PDF(Pubmed)
Abstract：
UNASSIGNED: The Australian population aged 70 and above is increasing and imposing new challenges for policy makers and providers to deliver accessible, appropriate and affordable health care. We examine pre-COVID patterns of health loss between 1990 and 2019 to inform policies and practices.
UNASSIGNED: Using the standardised methodology framework and analytical strategies from GBD 2019 methodologies, we estimated mortality, causes of death, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs), life expectancy at age 70 and above (LE-70), and healthy life expectancy (HALE-70) in Australia comparing them globally and with high socio-demographic index (SDI) groups.
UNASSIGNED: DALY rates have been improving steadily over the past 30 years among Australians aged 70 and above. Decreases in DALY rates were primarily attributed to a fall in YLLs attributable to cardiovascular diseases (60%) and chronic respiratory disorders (30.2%) and transport injuries (56.9%), while the non-fatal burden remained stable from 1990 to 2019. According to the DALY rates, the top five leading causes are ischemic heart disease, Alzheimer\'s disease, COPD, stroke, and falls, where falls exhibited the largest increase since 1990.
UNASSIGNED: This study provides an in-depth report on the main causes of mortality and disability in Australia\'s population aged 70 and above. It sheds light on the shifts in burden over three decades, emphasising the need for the Australian health system to enhance its readiness in addressing the escalating demands of an ageing population. These findings establish pre-COVID baseline estimates for Australia\'s population aged 70 and above, informing healthcare preparedness.
UNASSIGNED: Bill & Melinda Gates Foundation.
UNASSIGNED: Using the standardised methodology framework and analytical strategies from GBD 2019 methodologies, we estimated mortality, causes of death, years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs), life expectancy at age 70 and above (LE-70), and healthy life expectancy (HALE-70) in Australia comparing them globally and with high socio-demographic index (SDI) groups.
UNASSIGNED: DALY rates have been improving steadily over the past 30 years among Australians aged 70 and above. Decreases in DALY rates were primarily attributed to a fall in YLLs attributable to cardiovascular diseases (60%) and chronic respiratory disorders (30.2%) and transport injuries (56.9%), while the non-fatal burden remained stable from 1990 to 2019. According to the DALY rates, the top five leading causes are ischemic heart disease, Alzheimer\'s disease, COPD, stroke, and falls, where falls exhibited the largest increase since 1990.
UNASSIGNED: This study provides an in-depth report on the main causes of mortality and disability in Australia\'s population aged 70 and above. It sheds light on the shifts in burden over three decades, emphasising the need for the Australian health system to enhance its readiness in addressing the escalating demands of an ageing population. These findings establish pre-COVID baseline estimates for Australia\'s population aged 70 and above, informing healthcare preparedness.
UNASSIGNED: Bill & Melinda Gates Foundation.
摘要：
70岁及以上的澳大利亚人口正在增加，这给政策制定者和提供者带来了新的挑战，适当和负担得起的医疗保健。我们研究了1990年至2019年间健康损失的前COVID模式，为政策和实践提供信息。
■使用GBD2019方法的标准化方法框架和分析策略，我们估计死亡率,死亡原因,多年的生命损失（YLL），残疾生活年(YLDs)，残疾调整寿命年(DALYs)，70岁及以上的预期寿命（LE-70），和澳大利亚的健康预期寿命（HALE-70）比较全球和高社会人口指数（SDI）组。
■在过去30年中，澳大利亚70岁及以上人群的DALY率一直在稳步提高。DALY率的下降主要是由于心血管疾病（60％），慢性呼吸系统疾病（30.2％）和运输损伤（56.9％）引起的YLL下降。而非致命性负担在1990年至2019年间保持稳定。根据DALY费率，前五大主要原因是缺血性心脏病，老年痴呆症,COPD,中风,和瀑布，自1990年以来，跌幅最大。
■这项研究提供了有关澳大利亚70岁及以上人口死亡和残疾的主要原因的深入报告。它揭示了三十年来负担的变化，强调澳大利亚卫生系统需要加强其应对人口老龄化不断升级的需求的准备。这些发现建立了澳大利亚70岁及以上人口的COVID前基线估计，告知医疗准备。
■比尔和梅琳达·盖茨基金会。
■使用GBD2019方法的标准化方法框架和分析策略，我们估计死亡率,死亡原因,多年的生命损失（YLL），残疾生活年(YLDs)，残疾调整寿命年(DALYs)，70岁及以上的预期寿命（LE-70），和澳大利亚的健康预期寿命（HALE-70）比较全球和高社会人口指数（SDI）组。
■在过去30年中，澳大利亚70岁及以上人群的DALY率一直在稳步提高。DALY率的下降主要是由于心血管疾病（60％），慢性呼吸系统疾病（30.2％）和运输损伤（56.9％）引起的YLL下降。而非致命性负担在1990年至2019年间保持稳定。根据DALY费率，前五大主要原因是缺血性心脏病，老年痴呆症,COPD,中风,和瀑布，自1990年以来，跌幅最大。
■这项研究提供了有关澳大利亚70岁及以上人口死亡和残疾的主要原因的深入报告。它揭示了三十年来负担的变化，强调澳大利亚卫生系统需要加强其应对人口老龄化不断升级的需求的准备。这些发现建立了澳大利亚70岁及以上人口的COVID前基线估计，告知医疗准备。
■比尔和梅琳达·盖茨基金会。
