBuhairan, Fadia S
المؤلفAldhahri, Saleh F
المؤلفAlghnam, Suliman
المؤلفAlhabib, Samia
المؤلفAl-Hamad, Nawal
المؤلفAli, Raghib
المؤلفAli, Syed Danish
المؤلفAlkhateeb, Mohammad
المؤلفAlMazroa, Mohammad A
المؤلفAlomari, Mahmoud A
المؤلفAl-Raddadi, Rajaa
المؤلفAlsharif, Ubai
المؤلفAl-Sheyab, Nihaya
المؤلفAlsowaidi, Shirina
المؤلفAl-Thani, Mohamed
المؤلفAltirkawi, Khalid A
المؤلفAmare, Azmeraw T
المؤلفAmini, Heresh
المؤلفAmmar, Walid
المؤلفAnwari, Palwasha
المؤلفAsayesh, Hamid
المؤلفAsghar, Rana
المؤلفAssabri, Ali M
المؤلفAssadi, Reza
المؤلفBacha, Umar
المؤلفBadawi, Alaa
المؤلفBakfalouni, Talal
المؤلفBasulaiman, Mohammed O
المؤلفBazargan-Hejazi, Shahrzad
المؤلفBedi, Neeraj
المؤلفBhakta, Amit R
المؤلفBhutta, Zulfiqar A
المؤلفBin Abdulhak, Aref A
المؤلفBoufous, Soufiane
المؤلفBourne, Rupert R A
المؤلفDanawi, Hadi
المؤلفDas, Jai
المؤلفDeribew, Amare
المؤلفDing, Eric L
المؤلفDurrani, Adnan M
المؤلفElshrek, Yousef
المؤلفIbrahim, Mohamed E
المؤلفEshrati, Babak
المؤلفEsteghamati, Alireza
المؤلفFaghmous, Imad A D
المؤلفFarzadfar, Farshad
المؤلفFeigl, Andrea B
المؤلفFereshtehnejad, Seyed-Mohammad
المؤلفFilip, Irina
المؤلفFischer, Florian
المؤلفGankpé, Fortuné G
المؤلفGinawi, Ibrahim
المؤلفGishu, Melkamu Dedefo
المؤلفGupta, Rahul
المؤلفHabash, Rami M
المؤلفHafezi-Nejad, Nima
المؤلفHamadeh, Randah R
المؤلفHamdouni, Hayet
المؤلفHamidi, Samer
المؤلفHarb, Hilda L
المؤلفHassanvand, Mohammad Sadegh
المؤلفHedayati, Mohammad T
المؤلفHeydarpour, Pouria
المؤلفHsairi, Mohamed
المؤلفHusseini, Abdullatif
المؤلفJahanmehr, Nader
المؤلفJha, Vivekanand
المؤلفJonas, Jost B
المؤلفKaram, Nadim E
المؤلفKasaeian, Amir
المؤلفKassa, Nega Assefa
المؤلفKaul, Anil
المؤلفKhader, Yousef
المؤلفKhalifa, Shams Eldin A
المؤلفKhan, Ejaz A
المؤلفKhan, Gulfaraz
المؤلفKhoja, Tawfik
المؤلفKhosravi, Ardeshir
المؤلفKinfu, Yohannes
المؤلفDefo, Barthelemy Kuate
المؤلفBalaji, Arjun Lakshmana
المؤلفLunevicius, Raimundas
المؤلفObermeyer, Carla Makhlouf
المؤلفMalekzadeh, Reza
المؤلفMansourian, Morteza
المؤلفMarcenes, Wagner
المؤلفFarid, Habibolah Masoudi
المؤلفMehari, Alem
المؤلفMehio-Sibai, Abla
المؤلفMemish, Ziad A
المؤلفMensah, George A
المؤلفMohammad, Karzan A
المؤلفNahas, Ziad
المؤلفNasher, Jamal T
المؤلفNawaz, Haseeb
المؤلفNejjari, Chakib
المؤلفNisar, Muhammad Imran
المؤلفOmer, Saad B
المؤلفParsaeian, Mahboubeh
المؤلفPeprah, Emmanuel K
المؤلفPervaiz, Aslam
المؤلفPourmalek, Farshad
المؤلفQato, Dima M
المؤلفQorbani, Mostafa
المؤلفRadfar, Amir
المؤلفRafay, Anwar
المؤلفRahimi, Kazem
المؤلفRahimi-Movaghar, Vafa
المؤلفRahman, Sajjad Ur
المؤلفRai, Rajesh K
المؤلفRana, Saleem M
المؤلفRao, Sowmya R
المؤلفRefaat, Amany H
المؤلفResnikoff, Serge
المؤلفRoshandel, Gholamreza
المؤلفSaade, Georges
المؤلفSaeedi, Mohammad Y
المؤلفSahraian, Mohammad Ali
المؤلفSaleh, Shadi
المؤلفSanchez-Riera, Lidia
المؤلفSatpathy, Maheswar
المؤلفSepanlou, Sadaf G
المؤلفSetegn, Tesfaye
المؤلفShaheen, Amira
المؤلفShahraz, Saeid
المؤلفSheikhbahaei, Sara
المؤلفShishani, Kawkab
المؤلفSliwa, Karen
المؤلفTavakkoli, Mohammad
المؤلفTerkawi, Abdullah S
المؤلفUthman, Olalekan A
المؤلفWesterman, Ronny
المؤلفYounis, Mustafa Z
المؤلفEl Sayed Zaki, Maysaa
المؤلفZannad, Faiez
المؤلفRoth, Gregory A
المؤلفWang, Haidong
المؤلفNaghavi, Mohsen
المؤلفVos, Theo
المؤلفAl Rabeeah, Abdullah A
المؤلفLopez, Alan D
المؤلفMurray, Christopher J L
تاريخ الإتاحة2016-10-17T05:19:43Z
تاريخ النشر2016-10
اسم المنشورThe Lancet Global Health
المعرّفhttp://dx.doi.org/10.1016/S2214-109X(16)30168-1
الاقتباسAli H Mokdad, Mohammad Hossein Forouzanfar, Farah Daoud, et al. "Health in times of uncertainty in the eastern Mediterranean region, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013", The Lancet Global Health, Volume 4, Issue 10, October 2016, Pages e704-e713,
الرقم المعياري الدولي للكتاب2214109X
معرّف المصادر الموحدhttp://www.sciencedirect.com/science/article/pii/S2214109X16301681
معرّف المصادر الموحدhttp://hdl.handle.net/10576/4893
الملخصBackground: The eastern Mediterranean region is comprised of 22 countries: Afghanistan, Bahrain, Djibouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, the United Arab Emirates, and Yemen. Since our Global Burden of Disease Study 2010 (GBD 2010), the region has faced unrest as a result of revolutions, wars, and the so-called Arab uprisings. The objective of this study was to present the burden of diseases, injuries, and risk factors in the eastern Mediterranean region as of 2013. Methods: GBD 2013 includes an annual assessment covering 188 countries from 1990 to 2013. The study covers 306 diseases and injuries, 1233 sequelae, and 79 risk factors. Our GBD 2013 analyses included the addition of new data through updated systematic reviews and through the contribution of unpublished data sources from collaborators, an updated version of modelling software, and several improvements in our methods. In this systematic analysis, we use data from GBD 2013 to analyse the burden of disease and injuries in the eastern Mediterranean region specifically. Findings: The leading cause of death in the region in 2013 was ischaemic heart disease (90·3 deaths per 100 000 people), which increased by 17·2% since 1990. However, diarrhoeal diseases were the leading cause of death in Somalia (186·7 deaths per 100 000 people) in 2013, which decreased by 26·9% since 1990. The leading cause of disability-adjusted life-years (DALYs) was ischaemic heart disease for males and lower respiratory infection for females. High blood pressure was the leading risk factor for DALYs in 2013, with an increase of 83·3% since 1990. Risk factors for DALYs varied by country. In low-income countries, childhood wasting was the leading cause of DALYs in Afghanistan, Somalia, and Yemen, whereas unsafe sex was the leading cause in Djibouti. Non-communicable risk factors were the leading cause of DALYs in high-income and middle-income countries in the region. DALY risk factors varied by age, with child and maternal malnutrition affecting the younger age groups (aged 28 days to 4 years), whereas high bodyweight and systolic blood pressure affected older people (aged 60–80 years). The proportion of DALYs attributed to high body-mass index increased from 3·7% to 7·5% between 1990 and 2013. Burden of mental health problems and drug use increased. Most increases in DALYs, especially from non-communicable diseases, were due to population growth. The crises in Egypt, Yemen, Libya, and Syria have resulted in a reduction in life expectancy; life expectancy in Syria would have been 5 years higher than that recorded for females and 6 years higher for males had the crisis not occurred. Interpretation: Our study shows that the eastern Mediterranean region is going through a crucial health phase. The Arab uprisings and the wars that followed, coupled with ageing and population growth, will have a major impact on the region's health and resources. The region has historically seen improvements in life expectancy and other health indicators, even under stress. However, the current situation will cause deteriorating health conditions for many countries and for many years and will have an impact on the region and the rest of the world. Based on our findings, we call for increased investment in health in the region in addition to reducing the conflicts. Funding: Bill & Melinda Gates Foundation.
راعي المشروعBill & Melinda Gates Foundation. Qatar National Research Fund (NPRP 9-040-3-008). The Brien Holden Vision Institute. Oklahoma Council for Advancement of Science & Technology. UK National Institute for Health Research Oxford Biomedical Research Centre, National Institute for Health Research Career Development Fellowship, and Oxford Martin School.
اللغةen
الناشرElsevier, Ltd
الموضوعMediterranean region
life expectancy
Health conditions
Cause of death
العنوانHealth in times of uncertainty in the eastern Mediterranean region, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013
النوعArticle
رقم العدد10
رقم المجلد4
Open Access user License http://creativecommons.org/licenses/by/4.0/
dc.accessType Open Access


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