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Emilie Agardh1, Anna-Karin Danielsson2, Peter Guban3

  • 1Karolinska Institutet - Department of Public Health Sciences Stockholm, Sweden Karolinska Institutet - Department of Public Health Sciences Stockholm, Sweden.

Lakartidningen
|January 24, 2018
PubMed
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Stockholm County shows better health progress than Sweden overall, primarily due to reduced premature deaths (Years of Life Lost). However, disability (Years Lived with Disability) remains a challenge across both regions.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Economics

Background:

  • Regional health comparisons in Sweden have historically used various indicators.
  • A comprehensive health picture requires integrated measures of mortality and morbidity.
  • The Disability-Adjusted Life Years (DALY) measure offers a unified approach to assessing overall disease burden.

Purpose of the Study:

  • To provide a more complete health assessment of Stockholm County relative to the rest of Sweden.
  • To utilize the DALY measure for a comprehensive comparison of health status.
  • To analyze trends in disease burden, focusing on both fatal and non-fatal conditions.

Main Methods:

  • Employed the DALY (Disability-Adjusted Life Years) metric.
  • Differentiated between Years of Life Lost (YLL) due to premature mortality and Years Lived with Disability (YLD).

Related Experiment Videos

  • Compared health burden indicators between Stockholm County and the rest of Sweden from 1990 onwards.

    • Main Results:

    • Low back and neck pain, along with ischemic heart disease, were the leading causes of disease burden in 2015.
    • Stockholm County demonstrated superior health progress compared to the rest of Sweden since 1990.
    • The primary driver of this progress in Stockholm was a significant reduction in YLL, linked to decreased risk factors like poor diet, hypertension, smoking, high BMI, and physical inactivity.

    Conclusions:

    • Sweden has been more effective in reducing premature mortality (YLL) than in mitigating disability (YLD).
    • The stagnant development of YLD suggests ongoing challenges in managing non-fatal health conditions.
    • While Stockholm County leads in reducing premature death, addressing disability remains a critical public health objective for the entire country.