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タイトル: | The Burden of Mental Disorders in the Eastern Mediterranean Region, 1990-2013 |
著者: | Charara, Raghid Forouzanfar, Mohammad Naghavi, Mohsen Moradi-Lakeh, Maziar Afshin, Ashkan Vos, Theo Daoud, Farah Wang, Haidong El Bcheraoui, Charbel Khalil, Ibrahim Hamadeh, Randah R. Khosravi, Ardeshir Rahimi-Movaghar, Vafa Khader, Yousef Al-Hamad, Nawal Makhlouf Obermeyer, Carla Rafay, Anwar Asghar, Rana Rana, Saleem M. Shaheen, Amira Abu-Rmeileh, Niveen M. E. Husseini, Abdullatif Abu-Raddad, Laith J. Khoja, Tawfik Al Rayess, Zulfa A. AlBuhairan, Fadia S. Hsairi, Mohamed Alomari, Mahmoud A. Ali, Raghib Roshandel, Gholamreza Terkawi, Abdullah Sulieman Hamidi, Samer Refaat, Amany H. Westerman, Ronny Kiadaliri, Aliasghar Ahmad Akanda, Ali S. Ali, Syed Danish Bacha, Umar Badawi, Alaa Bazargan-Hejazi, Shahrzad Faghmous, Imad A. D. Fereshtehnejad, Seyed-Mohammad Fischer, Florian Jonas, Jost B. Kuate Defo, Barthelemy Mehari, Alem Omer, Saad B. Pourmalek, Farshad Uthman, Olalekan A. Mokdad, Ali A. Maalouf, Fadi T. Abd-Allah, Foad Akseer, Nadia Arya, Dinesh Borschmann, Rohan Brazinova, Alexandra Brugha, Traolach S. Catalá-López, Ferrán Degenhardt, Louisa Ferrari, Alize Haro, Josep Maria Horino, Masako Hornberger, John C. Huang, Hsiang Kieling, Christian Kim, Daniel Kim, Yunjin Knudsen, Ann Kristin Mitchell, Philip B. Patton, George Sagar, Rajesh Satpathy, Maheswar Savuon, Kim Seedat, Soraya Shiue, Ivy Skogen, Jens Christoffer Stein, Dan J. Tabb, Karen M. Whiteford, Harvey A. Yip, Paul Yonemoto, Naohiro Murray, Christopher J. L. Mokdad, Ali H. |
著者名の別形: | 米本, 直裕 |
発行日: | 17-Jan-2017 |
出版者: | Public Library of Science (PLoS) |
誌名: | PLOS ONE |
巻: | 12 |
号: | 1 |
論文番号: | e0169575 |
抄録: | The Eastern Mediterranean Region (EMR) is witnessing an increase in chronic disorders, including mental illness. With ongoing unrest, this is expected to rise. This is the first study to quantify the burden of mental disorders in the EMR. We used data from the Global Burden of Disease study (GBD) 2013. DALYs (disability-adjusted life years) allow assessment of both premature mortality (years of life lost–YLLs) and nonfatal outcomes (years lived with disability–YLDs). DALYs are computed by adding YLLs and YLDs for each age-sex-country group. In 2013, mental disorders contributed to 5.6% of the total disease burden in the EMR (1894 DALYS/100, 000 population): 2519 DALYS/100, 000 (2590/100, 000 males, 2426/100, 000 females) in high-income countries, 1884 DALYS/100, 000 (1618/100, 000 males, 2157/100, 000 females) in middle-income countries, 1607 DALYS/100, 000 (1500/100, 000 males, 1717/100, 000 females) in low-income countries. Females had a greater proportion of burden due to mental disorders than did males of equivalent ages, except for those under 15 years of age. The highest proportion of DALYs occurred in the 25–49 age group, with a peak in the 35–39 years age group (5344 DALYs/100, 000). The burden of mental disorders in EMR increased from 1726 DALYs/100, 000 in 1990 to 1912 DALYs/100, 000 in 2013 (10.8% increase). Within the mental disorders group in EMR, depressive disorders accounted for most DALYs, followed by anxiety disorders. Among EMR countries, Palestine had the largest burden of mental disorders. Nearly all EMR countries had a higher mental disorder burden compared to the global level. Our findings call for EMR ministries of health to increase provision of mental health services and to address the stigma of mental illness. Moreover, our results showing the accelerating burden of mental health are alarming as the region is seeing an increased level of instability. Indeed, mental health problems, if not properly addressed, will lead to an increased burden of diseases in the region |
著作権等: | © 2017 Charara et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
URI: | http://hdl.handle.net/2433/227675 |
DOI(出版社版): | 10.1371/journal.pone.0169575 |
PubMed ID: | 28095477 |
出現コレクション: | 学術雑誌掲載論文等 |
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