Paul Crosland1,2, Jaithri Ananthapavan1,2, Jacqueline Davison3,2, Michael Lambert4, Rob Carter1,2. 1. Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Victoria. 2. The Australian Prevention Partnership Centre, Sax Institute, Ultimo, New South Wales. 3. Decision Analytics, Sax Institute, Sydney, New South Wales. 4. Sax Institute, Sydney, New South Wales.
Abstract
OBJECTIVE: A systematic review was conducted to determine the health burden of preventable disease in Australia. METHODS: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement guidelines were followed to identify, screen and describe the protocols used in the systematic review. RESULTS: Eleven studies were included in the review. Data on the health burden associated with lifestyle-related risk factors were extracted by disease with outcomes reported in attributable number and proportion of deaths, years of life lost, years lived with disability and disability-adjusted life years (DALYs). Around one-third of DALYs was attributed to all modifiable risk factors. The range of estimates of DALYs attributable to each prioritised risk factor was: combined dietary risk factors, 7.2% to 9.7%; tobacco, 7.9% to 9.0%; alcohol, 5.1% to 12.2%; high body mass, 5.5% to 8.3%; and physical inactivity, 1.2% to 5.5%. CONCLUSIONS: Although the methods used to estimate preventable health burden varied greatly between studies, all found that a substantial amount of death and disability was attributable to lifestyle-related risk factors. Implications for public health: There is a large health burden in Australia caused by modifiable risk factors and further action is warranted to address this burden.
OBJECTIVE: A systematic review was conducted to determine the health burden of preventable disease in Australia. METHODS: The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement guidelines were followed to identify, screen and describe the protocols used in the systematic review. RESULTS: Eleven studies were included in the review. Data on the health burden associated with lifestyle-related risk factors were extracted by disease with outcomes reported in attributable number and proportion of deaths, years of life lost, years lived with disability and disability-adjusted life years (DALYs). Around one-third of DALYs was attributed to all modifiable risk factors. The range of estimates of DALYs attributable to each prioritised risk factor was: combined dietary risk factors, 7.2% to 9.7%; tobacco, 7.9% to 9.0%; alcohol, 5.1% to 12.2%; high body mass, 5.5% to 8.3%; and physical inactivity, 1.2% to 5.5%. CONCLUSIONS: Although the methods used to estimate preventable health burden varied greatly between studies, all found that a substantial amount of death and disability was attributable to lifestyle-related risk factors. Implications for public health: There is a large health burden in Australia caused by modifiable risk factors and further action is warranted to address this burden.
Authors: Nicole Scannell; Anthony Villani; Evangeline Mantzioris; Libby Swanepoel Journal: Int J Environ Res Public Health Date: 2020-12-13 Impact factor: 3.390
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