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

dc.contributor.authorWyper, Grant M.A.
dc.contributor.authorAssunção, Ricardo
dc.contributor.authorCuschieri, Sarah
dc.contributor.authorPlaß, Dietrich
dc.date.accessioned2024-06-16T14:06:39Z
dc.date.available2024-06-16T14:06:39Z
dc.date.issued2020
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. © 2020 BioMed Central Ltd.de
dc.format.extent1 Onlineresource (8 pages)
dc.format.mediumonline resource
dc.identifier.doihttps://doi.org/10.60810/openumwelt-133
dc.identifier.urihttps://openumwelt.de/handle/123456789/4248
dc.language.isoeng
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectVulnerabilität
dc.titlePopulation vulnerability to COVID-19 in Europe: a burden of disease analysis
dc.title.alternativePopulation vulnerability to COVID-19 in Europe: a burden of disease analysis
dc.typeWissenschaftlicher Artikel
dc.type.dcmitext
dc.type.mediumcomputer
dspace.entity.typePublication
local.bibliographicCitation.journalTitleArchives of public health
local.bibliographicCitation.originalDOI10.1186/s13690-020-00433-y
local.bibliographicCitation.volume78 (2020), Heft 47
local.collectionAufsätze
local.contributor.authorId02184750
local.contributor.authorId02184751
local.contributor.authorId02184752
local.identifier.catalogId02476469
local.ingest.leader06100naa a2200000uu 4500
local.jointTitlePOPULATION VULNERABILITY TO COVID19 IN EUROPE A BURDEN OF DISEASE ANALYSIS
local.reviewtrue
local.sourcecatalog
local.staffPublicationtrue
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relation.isAuthorOfPublication.latestForDiscovery4915ac78-a6a0-4d03-bfdd-fd05f723bbe0
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