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

João Vasco Santos (), Mariana Lobo, Rui Manuel Neiva, João Viana, Júlio Souza, Cláudia Camila Dias, Jonathan Cylus, Walter Ricciardi and Alberto Freitas
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João Vasco Santos: University of Porto
Mariana Lobo: University of Porto
Rui Manuel Neiva: University of Porto
João Viana: University of Porto
Júlio Souza: University of Porto
Cláudia Camila Dias: University of Porto
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

International Journal of Public Health, 2020, vol. 65, issue 2, No 8, 175-186

Abstract: 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.

Keywords: European Union; Health status; Public health; Burden of disease (search for similar items in EconPapers)
Date: 2020
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DOI: 10.1007/s00038-020-01335-0

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