Changing life expectancy in European countries 1990–2021: a subanalysis of causes and risk factors from the Global Burden of Disease Study 2021
| Author | Nicholas, Steel |
| Author | Bauer-Staeb, Clarissa Maria Mercedes |
| Author | Ford, John A |
| Author | Abbafati, Cristiana |
| Author | Abdalla, Mohammed Altigani |
| Author | Abdelkader, Atef |
| Author | Abdi, Parsa |
| Author | Abeldaño Zuñiga, Roberto Ariel |
| Author | Abiodun, Olugbenga Olusola |
| Author | Abolhassani, Hassan |
| Author | Abu-Gharbieh, Eman |
| Author | Abukhadijah, Hana J |
| Author | Abu-Zaid, Ahmed |
| Author | Addo, Isaac Yeboah |
| Author | Addolorato, Giovanni |
| Author | Adekanmbi, Victor |
| Author | Adetunji, Juliana Bunmi |
| Author | Adeyeoluwa, Temitayo Esther |
| Author | Agardh, Emilie E |
| Author | Agyemang-Duah, Williams |
| Author | Ahmad, Danish |
| Author | Ahmed, Anisuddin |
| Author | Ahmed, Ayman |
| Author | Ahmed, Syed Anees |
| Author | Akinosoglou, Karolina |
| Author | Akkaif, Mohammed Ahmed |
| Author | Al Awaidy, Salah |
| Author | Al Hasan, Syed Mahfuz |
| Author | Al Zaabi, Omar Ali Mohammed |
| Author | Aldridge, Robert W |
| Author | Algammal, Abdelazeem M |
| Author | Al-Gheethi, Adel Ali Saeed |
| Author | Ali, Abid |
| Author | Ali, Mohammed Usman |
| Author | Ali, Syed Shujait |
| Author | Ali, Waad |
| Author | Alicandro, Gianfranco |
| Author | Alif, Sheikh Mohammad |
| Author | Al-Jumaily, Adel |
| Author | Allebeck, Peter |
| Author | Alrawashdeh, Ahmad |
| Author | Al-Rifai, Rami H |
| Author | Alsabri, Mohammed A |
| Author | Alshahrani, Najim Z |
| Author | Aluh, Deborah Oyine |
| Author | Al-Wardat, Mohammad |
| Author | Al-Zyoud, Walid A |
| Author | Amiri, Sohrab |
| Author | Anderlini, Deanna |
| Author | Andrei, Catalina Liliana |
| Author | Anil, Abhishek |
| Author | Anvari, Saeid |
| Author | Anyasodor, Anayochukwu Edward |
| Author | Appiah, Seth Christopher Yaw |
| Author | Aquilano, Michele |
| Author | Arabloo, Jalal |
| Author | Arafat, Mosab |
| Author | Areda, Demelash |
| Author | Aremu, Abdulfatai |
| Author | Armani, Keivan |
| Author | Armocida, Benedetta |
| Author | Ärnlöv, Johan |
| Author | Asaduzzaman, Muhammad |
| Author | Astell-Burt, Thomas |
| Author | Aujayeb, Avinash |
| Author | Ausloos, Marcel |
| Author | Azadnajafabad, Sina |
| Author | Aziz, Shahkaar |
| Author | Azzam, Ahmed Y |
| Author | Babu, Giridhara Rathnaiah |
| Author | Badache, Andreea Corina |
| Author | Badiye, Ashish D |
| Author | Bahramian, Saeed |
| Author | Baig, Atif Amin |
| Author | Baker, Jennifer L |
| Author | Bansal, Hansi |
| Author | Bärnighausen, Till Winfried |
| Author | Barone, Mark Thomaz Ugliara |
| Author | Barrow, Amadou |
| Author | Barteit, Sandra |
| Author | Bashir, Shahid |
| Author | Bashiru, Hameed Akande |
| Author | Basso, João Diogo |
| Author | Bastan, Mohammad-Mahdi |
| Author | Basu, Sanjay |
| Author | Batra, Kavita |
| Author | Bauckneht, Matteo |
| Author | Baune, Bernhard T |
| Author | Beghi, Massimiliano |
| Author | Beiranvand, Maryam |
| Author | Béjot, Yannick |
| Author | Bell, Michelle L |
| Author | Bello, Olorunjuwon Omolaja |
| Author | Belo, Luis |
| Author | Beloukas, Apostolos |
| Author | Beneke, Alice A |
| Author | Bettencourt, Paulo J G |
| Author | Bhagavathula, Akshaya Srikanth |
| Author | Bhala, Neeraj |
| Author | Bhaskar, Sonu |
| Author | Bisulli, Francesca |
| Author | Bjørge, Tone |
| Author | Bodunrin, Aadam Olalekan |
| Author | Botero Carvajal, Alejandro |
| Author | Bouaoud, Souad |
| Author | Brayne, Carol |
| Author | Brenner, Hermann |
| Author | Briggs, Adam D M |
| Author | Briko, Nikolay Ivanovich |
| Author | Bugiardini, Raffaele |
| Author | Buonsenso, Danilo |
| Author | Busse, Reinhard |
| Author | Bustanji, Yasser |
| Author | Caetano dos Santos, Florentino Luciano |
| Author | Çakmak Barsbay, Mehtap |
| Author | Capodici, Angelo |
| Author | Carreras, Giulia |
| Author | Carugno, Andrea |
| Author | Carvalho, Felix |
| Author | Carvalho, Márcia |
| Author | Castaldelli-Maia, Joao Mauricio |
| Author | Castelpietra, Giulio |
| Author | Catapano, Alberico L |
| Author | Cattaruzza, Maria Sofia |
| Author | Cegolon, Luca |
| Author | Cenko, Edina |
| Author | Cerin, Ester |
| Author | Cerrai, Sonia |
| Author | Chaudhary, Anis Ahmad |
| Author | Chong, Bryan |
| Author | Choudhari, Sonali Gajanan |
| Author | Chu, Dinh-Toi |
| Author | Chukwu, Isaac Sunday |
| Author | Chung, Sheng-Chia |
| Author | Cioffi, Iolanda |
| Author | Conde, Joao |
| Author | Cortese, Samuele |
| Author | Couto, Rosa A S |
| Author | Criqui, Michael H |
| Author | Cruz-Martins, Natalia |
| Author | Dadras, Omid |
| Author | Dallat, Mary Anne Teresa |
| Author | D'Amico, Emanuele |
| Author | D'Anna, Lucio |
| Author | Darcho, Samuel Demissie |
| Author | Dargan, Paul I |
| Author | Das, Saswati |
| Author | de la Torre-Luque, Alejandro |
| Author | Del Bo', Cristian |
| Author | Demetriades, Andreas K |
| Author | Dervenis, Nikolaos |
| Author | Devleesschauwer, Brecht |
| Author | Dhali, Arkadeep |
| Author | Dhama, Kuldeep |
| Author | Dianatinasab, Mostafa |
| Author | Diaz, Michael J |
| Author | Dongarwar, Deepa |
| Author | D'Oria, Mario |
| Author | Doshi, Ojas Prakashbhai |
| Author | Dowou, Robert Kokou |
| Author | Duraisamy, Senbagam |
| Author | Durojaiye, Oyewole Christopher |
| Author | Dziedzic, Arkadiusz Marian |
| Author | Edvardsson, David |
| Author | Edvardsson, Kristina |
| Author | Eikemo, Terje Andreas |
| Author | Ekholuenetale, Michael |
| Author | Ekundayo, Temitope Cyrus |
| Author | El Arab, Rabie Adel |
| Author | Elgar, Frank J |
| Author | Elhadi, Muhammed |
| Author | Eltaha, Chadi |
| Author | Esposito, Francesco |
| Author | Fabin, Natalia |
| Author | Fagbamigbe, Adeniyi Francis |
| Author | Fagbule, Omotayo Francis |
| Author | Fakhri-Demeshghieh, Aliasghar |
| Author | Falzone, Luca |
| Author | Farinha, Carla Sofia e Sá |
| Author | Faris, Pawan Sirwan |
| Author | Fasina, Folorunso Oludayo |
| Author | Fazeli, Patrick |
| Author | Fazylov, Timur |
| Author | Feizkhah, Alireza |
| Author | Fekadu, Ginenus |
| Author | Feng, Xiaoqi |
| Author | Fereshtehnejad, Seyed-Mohammad |
| Author | Ferrante, Daniela |
| Author | Ferrara, Pietro |
| Author | Ferreira, Nuno |
| Author | Fetensa, Getahun |
| Author | Fischer, Florian |
| Author | Fonzo, Marco |
| Author | Fornari, Arianna |
| Author | Fortuna, Daniela |
| Author | Fortuna Rodrigues, Celia |
| Author | Foschi, Matteo |
| Author | Fox, Sebastian S |
| Author | Freitas, Alberto |
| Author | Fukumoto, Takeshi |
| Author | Gadanya, Muktar A |
| Author | Gallus, Silvano |
| Author | Galluzzo, Lucia |
| Author | Ganesan, Balasankar |
| Author | Ganiyani, Mohammad Arfat |
| Author | Gao, Xiang |
| Author | Garcia-Gordillo, MA |
| Author | Gazzelloni, Federica |
| Author | Gebregergis, Miglas Welay |
| Author | Gebremeskel, Teferi Gebru |
| Author | Ghadimi, Delaram J |
| Author | Ghailan, Khalid Yaser |
| Author | Ghith, Nermin |
| Author | Gholami, Ehsan |
| Author | Gialluisi, Alessandro |
| Author | Gill, Paramjit Singh |
| Author | Gillam, Tara |
| Author | Giussani, Giorgia |
| Author | Glasbey, James C |
| Author | Glenn, Scott D |
| Author | Göbölös, Laszlo |
| Author | Goldust, Mohamad |
| Author | Golechha, Mahaveer |
| Author | Goleij, Pouya |
| Author | Golinelli, Davide |
| Author | Gorini, Giuseppe |
| Author | Graham, Simon Matthew |
| Author | Griebler, Robert |
| Author | Grover, Ashna |
| Author | Guicciardi, Stefano |
| Author | Gunturu, Sasidhar |
| Author | Gupta, Vijai Kumar |
| Author | Gutiérrez-Murillo, Roberth Steven |
| Author | Habteyohannes, Awoke Derbie |
| Author | Haep, Nils |
| Author | Hai Nam, Nguyen |
| Author | Haller, Sebastian |
| Author | Hamoudi, Rifat |
| Author | Handanagic, Senad |
| Author | Haro, Josep Maria |
| Author | Hasani, Hamidreza |
| Author | Hasnain, Md Saquib |
| Author | Havmoeller, Rasmus J |
| Author | Hay, Simon I |
| Author | Hebert, Jeffrey J |
| Author | Heibati, Behzad |
| Author | Hilderink, Henk B M |
| Author | Hiraike, Yuta |
| Author | Hoan, Nguyen Quoc |
| Author | Hosseinzadeh, Mehdi |
| Author | Hostiuc, Sorin |
| Author | Hoven, Hanno |
| Author | Hu, Chengxi |
| Author | Huang, Junjie |
| Author | Hughes, Andrew |
| Author | Hultström, Michael |
| Author | Hushmandi, Kiavash |
| Author | Hussain, Javid |
| Author | Hussain, M Azhar |
| Author | Ikiroma, Adalia |
| Author | Inok, Arit |
| Author | Islam, Md Rabiul |
| Author | Islam, Sheikh Mohammed Shariful |
| Author | Isola, Gaetano |
| Author | Iyer, Mahalaxmi |
| Author | Jacob, Louis |
| Author | Jahrami, Haitham |
| Author | Jairoun, Ammar Abdulrahman |
| Author | Jaka, Sanobar |
| Author | Jakovljevic, Mihajlo |
| Author | Jawaid, Talha |
| Author | Jeswani, Bijay Mukesh |
| Author | Jonas, Jost B |
| Author | Joshua, Charity Ehimwenma |
| Author | Kaambwa, Billingsley |
| Author | Kabir, Zubair |
| Author | Kadir, Dler H Hussein |
| Author | Kamath, Rajesh |
| Author | Kanmodi, Kehinde Kazeem |
| Author | Kapoor, Neeti |
| Author | Karakasis, Paschalis |
| Author | Karanikolos, Marina |
| Author | Karaye, Ibraheem M |
| Author | Kauppila, Joonas H |
| Author | Kazemian, Sina |
| Author | Kesse-Guyot, Emmanuelle |
| Author | Khamesipour, Faham |
| Author | Khan, Ajmal |
| Author | Khanmohammadi, Shaghayegh |
| Author | Khatab, Khaled |
| Author | Khatatbeh, Moawiah Mohammad |
| Author | Khormali, Moein |
| Author | Khosla, Atulya Aman |
| Author | Khosravi, Majid |
| Author | Khosrowjerdi, Mahmood |
| Author | Khubchandani, Jagdish |
| Author | Kim, Kwanghyun |
| Author | Kim, Min Seo |
| Author | Kisa, Adnan |
| Author | Kisa, Sezer |
| Author | Knudsen, Ann Kristin Skrindo |
| Author | Koren, Gerbrand |
| Author | Kuddus, Md Abdul |
| Author | Kuitunen, Ilari |
| Author | Kulimbet, Mukhtar |
| Author | Kumar, Rakesh |
| Author | Kunutsor, Setor K |
| Author | Kurmi, Om P |
| Author | Kusuma, Dian |
| Author | Kytö, Ville |
| Author | La Vecchia, Carlo |
| Author | Lai, Hanpeng |
| Author | Lallukka, Tea |
| Author | Lanfranchi, Francesco |
| Author | Langguth, Berthold |
| Author | Laplante-Lévesque, Ariane |
| Author | Larson, Heidi Jane |
| Author | Larsson, Anders O |
| Author | Lee, Munjae |
| Author | Lee, Paul H |
| Author | Lee, Seung Won |
| Author | Lee, Wei-Chen |
| Author | Lindholm, Daniel |
| Author | Linehan, Christine |
| Author | Liu, Xuefeng |
| Author | Llanaj, Erand |
| Author | López-Gil, José Francisco |
| Author | Lorkowski, Stefan |
| Author | Lucchetti, Giancarlo |
| Author | Lugo, Alessandra |
| Author | Lunevicius, Raimundas |
| Author | Luo, Lisha |
| Author | M Amin, Hawraz Ibrahim |
| Author | Ma, Zheng Feei |
| Author | Machairas, Nikolaos |
| Author | Machoy, Monika |
| Author | Malhotra, Kashish |
| Author | Malik, Ahmad Azam |
| Author | Mansour, Ali |
| Author | Manu, Emmanuel |
| Author | Marateb, Hamid Reza |
| Author | Martini, Daniela |
| Author | Martorell, Miquel |
| Author | Marzo, Roy Rillera |
| Author | Mathangasinghe, Yasith |
| Author | Mathur, Medha |
| Author | Matozinhos, Fernanda Penido |
| Author | Maude, Richard James |
| Author | Maugeri, Andrea |
| Author | May, Juergen |
| Author | Mayeli, Mahsa |
| Author | Mazidi, Mohsen |
| Author | McKee, Martin |
| Author | Mechili, Enkeleint A |
| Author | Mehravar, Sepideh |
| Author | Mekene Meto, Tesfahun |
| Author | Meles, Hadush Negash |
| Author | Mentis, Alexios-Fotios A |
| Author | Meretoja, Atte |
| Author | Meretoja, Tuomo J |
| Author | Mettananda, Sachith |
| Author | Micha, Georgia |
| Author | Michalek, Irmina Maria |
| Author | Miller, Ted R |
| Author | Minervini, Giuseppe |
| Author | Mirijello, Antonio |
| Author | Mocciaro, Gabriele |
| Author | Moghadam Fard, Atousa |
| Author | Mohamed, Jama |
| Author | Mohamed, Nouh Saad |
| Author | Mohammadian-Hafshejani, Abdollah |
| Author | Mohammed, Shafiu |
| Author | Monasta, Lorenzo |
| Author | Mondello, Stefania |
| Author | Moni, Mohammad Ali |
| Author | Moraga, Paula |
| Author | Morawska, Lidia |
| Author | Mossie, Tilahun Belete |
| Author | Motappa, Rohith |
| Author | Mubarik, Sumaira |
| Author | Muccioli, Lorenzo |
| Author | Mueller, Ulrich Otto |
| Author | Mughal, Faraz |
| Author | Mulita, Francesk |
| Author | Munblit, Daniel |
| Author | Munkhsaikhan, Yanjinlkham |
| Author | Murray, Christopher J L |
| Author | Naghavi, Mohsen |
| Author | Naghavi, Pirouz |
| Author | Naik, Ganesh R |
| Author | Najdaghi, Soroush |
| Author | Naqvi, Atta Abbas |
| Author | Narimani Davani, Delaram |
| Author | Nascimento, Gustavo G |
| Author | Naser, Abdallah Y |
| Author | Nashwan, Abdulqadir J |
| Author | Nauman, Javaid |
| Author | Navaratna, Samidi Nirasha Kumari |
| Author | Nazri-Panjaki, Athare |
| Author | Nejjari, Chakib |
| Author | Nena, Evangelia |
| Author | Netsere, Henok Biresaw |
| Author | Nguyen, Anh Hoang |
| Author | Nguyen, Phat Tuan |
| Author | Nguyen, Van Thanh |
| Author | Nnyanzi, Lawrence Achilles |
| Author | Noor, Syed Toukir Ahmed |
| Author | Nouri, Mehran |
| Author | Nugen, Fred |
| Author | Nurchis, Mario Cesare |
| Author | Nzoputam, Ogochukwu Janet |
| Author | Oancea, Bogdan |
| Author | O'Donnell, Martin James |
| Author | Oduro, Michael Safo |
| Author | Ogundijo, Oluwaseun Adeolu |
| Author | Ogunsakin, Ropo Ebenezer |
| Author | Okeke, Sylvester Reuben |
| Author | Okonji, Osaretin Christabel |
| Author | Olagunju, Andrew T |
| Author | Oliver, Susan |
| Author | Olufadewa, Isaac Iyinoluwa |
| Author | Ortiz, Alberto |
| Author | Owolabi, Mayowa O |
| Author | P A, Mahesh Padukudru |
| Author | Padubidri, Jagadish Rao |
| Author | Palma-Alvarez, Raul Felipe Felipe |
| Author | Panda, Sujogya Kumar |
| Author | Panda-Jonas, Songhomitra |
| Author | Panos, Georgios D |
| Author | Panos, Leonidas D |
| Author | Pantazopoulos, Ioannis |
| Author | Pardhan, Shahina |
| Author | Parikh, Romil R |
| Author | Passera, Roberto |
| Author | Patil, Shankargouda |
| Author | Patoulias, Dimitrios |
| Author | Pawar, Shrikant |
| Author | Pensato, Umberto |
| Author | Pereira, Gavin |
| Author | Perico, Norberto |
| Author | Perna, Simone |
| Author | Petermann-Rocha, Fanny Emily |
| Author | Pham, Hoang Nhat |
| Author | Philip, Anil K |
| Author | Pierannunzio, Daniela |
| Author | Pigeolet, Manon |
| Author | Pisoni, Enrico |
| Author | Poddighe, Dimitri |
| Author | Poluru, Ramesh |
| Author | Postma, Maarten J |
| Author | Pradhan, Jalandhar |
| Author | Pupillo, Elisabetta |
| Author | Puvvula, Jagadeesh |
| Author | Raggi, Alberto |
| Author | Rahman, Mosiur |
| Author | Rahman, Muhammad Aziz |
| Author | Raimondo, Diego |
| Author | Raimondo, Ivano |
| Author | Ramasamy, Shakthi Kumaran |
| Author | Ramazanu, Sheena |
| Author | Rana, Rishabh Kumar |
| Author | Rao, Sowmya J |
| Author | Rasella, Davide |
| Author | Rashid, Ahmed Mustafa |
| Author | Rauniyar, Santosh Kumar |
| Author | Rautalin, Ilari |
| Author | Rawaf, David Laith |
| Author | Rawaf, Salman |
| Author | Reddy, Murali Mohan Rama Krishna |
| Author | Redwan, Elrashdy M Moustafa Mohamed |
| Author | Reifels, Lennart |
| Author | Remuzzi, Giuseppe |
| Author | Rezaeian, Mohsen |
| Author | Ribeiro, Ana Isabel |
| Author | Rijal, Anupa |
| Author | Rodriguez, Jefferson Antonio Buendia |
| Author | Romoli, Michele |
| Author | Ronfani, Luca |
| Author | Root, Kevin T |
| Author | Rout, Himanshu Sekhar |
| Author | Roy, Nitai |
| Author | Russo, Michele |
| Author | Saad, Aly M A |
| Author | Sabet, Cameron John |
| Author | Sachdeva Dhingra, Mamta |
| Author | Saeed, Umar |
| Author | Safari, Mehdi |
| Author | Safdarian, Mahdi |
| Author | Saleh, Mohamed A |
| Author | Salem, Mohammed Z Y |
| Author | Salum, Giovanni A |
| Author | Samuel, Vijaya Paul |
| Author | Samy, Abdallah M |
| Author | Saravanan, Aswini |
| Author | Saravi, Babak |
| Author | Sarkar, Chinmoy |
| Author | Saulam, Jennifer |
| Author | Scarmeas, Nikolaos |
| Author | Schaarschmidt, Benedikt Michael |
| Author | Schinckus, Christophe |
| Author | Schlaich, Markus P |
| Author | Schmidt, Jurgen Carlo |
| Author | Schuermans, Art |
| Author | Schumacher, Austin E |
| Author | Schwendicke, Falk |
| Author | Schwinger, Catherine |
| Author | Sepanlou, Sadaf G |
| Author | Shafie, Mahan |
| Author | Shahsavari, Hamid R |
| Author | Shaikh, Masood Ali |
| Author | Shakil, Husain |
| Author | Sham, Sunder |
| Author | Shamim, Muhammad Aaqib |
| Author | Sharew, Nigussie Tadesse |
| Author | Sharifan, Amin |
| Author | Shavandi, Amin |
| Author | Shenoy, Rekha Raghuveer |
| Author | Shetty, Mahabalesh |
| Author | Shetty, Pavanchand H |
| Author | Shetty, Premalatha K |
| Author | Shigematsu, Mika |
| Author | Shittu, Aminu |
| Author | Shiue, Ivy |
| Author | Shorofi, Seyed Afshin |
| Author | Shrestha, Rajan |
| Author | Shrestha, Roman |
| Author | Siddig, Emmanuel Edwar |
| Author | Silva, João Pedro |
| Author | Silva, Luís Manuel Lopes Rodrigues |
| Author | Silva, Soraia |
| Author | Singh, Puneetpal |
| Author | Singh, Surjit |
| Author | Sipilä, Jussi O T |
| Author | Skryabina, Anna Aleksandrovna |
| Author | Sokhan, Anton |
| Author | Soraneh, Soroush |
| Author | Soriano, Joan B |
| Author | Soyiri, Ireneous N |
| Author | Spartalis, Michael |
| Author | Steiropoulos, Paschalis |
| Author | Stockfelt, Leo |
| Author | Sun, Jing |
| Author | Sundström, Johan |
| Author | Sunkersing, David |
| Author | Sunnerhagen, Katharina S |
| Author | Swain, Chandan Kumar |
| Author | Szarpak, Lukasz |
| Author | T Y, Sree Sudha |
| Author | Tabaee Damavandi, Payam |
| Author | Tabarés-Seisdedos, Rafael |
| Author | Tabatabaei, Seyyed Mohammad |
| Author | Tabche, Celine |
| Author | Tabibi, Ramin |
| Author | Taiba, Jabeen |
| Author | Tanwar, Manoj |
| Author | Tat, Nathan Y |
| Author | Taveira, Nuno |
| Author | Temsah, Mohamad-Hani |
| Author | Thayakaran, Rasiah |
| Author | Tiruye, Tenaw Yimer |
| Author | Touvier, Mathilde |
| Author | Tovani-Palone, Marcos Roberto |
| Author | Tran, Jasmine T |
| Author | Tran, Ngoc Ha |
| Author | Tran, Thang Huu |
| Author | Trico, Domenico |
| Author | Tromans, Samuel Joseph |
| Author | Tsermpini, Evangelia Eirini |
| Author | Tudor Car, Lorainne |
| Author | Tumurkhuu, Munkhtuya |
| Author | Ullah, Saeed |
| Author | Unim, Brigid |
| Author | Vaithinathan, Asokan Govindaraj |
| Author | Valenti, Mario |
| Author | Van den Eynde, Jef |
| Author | Varga, Orsolya |
| Author | Vasankari, Tommi Juhani |
| Author | Vellingiri, Balachandar |
| Author | Veroux, Massimiliano |
| Author | Vervoort, Dominique |
| Author | Villafañe, Jorge Hugo |
| Author | Violante, Francesco S |
| Author | Vizzielli, Giuseppe |
| Author | Vodden, Alice |
| Author | Vollset, Stein Emil |
| Author | Vos, Theo |
| Author | Wafa, Hatem A |
| Author | Wang, Yanzhong |
| Author | Wassie, Emebet Gashaw |
| Author | Weerakoon, Kosala Gayan |
| Author | Westerman, Ronny |
| Author | Wickramasinghe, Nuwan Darshana |
| Author | Willeit, Peter |
| Author | Wojewodzic, Marcin W |
| Author | Wolf, Axel Walter |
| Author | Wolfe, Charles D A |
| Author | Wyper, Grant M A |
| Author | Xu, Xiaoyue |
| Author | Yasufuku, Yuichi |
| Author | Yaya, Sanni |
| Author | Yezli, Saber |
| Author | YiÄŸit, Arzu |
| Author | Yon, Dong Keon |
| Author | Yu, Chuanhua |
| Author | Zakham, Fathiah |
| Author | Zanghì, Aurora |
| Author | Zastrozhin, Michael |
| Author | Zeariya, Mohammed G M |
| Author | Zhang, Liqun |
| Author | Zhang, Zhiqiang |
| Author | Zhong, Claire Chenwen |
| Author | Zhu, Bin |
| Author | Ziafati, Makan |
| Author | Zielińska, Magdalena |
| Author | Zweck, Elric |
| Author | Zyoud, Sa'ed H |
| Author | Newton, John N |
| Available date | 2025-06-15T08:34:11Z |
| Publication Date | 2025-02-18 |
| Publication Name | The Lancet Public Health |
| Identifier | http://dx.doi.org/10.1016/S2468-2667(25)00009-X |
| Citation | Naqvi, A., & GBD 2021 Europe Life Expectancy Collaborators. (2025). Changing life expectancy in European countries 1990-2021: a subanalysis of causes and risk factors from the Global Burden of Disease Study 2021. The Lancet Public Health, 10(3), e172-e188. |
| Abstract | BackgroundDecades of steady improvements in life expectancy in Europe slowed down from around 2011, well before the COVID-19 pandemic, for reasons which remain disputed. We aimed to assess how changes in risk factors and cause-specific death rates in different European countries related to changes in life expectancy in those countries before and during the COVID-19 pandemic. MethodsWe used data and methods from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 to compare changes in life expectancy at birth, causes of death, and population exposure to risk factors in 16 European Economic Area countries (Austria, Belgium, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Italy, Luxembourg, the Netherlands, Norway, Portugal, Spain, and Sweden) and the four UK nations (England, Northern Ireland, Scotland, and Wales) for three time periods: 1990–2011, 2011–19, and 2019–21. Changes in life expectancy and causes of death were estimated with an established life expectancy cause-specific decomposition method, and compared with summary exposure values of risk factors for the major causes of death influencing life expectancy. FindingsAll countries showed mean annual improvements in life expectancy in both 1990–2011 (overall mean 0·23 years [95% uncertainty interval [UI] 0·23 to 0·24]) and 2011–19 (overall mean 0·15 years [0·13 to 0·16]). The rate of improvement was lower in 2011–19 than in 1990–2011 in all countries except for Norway, where the mean annual increase in life expectancy rose from 0·21 years (95% UI 0·20 to 0·22) in 1990–2011 to 0·23 years (0·21 to 0·26) in 2011–19 (difference of 0·03 years). In other countries, the difference in mean annual improvement between these periods ranged from –0·01 years in Iceland (0·19 years [95% UI 0·16 to 0·21] vs 0·18 years [0·09 to 0·26]), to –0·18 years in England (0·25 years [0·24 to 0·25] vs 0·07 years [0·06 to 0·08]). In 2019–21, there was an overall decrease in mean annual life expectancy across all countries (overall mean –0·18 years [95% UI –0·22 to –0·13]), with all countries having an absolute fall in life expectancy except for Ireland, Iceland, Sweden, Norway, and Denmark, which showed marginal improvement in life expectancy, and Belgium, which showed no change in life expectancy. Across countries, the causes of death responsible for the largest improvements in life expectancy from 1990 to 2011 were cardiovascular diseases and neoplasms. Deaths from cardiovascular diseases were the primary driver of reductions in life expectancy improvements during 2011–19, and deaths from respiratory infections and other COVID-19 pandemic-related outcomes were responsible for the decreases in life expectancy during 2019–21. Deaths from cardiovascular diseases and neoplasms in 2019 were attributable to high systolic blood pressure, dietary risks, tobacco smoke, high LDL cholesterol, high BMI, occupational risks, high alcohol use, and other risks including low physical activity. Exposure to these major risk factors differed by country, with trends of increasing exposure to high BMI and decreasing exposure to tobacco smoke observed in all countries during 1990–2021. InterpretationThe countries that best maintained improvements in life expectancy after 2011 (Norway, Iceland, Belgium, Denmark, and Sweden) did so through better maintenance of reductions in mortality from cardiovascular diseases and neoplasms, underpinned by decreased exposures to major risks, possibly mitigated by government policies. The continued improvements in life expectancy in five countries during 2019–21 indicate that these countries were better prepared to withstand the COVID-19 pandemic. By contrast, countries with the greatest slowdown in life expectancy improvements after 2011 went on to have some of the largest decreases in life expectancy in 2019–21. These findings suggest that government policies that improve population health also build resilience to future shocks. Such policies include reducing population exposure to major upstream risks for cardiovascular diseases and neoplasms, such as harmful diets and low physical activity, tackling the commercial determinants of poor health, and ensuring access to affordable health services. FundingGates Foundation. |
| Sponsor | The research reported in this publication was funded by the Gates Foundation. |
| Language | en |
| Publisher | Elsevier |
| Subject | COVID-19 Europe |
| Type | Article |
| Pagination | 172-188 |
| Issue Number | 3 |
| Volume Number | 10 |
| Open Access user License | http://creativecommons.org/licenses/by/4.0/ |
| ESSN | 2468-2667 |
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