Browsing by Author "Moradi-Lakeh, Maziar"
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- ItemThe burden of mental disorders in the Eastern Mediterranean Region, 1990-2013(Public Library of Science, 2017) 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; Obermeyer, Carla Makhlouf; 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; Faghmou, Imad A. D.; Fereshtehnejad, Seyed-Mohammad; Fischer, Florian; Jonas, Jost B.; Defo, Barthelemy Kuate; 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.; Catala-Lopez, Ferran; 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.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.
- ItemGlobal mortality from firearms, 1990-2016(American Medical Association, 2018) Naghavi, Mohsen; Marczak, Laurie B.; Kutz, Michael; Shackelford, Katya Anne; Arora, Megha; Miller-Petrie, Molly; Aichour, Miloud Taki Eddine; Akseer, Nadia; Al-Raddadi, Rajaa M.; Alam, Khurshid; Alghnam, Suliman A.; Antonio, Carl Abelardo T.; Aremu, Olatunde; Arora, Amit; Asadi-Lari, Mohsen; Assadi, Reza; Atey, Tesfay Mehari; Avila-Burgos, Leticia; Awasthi, Ashish; Quintanilla, Beatriz Paulina Ayala; Barker-Collo, Suzanne Lyn; Barnighausen, Till Winfried; Bazargan-Hejazi, Shahrzad; Behzadifar, Masoud; Behzadifar, Meysam; Bennett, James R.; Bhalla, Ashish; Bhutta, Zulfiqar A.; Bilal, Arebu Issa; Borges, Guilherme; Borschmann, Rohan; Brazinova, Alexandra; Rincon, Julio Cesar Campuzano; Carvalho, Felix; Castaneda-Orjuela, Carlos A.; Dandona, Lalit; Dandona, Rakhi; Dargan, Paul I.; De Leo, Diego; Dharmaratne, Samath Dhamminda; Ding, Eric L.; Do, Huyen Phuc; Doku, David Teye; Doyle, Kerrie E.; Driscoll, Tim Robert; Edessa, Dumessa; El-Khatib, Ziad; Endries, Aman Yesuf; Esteghamati, Alireza; Faro, Andre; Farzadfar, Farshad; Feigin, Valery L.; Fischer, Florian; Foreman, Kyle J.; Franklin, Richard Charles; Fullman, Nancy; Futran, Neal D.; Gebrehiwot, Tsegaye Tewelde; Gutierrez, Reyna Alma; Hafezi-Nejad, Nima; Bidgoli, Hassan Haghparast; Hailu, Gessessew Bugssa; Haro, Josep Maria; Hassen, Hamid Yimam; Hawley, Caitlin; Hendrie, Delia; Hijar, Martha; Hu, Guoqing; Ilesanmi, Olayinka Stephen; Jakovljevic, Mihajlo; James, Spencer L.; Jayaraman, Sudha; Jonas, Jost B.; Kahsay, Amaha; Kasaeian, Amir; Keiyoro, Peter Njenga; Khader, Yousef; Khalil, Ibrahim A.; Khang, Young-Ho; Khubchandani, Jagdish; Kiadaliri, Aliasghar Ahmad; Kieling, Christian; Kim, Yun Jin; Kosen, Soewarta; Krohn, Kristopher J.; Kumar, G. Anil; Lami, Faris Hasan; Lansingh, Van C.; Larson, Heidi Jane; Linn, Shai; Lunevicius, Raimundas; Abd El Razek, Hassan Magdy; Abd El Razek, Muhammed Magdy; Malekzadeh, Reza; Malta, Deborah Carvalho; Mason-Jones, Amanda J.; Matzopoulos, Richard; Memiah, Peter T. N.; Mendoza, Walter; Meretoja, Tuomo J.; Mezgebe, Haftay Berhane; Miller, Ted R.; Mohammed, Shafiu; Moradi-Lakeh, Maziar; Mori, Rintaro; Nand, Devina; Nguyen, Cuong Tat; Le Nguyen, Quyen; Ningrum, Dina Nur Anggraini; Ogbo, Felix Akpojene; Olagunju, Andrew T.; Patton, George C.; Phillips, Michael R.; Polinder, Suzanne; Pourmalek, Farshad; Qorbani, Mostafa; Rahimi-Movaghar, Afarin; Rahimi-Movaghar, Vafa; Rahman, Mahfuzar; Rai, Rajesh Kumar; Ranabhat, Chhabi Lal; Rawaf, David Laith; Rawaf, Salman; Rowhani-Rahbar, Ali; Safdarian, Mahdi; Safiri, Saeid; Sagar, Rajesh; Salama, Joseph S.; Sanabria, Juan; Milicevic, Milena M. Santric; Sarmiento-Suarez, Rodrigo; Sartorius, Benn; Satpathy, Maheswar; Schwebel, David C.; Seedat, Soraya; Sepanlou, Sadaf G.; Shaikh, Masood Ali; Sharew, Nigussie Tadesse; Shiue, Ivy; Singh, Jasvinder A.; Sisay, Mekonnen; Skirbekk, Vegard; Filho, Adauto Martins Soares; Stein, Dan J.; Stokes, Mark Andrew; Sufiyan, Mu’awiyyah Babale; Swaroop, Mamta; Sykes, Bryan L.; Tabares-Seisdedos, Rafael; Tadese, Fentaw; Tran, Bach Xuan; Tran, Tung Thanh; Ukwaja, Kingsley Nnanna; Vasankari, Tommi Juhani; Vlassov, Vasily; Werdecker, Andrea; Ye, Pengpeng; Yip, Paul; Yonemoto, Naohiro; Younis, Mustafa Z.; Zaidi, Zoubida; Zaki, Maysaa El Sayed; Hay, Simon I.; Lim, Stephen S.; Lopez, Alan D.; Mokdad, Ali H.; Vos, Theo; Murray, Christopher J. L.Importance: Understanding global variation in firearm mortality rates could guide prevention policies and interventions. Objective: To estimate mortality due to firearm injury deaths from 1990 to 2016 in 195 countries and territories. Design, Setting, and Participants: This study used deidentified aggregated data including 13 812 location-years of vital registration data to generate estimates of levels and rates of death by age-sex-year-location. The proportion of suicides in which a firearm was the lethal means was combined with an estimate of per capita gun ownership in a revised proxy measure used to evaluate the relationship between availability or access to firearms and firearm injury deaths. Exposures:Firearm ownership and access. Main Outcomes and Measures: Cause-specific deaths by age, sex, location, and year. Results:Worldwide, it was estimated that 251 000 (95% uncertainty interval [UI], 195 000-276 000) people died from firearm injuries in 2016, with 6 countries (Brazil, United States, Mexico, Colombia, Venezuela, and Guatemala) accounting for 50.5% (95% UI, 42.2%-54.8%) of those deaths. In 1990, there were an estimated 209 000 (95% UI, 172 000 to 235 000) deaths from firearm injuries. Globally, the majority of firearm injury deaths in 2016 were homicides (64.0% [95% UI, 54.2%-68.0%]; absolute value, 161 000 deaths [95% UI, 107 000-182 000]); additionally, 27% were firearm suicide deaths (67 500 [95% UI, 55 400-84 100]) and 9% were unintentional firearm deaths (23 000 [95% UI, 18 200-24 800]). From 1990 to 2016, there was no significant decrease in the estimated global age-standardized firearm homicide rate (−0.2% [95% UI, −0.8% to 0.2%]). Firearm suicide rates decreased globally at an annualized rate of 1.6% (95% UI, 1.1-2.0), but in 124 of 195 countries and territories included in this study, these levels were either constant or significant increases were estimated. There was an annualized decrease of 0.9% (95% UI, 0.5%-1.3%) in the global rate of age-standardized firearm deaths from 1990 to 2016. Aggregate firearm injury deaths in 2016 were highest among persons aged 20 to 24 years (for men, an estimated 34 700 deaths [95% UI, 24 900-39 700] and for women, an estimated 3580 deaths [95% UI, 2810-4210]). Estimates of the number of firearms by country were associated with higher rates of firearm suicide (P < .001; R² = 0.21) and homicide (P < .001; R² = 0.35). Conclusions and Relevance: This study estimated between 195 000 and 276 000 firearm injury deaths globally in 2016, the majority of which were firearm homicides. Despite an overall decrease in rates of firearm injury death since 1990, there was variation among countries and across demographic subgroups.