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Aust N Z J Public Health. 2019 Apr;43(2):163-170. doi: 10.1111/1753-6405.12882. Epub 2019 Mar 4.

The health burden of preventable disease in Australia: a systematic review.

Author information

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.

KEYWORDS:

burden of disease; non-communicable disease; prevention; systematic review

PMID:
30830711
DOI:
10.1111/1753-6405.12882
[Indexed for MEDLINE]

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