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European Union state of health from 1990 to 2017: time trends and its enlargements’ effects

Author

Listed:
  • João Vasco Santos

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research
    ACES Grande Porto VIII – Espinho/Gaia, ARS Norte)

  • Mariana Lobo

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research)

  • Rui Manuel Neiva

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research)

  • João Viana

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research)

  • Júlio Souza

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research)

  • Cláudia Camila Dias

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research)

  • Jonathan Cylus

    (London School of Economics and Political Science)

  • Walter Ricciardi

    (Università Cattolica del Sacro Cuore, Fondazione Policlinico “A. Gemelli” IRCCS)

  • Alberto Freitas

    (University of Porto
    CINTESIS - Centre for Health Technology and Services Research)

Abstract

Objectives We aimed to study health status’ time trends in the European Union (EU) during 1990–2017 and its enlargements’ impact. Methods Using estimates from the Global Burden of Disease 2017 study and calculating age-sex-standardized rates, we have described time trends and analysed the differences between EU groups regarding the state of health. Interrupted time-series analyses were also performed in order to assess the enlargement impact in the EU state of health. Results All age–sex-standardized rates (mortality, years of life lost, years lived with disability and disability-adjusted life years) declined (annualized rates of change of − 1.7%, − 1.52%, − 0.06% and − 1.01%, respectively) between 1990 and 2017 (except between 2014 and 2015). For EU-28, life expectancy and healthy life expectancy increased 5.9 and 4.6 years, respectively. With the EU-25 and EU-27 enlargements, all age–sex-standardized rates and life expectancies worsened (with statistical significance). The EU-28 enlargement revealed the same tendency, contrasting with the EU-15 one. Conclusions Overall, the EU health status is improving, despite changes in its composition over the years. However, the average EU state of health declined with the 2004, 2007 and 2013 EU enlargements.

Suggested Citation

  • João Vasco Santos & Mariana Lobo & Rui Manuel Neiva & João Viana & Júlio Souza & Cláudia Camila Dias & Jonathan Cylus & Walter Ricciardi & Alberto Freitas, 2020. "European Union state of health from 1990 to 2017: time trends and its enlargements’ effects," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 175-186, March.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:2:d:10.1007_s00038-020-01335-0
    DOI: 10.1007/s00038-020-01335-0
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    References listed on IDEAS

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    1. Avgerinos, Efthimios D. & Koupidis, Sotirios A. & Filippou, Dimitrios K., 2004. "Impact of the European Union enlargement on health professionals and health care systems," Health Policy, Elsevier, vol. 69(3), pages 403-408, September.
    2. Imre Boncz & Réka Vajda & István Ágoston & Dóra Endrei & Andor Sebestyén, 2014. "Changes in the health status of the population of Central and Eastern European countries between 1990 and 2010," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(1), pages 137-141, May.
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