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The Burden of Disease and Injury in Serbia

  • S. Janković
  • H. Vlajinac
  • V. Bjegović
  • J. Marinković
  • S. Šipetić-Grujicić
  • Marković-Denić
  • N. Kocev
  • M. Šantrić-Milićević
  • Z. Terzić-Šupić
  • N. Maksimović
  • U. Laaser
Reference work entry

Abstract:

The  epidemiological transition, characterized by a progressive rise in the average age of death in all populations, has necessitated a serious reconsideration of how to measure the health of populations. In the last decade of twentieth century, a considerable effort has been put into the development of  summary measures of population health that combine information on mortality and non-fatal health outcomes.

The burden of disease in Serbia, caused by 19 selected conditions was calculated using DALY ( disability adjusted life years) which combines premature mortality (measured using years of life lost – YLLs) and disability (measured using years lived with disability – YLDs).

The total burden of selected disorders in Serbia in 2000 was estimated at 652,260 DALYs or 86.4 DALYs lost per 1,000 population. There were more relevant YLLs for observed conditions than YLDs (77%: 23%) with the exception of non-fatal health outcomes (unipolar major depression, vision and hearing loss), and low birth weight and asthma, the burden of which was mainly caused by lengthy period of disability. The leading five causes of DALYs were ischemic heart disease (20.0 per 1,000), cerebrovascular diseases (18.0 per 1,000), lung cancer (7.8 per 1,000), unipolar major depression (7.0 per 1,000), and diabetes mellitus (4.9 per 1,000). The total male burden of selected health problems was 32% higher than the total female burden (99.8 per 1,000 males and 73.7 per 1,000 females).

The Serbian burden of disease study is a first step towards exploring the usefulness of burden of disease methods for Serbia in providing information to assist in health planning and priority setting in the health sector.

Keywords

Chronic Obstructive Pulmonary Disease Disability Weight Total Burden Health Expectancy Year Live With Disability 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:

AIDS

 acquired immuno deficiency syndrome

COPD

 chronic obstructive pulmonary disease

DALE

disability adjusted life expectancy

DALY

disability adjusted life year

DFLE

disability free life expectancy

DisMod

disease model

EURO A

Andorra, Austria, Belgium, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Iceland, Ireland, Israel, Italy, Luxemburg, Malta, Monaco, Netherlands, Norway, Portugal, San Marino, Slovenia, Spain, Sweden, Switzerland, United Kingdom

EURO B

Albania, Armenia, Azerbaijan, Bosnia and Herzegovina, Bulgaria, Georgia, Kyrgyzstan Poland, Romania, Slovakia, The Former Yugoslav Republic of Macedonia, Tajikistan, Turkey, Turkmenistan, Serbia and Montenegro

EURO C

Belarus, Estonia, Hungary, Kazakhstan, Latvia, Lithuania, Republic of Moldavia, Russian FederationUkraine

GBD

global burden of disease

HALE

healthy adjusted life expectance

HIV

 human immunodeficiency virus

IHD

ischemic heart disease

SBDS

serbian burden of disease study

SMPH

summary measures of population health

YLD

years lived with disability

YLL

years of life lost

Notes

Acknowledgments

The authors would like to acknowledge the Oxford University Press for copyright permission to reproduce parts of the article: Janković S et al. The Burden of Disease and Injury in Serbia. Eur J Public Health 2007; 17(1): 80–85. The authors would also like to acknowledge the assistance provided by the Ministry of Health of the Republic of Serbia and European Agency for Reconstruction.

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Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • S. Janković
    • 1
  • H. Vlajinac
    • 1
  • V. Bjegović
    • 2
  • J. Marinković
    • 3
  • S. Šipetić-Grujicić
    • 1
  • Marković-Denić
    • 1
  • N. Kocev
    • 3
  • M. Šantrić-Milićević
    • 2
  • Z. Terzić-Šupić
    • 2
  • N. Maksimović
    • 1
  • U. Laaser
    • 4
  1. 1.Institute of Epidemiology, School of MedicineUniversity of BelgradeBelgradeSerbia
  2. 2.Institute of Social Medicine, School of MedicineUniversity of BelgradeBelgradeSerbia
  3. 3.Institute of Medical Statistics and Informatics, School of MedicineUniversity of BelgradeBelgradeSerbia
  4. 4.Section of International Public Health, Faculty of Health SciencesUniversity of BielefeldBielefeldGermany

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