Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

  title={Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017},
  author={Jeffrey D. Stanaway and Ashkan Afshin and Emmanuela Gakidou and Stephen S. Lim and Degu Abate and Kalkidan Hassen Abate and Cristiana Abbafati and Nooshin Abbasi and Hedayat Abbastabar and Foad Abd-Allah and Jemal Abdela and Ahmed Abdelalim and Ibrahim Abdollahpour and Rizwan Suliankatchi Abdulkader and Molla Abebe and Zegeye Abebe and Semaw Ferede Abera and Olifan Zewdie Abil and Haftom Niguse Abraha and Aklilu Abrham and Laith Jamal Abu-Raddad and Niveen M. E. Abu-Rmeileh and Manfred Mario Kokou Accrombessi and Dilaram Acharya and Pawan Acharya and Abdullahi Adamu and Akilew Awoke Adane and Oladimeji Adebayo and Rufus Adesoji Adedoyin and Victor T Adekanmbi and Zanfina Ademi and Olatunji O. Adetokunboh and Mina G. Adib and Amha Admasie and Jos{\'e} Carmelo Adsuar and Kossivi Agb{\'e}l{\'e}nko Afanvi and Mohsen Afarideh and Gina Agarwal and Anju Aggarwal and Sargis A. Aghayan and Anurag Agrawal and Sutapa Agrawal and Alireza Ahmadi and Mehdi Ahmadi and Hamid Ahmadieh and Muktar Beshir Ahmed and Amani Nidhal Aichour and Ibtihel Aichour and Miloud Taki Eddine Aichour and Mohammad Esmaeil Akbari and Tomi F Akinyemiju and Nadia Akseer and Ziyad Al-Aly and Ayman Al-Eyadhy and Hesham M. Al-Mekhlafi and Fares Alahdab and Khurshid Alam and Samiah Alam and Tahiya Alam and Alaa Alashi and Seyed Moayed Alavian and Kefyalew Addis Alene and Komal Ali and Syed Mustafa Ali and Mehran Alijanzadeh and Reza Alizadeh-Navaei and Syed Mohamed Aljunid and Ala’a Alkerwi and François Alla and Ubai Alsharif and Khalid Altirkawi and Nelson Alvis-Guzm{\'a}n and Azmeraw T. Amare and W. Ammar and Nahla Anber and Jason A Anderson and Cătălina Liliana Andrei and Sofia Androudi and Megbaru Debalkie Animut and Mina Anjomshoa and Mustafa Geleto Ansha and Josep M Ant{\'o} and Carl Abelardo T. Antonio and Palwasha Anwari and Lambert Tetteh Appiah and Seth Christopher Yaw Appiah and Jalal Arabloo and Olatunde Aremu and Johan {\"A}rnl{\"o}v and Al Artaman and Krishna K. Aryal and Hamid Asayesh and Zerihun Ataro and Marcel Ausloos and Euripide Avokpaho and Ashish Awasthi and Beatriz Paulina Ayala Quintanilla and Rakesh Ayer and Tambe Betrand Ayuk and Peter S Azzopardi and Arefeh Babazadeh and Hamid Badali and Alaa Badawi and Kalpana Balakrishnan and Ayele Geleto Bali and Kylie Ball and Shoshana H. Ballew and Maciej Banach and Joseph Adel Mattar Banoub and Aleksandra Bara{\'c} and Suzanne Barker-Collo and Till W B{\"a}rnighausen and Lope H. Barrero and Sanjay Basu and Bernhard T. Baune and Shahrzad Bazargan-Hejazi and Neeraj Bedi and Ettore Beghi and Masoud Behzadifar and Meysam Behzadifar and Yannick B{\'e}jot and Bayu Begashaw Bekele and Eyasu Tamru Bekru and Ezra Belay and Yihalem Abebe Belay and Michelle L. Bell and Aminu K. Bello and Derrick A Bennett and Isabela Judith Martins Bense{\~n}or and Gilles Bergeron and Adugnaw Berhane and Eduardo Bernab{\'e} and Robert S. Bernstein and Mircea Beuran and Tina Beyranvand and Neeraj Bhala and Ashish Bhalla and Suraj Bhattarai and Zulfiqar A. Bhutta and Belete Biadgo and Ali Bijani and Boris Bikbov and Ver Luanni Feliciano Bilano and Nigus Bililign and Muhammad Shahdaat Bin Sayeed and Donal Bisanzio and Tuhin Biswas and Tone Bj{\o}rge and Brigette F. Blacker and Archie Bleyer and Rohan Borschmann and Ibrahim R Bou-Orm and Soufiane Boufous and Rupert R A Bourne and Oliver J. Brady and Michael Brauer and Alexandra Brazinova and Nicholas J. K. Breitborde and Hermann Brenner and Andrey Briko and Gabrielle Britton and Traolach Brugha and Rachelle Buchbinder and Richard T. Burnett and Reinhard Busse and Zahid Ahmad Butt and Leah E. Cahill and Lucero Cahuana-Hurtado and Ismael Campos-Nonato and Rosario C{\'a}rdenas and Giulia Carreras and Juan Jes{\'u}s Carrero and F{\'e}lix Carvalho and Carlos Casta{\~n}eda-Orjuela and Jacqueline Castillo Rivas and Franz Castro and Ferr{\'a}n Catal{\'a}-L{\'o}pez and Kate Causey and Kelly M Cercy and Ester Cerin and Yazan Chaiah and Hsing-Yi Chang and Jung-Chen Chang and Kai‐Lan Chang and Fiona J. Charlson and Aparajita Chattopadhyay and Vijay Kumar Chattu and Miao Li Chee and Ching-Yu Cheng and Adrienne Chew and Peggy Pei-Chia Chiang and Odgerel Chimed-Ochir and Ken Lee Chin and Abdulaal Chitheer and Jee-Young Jasmine Choi and Rajiv Chowdhury and Hanne Christensen and Devasahayam Jesudas Christopher and Sheng-Chia Chung and Flavia M. Cicuttini and Massimo Cirillo and Aaron J. Cohen and Daniel Collado-Mateo and Cyrus Cooper and Owen R. Cooper and Josef Coresh and Leslie Cornaby and Paolo Angelo Cortesi and Monica Cortinovis and Megan E Costa and Ewerton Cousin and Michael H. Criqui and Elizabeth A Cromwell and David K Cundiff and Alemneh Kabeta Daba and Berihun Assefa Dachew and Abel Fekadu Dadi and Albertino Damasceno and Lalit Dandona and Rakhi Dandona and Sarah C. Darby and Paul I Dargan and Ahmad Daryani and Rajat Das Gupta and Jos{\'e} Henrique das Neves and Tamirat Tesfaye Dasa and Aditya P Dash and Dragoș Virgil Davițoiu and Kairat Davletov and Vanessa De la Cruz-G{\'o}ngora and Fernando P{\'i}o De la Hoz and Diego de Leo and Jan‐Walter De Neve and Louisa Degenhardt and Selina Deiparine and Robert Paul Dellavalle and Gebre Teklemariam Demoz and Edgar Denova-Guti{\'e}rrez and Kebede Deribe and Nikolaos Dervenis and Aniruddh V. Deshpande and Don C. Des Jarlais and Getenet Dessie and Gabrielle deVeber and Subhojit Dey and Samath Dhamminda Dharmaratne and Meghnath Dhimal and Mesfin Tadese Dinberu and Eric L. Ding and Helen Derara Diro and Shirin Djalalinia and Huyen Phuc Do and Klara Georgieva Dokova and David Teye Doku and Kerrie E. Doyle and Tim R Driscoll and Manisha Dubey and Eleonora Dubljanin and Eyasu Ejeta Duken and Bruce Bartholow Duncan and Andr{\'e} Rodrigues Dur{\~a}es and Natalie Ebert and Hedyeh Ebrahimi and Soheil Ebrahimpour and David Edvardsson and Andem Effiong and Anne Elise Eggen and Charbel El Bcheraoui and Ziad El-Khatib and Iqbal RF Elyazar and Ahmad Ali Enayati and Aman Yesuf Yesuf Endries and Benjamin Er and Holly E Erskine and Sharareh Eskandarieh and Alireza Esteghamati and Kara Estep and Hamed Fakhim and Mahbobeh Faramarzi and Mohammad Fareed and Talha Farid and Carla Sofia Farinha and Andrea Farioli and Andr{\'e} Faro and Maryam S. Farvid and Mohammad Hosein Farzaei and Batool Fatima and Kairsten Fay and Ali Akbar Fazaeli and Valery L. Feigin and Andrea B Feigl and Seyed-Mohammad Fereshtehnejad and Eduarda Fernandes and Jo{\~a}o Fernandes and Giannina Ferrara and Alize J Ferrari and Manuela Loureiro Ferreira and Irina Filip and Jonas D. Finger and Florian Fischer and Nataliya A Foigt and Kyle Foreman and Takeshi Fukumoto and Nancy Fullman and Thomas F{\"u}rst and Jo{\~a}o Marcello Furtado and Neal Futran and Seana L Gall and Silvano Gallus and Amiran Gamkrelidze and Morsaleh Ganji and Alberto L. Garcia-Basteiro and William M Gardner and Abadi Kahsu Gebre and Amanuel Tesfay Gebremedhin and Teklu Gebrehiwo Gebremichael and Tilayie Feto Gelano and Johanna Marianna Geleijnse and Yilma Chisha Dea Geramo and Peter W. Gething and Kebede Embaye Gezae and Reza Ghadimi and Keyghobad Ghadiri and Khalil Ghasemi Falavarjani and Maryam Ghasemi-Kasman and Mamata Ghimire and R Ghosh and Aloke Gopal Ghoshal and Simona Giampaoli and Paramjit S Gill and Tiffany K. Gill and Richard Frank Gillum and Ibrahim Abdelmageed Mohamed Ginawi and Giorgia Giussani and Elena V. Gnedovskaya and William W. Godwin and Srinivas Goli and H{\'e}ctor G{\'o}mez-Dant{\'e}s and Philimon N. Gona and Sameer Vali Gopalani and Alessandra Carvalho Goulart and Ayman Grada and Morgan E. Grams and Giuseppe Grosso and Harish Gugnani and Yuming Guo and Rahul Gupta and Rajeev Gupta and Tanush Gupta and Reyna Alma Guti{\'e}rrez and Daniela Sarah{\'i} Guti{\'e}rrez-Torres and Juanita A. Haagsma and Tesfa Dejenie Habtewold and Vladimir Hachinski and Nima Hafezi-Nejad and Tekle Hagos and Tewodros Tesfa Hailegiyorgis and Gessessew Bugssa Hailu and Arvin Haj‐Mirzaian and Arya Haj-Mirzaian and Randah Ribhi Hamadeh and Samer Hamidi and Alexis J. Handal and Graeme J. Hankey and Yuantao Hao and Hilda L. Harb and Sivadasanpillai Harikrishnan and Josep Maria Haro and Hadi Hassankhani and Hamid Yimam Hassen and Rasmus J Havmoeller and Caitlin N. Hawley and Simon I. Hay and Akbar Hedayatizadeh-Omran and Behzad Heibati and Behnam Heidari and Mohsen Heidari and Delia V. Hendrie and Andualem Henok and Ileana Beatriz Heredia-Pi and Claudiu Herteliu and Fatemeh Heydarpour and Sousan Heydarpour and Desalegn Tsegaw Hibstu and Tarig B. Higazi and Esayas Haregot Hilawe and Hans W. Hoek and Howard J Hoffman and Michael K. Hole and Enayatollah Homaie Rad and Praveen Hoogar and H. Dean Hosgood and Seyed Mostafa Hosseini and Mehdi Hosseinzadeh and Mihaela Hostiuc and Sorin Hostiuc and Damian G Hoy and Mohamed Hsairi and Thomas Hsiao and Guoqing Hu and Howard Hu and John J Emmanuel Huang and Mamusha Aman Hussen and Chantal K Huynh and Kim Moesgaard Iburg and Nayu Ikeda and Olayinka Stephen Ilesanmi and Usman Iqbal and Seyed Sina Naghibi Irvani and Caleb Mackay Salpeter Irvine and Sheikh Mohammed Shariful Islam and Farhad Islami and Maria D. Jackson and Kathryn H. Jacobsen and Leila Jahangiry and N. Jahanmehr and Sudhir Kumar Jain and Mihajlo Jakovljevic and Spencer L James and Simerjot Kaur Jassal and Achala Upendra Jayatilleke and Panniyammakal Jeemon and Ravi Prakash Jha and Vivekanand Jha and John S Ji and Jost B. Jonas and Jitendra Jonnagaddala and Zahra Jorjoran Shushtari and Ankur Joshi and Jacek Jerzy Jozwiak and Mikk J{\"u}risson and Zubair Kabir and Amaha Kahsay and Rizwan Kalani and Tanuj Kanchan and Surya Kant and Chittaranjan Kar and Manoochehr Karami and Behzad Karami Matin and Andr{\'e} Karch and Corine Karema and Narges Karimi and Seyed M. Karimi and Amir Kasaeian and Dessalegn Haile Kassa and Getachew Mullu Kassa and Tesfaye Kassa and Nicholas J. Kassebaum and Srinivasa Vittal Katikireddi and Anil Kaul and Norito Kawakami and Zhila Kazemi and Ali Kazemi Karyani and Adane Teshome Kefale and Peter Njenga Keiyoro and Grant Rodgers Kemp and Andr{\'e} Pascal Kengne and Andre Keren and Chandrasekharan Nair Kesavachandran and Yousef Saleh Khader and Behzad Khafaei and Morteza Abdullatif Khafaie and Alireza Khajavi and Nauman Khalid and Ibrahim A. Khalil and Gulfaraz Khan and Muhammad Shahzeb Khan and Muhammad Ali Khan and Young Ho Khang and Mona M Khater and Mohammad Rasool Khazaei and Habibolah Khazaie and Abdullah Khoja and Ardeshir Khosravi and Mohammad Hossein Khosravi and Aliasghar A. Kiadaliri and Daniel N. Kiirithio and Cho-il Kim and Daniel Kim and Young-Eun Kim and Yun Jin Kim and Ruth W. Kimokoti and Yohannes Kinfu and Adnan Kisa and Katarzyna Kissimova-Skarbek and Mika Kivim{\"a}ki and Luke D. Knibbs and Ann Kristin Skrindo Knudsen and Sonali Kochhar and Yoshihiro Kokubo and Tufa Kolola and Jacek A. Kopec and Soewarta Kosen and Parvaiz A Koul and Ai Koyanagi and Michael A Kravchenko and Kewal Krishan and Kristopher J. Krohn and Hans Kromhout and Barthelemy Kuate Defo},
  journal={Lancet (London, England)},
  pages={1923 - 1994}

Figures and Tables from this paper

Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

  • Christopher J L Aleksandr Y Peng Cristiana Kaja M Mohsen Foad Murray Aravkin Zheng Abbafati Abbas Abbasi-KangevaC. Murray Stephen S. Lim
  • Medicine
    The Lancet
  • 2020

Global and regional burden of disease and injury in 2016 arising from occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016

Occupational exposures continue to cause an important health burden worldwide, justifying the need for ongoing prevention and control initiatives, and a population attributable fraction approach was used for most risk factors.

The disease burden attributable to 18 occupational risks in China: an analysis for the global burden of disease study 2017

Occupational risks contribute to a huge disease burden in China, and the attributable burden is higher in males, and in less developed provinces of Western China, reflecting differences in risk exposure, socioeconomic conditions, and type of jobs.

Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017

  • Gregory A Degu Kalkidan Hassen Solomon M Cristiana Nooshin Roth Abate Abate Abay Abbafati Abbasi Abbastabar AG. Roth C. Murray
  • Medicine
    The Lancet
  • 2018

Global, Regional, National, and Subnational Big Data to Inform Health Equity Research: Perspectives from the Global Burden of Disease Study 2017.

The GBD provides the means to quantify health loss and can be used to examine root causes of disparities and develop programs to improve health and health equity, as well as provide a comprehensive picture of what risks and causes result in disability and death.



On the comparable quantification of health risks: lessons from the Global Burden of Disease Study.

It is recommended that future assessments should focus on avoidable and attributable burden based on the plausible minimum risk counterfactual distribution of exposure, and four types of distributions of exposure that could be used as thecounterfactual distributions are identified.

Global Estimates of the Burden of Injury and Illness at Work in 2012

It is estimated that globally there are 2.3 million deaths annually for reasons attributed to work, and Vision Zero is a useful concept and philosophy in gradually eliminating any harm at work.