| Prevalence | YLDs | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Number, 1990 | ASPR (per 100 000 Population), 1990 | Number, 2019 | ASPR (per 100 000 Population), 2019 | AAPC, 1990–2019 | P Value | Number, 1990 | ASYR (per 100 000 Population), 1990 | Number, 2019 | ASYR (per 100 000 Population), 2019 | AAPC, 1990–2019 | P Value | |
Worldwide | 5,997,589 (3772636–8764813) | 110.26 (69.64-162.38) | 12,131,849 (7625027–17945905) | 152.61 (95.88-225.76) | 2.45 (2.4–2.5) | < 0.001 | 35,201 (13282–80010) | 0.64 (0.24–1.46) | 69,694 (26756–160420) | 0.88 (0.34–2.02) | 2.37 (2.32–2.43) | < 0.001 |
SDI Region | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
High SDI | 2,076,757 (1335904–3010268) | 233.39 (149.7-339.85) | 2,555,797 (1715986–3632423) | 265.4 (177.29-377.18) | 0.7 (0.62–0.79) | < 0.001 | 12,394 (4721–27528) | 1.4 (0.53–3.08) | 15,135 (5848–33440) | 1.58 (0.61–3.45) | 0.68 (0.63–0.72) | < 0.001 |
High-middle SDI | 1,212,546 (774018–1782723) | 98.36 (62.76-144.08) | 2,291,446 (1430364–3424521) | 152.8 (95.52-227.94) | 2.22 (2.15–2.29) | < 0.001 | 6998 (2629–15858) | 0.57 (0.21–1.28) | 12,951 (4907–29988) | 0.87 (0.33-2) | 2.14 (2.07–2.22) | < 0.001 |
Middle SDI | 1,876,268 (1158361–2848056) | 103.03 (63.66-154.72) | 4,660,958 (2892764–6937632) | 182.85 (113.63-273.14) | 3.18 (3.09–3.27) | < 0.001 | 10,934 (4096–25237) | 0.6 (0.22–1.39) | 26,627 (10037–62079) | 1.05 (0.4–2.43) | 3.11 (3.03–3.19) | < 0.001 |
Low-middle SDI | 622,795 (364066–946036) | 57.06 (33.56–86.86) | 1,916,390 (1153550–2904384) | 101.82 (61.38-153.72) | 3.94 (3.88–4) | < 0.001 | 3647 (1362–8470) | 0.33 (0.12–0.78) | 10,900 (4056–25656) | 0.58 (0.22–1.37) | 3.84 (3.79–3.89) | < 0.001 |
Low SDI | 205,420 (115948–318552) | 43.75 (24.88–67.1) | 698,990 (404982–1092276) | 64.02 (37.29–99.75) | 4.31 (4.26–4.36) | < 0.001 | 1206 (441–2847) | 0.25 (0.09–0.6) | 4032 (1508–9553) | 0.37 (0.14–0.87) | 4.24 (4.18–4.3) | < 0.001 |
South–East Asia, East Asia, and Oceania |  |  |  |  |  |  |  |  |  |  |  |  |
East Asia | 1,051,600 (610398–1623625) | 75.65 (44.27-116.92) | 2,213,790 (1327469–3358608) | 144.58 (87.76-220.38) | 2.6 (2.48–2.71) | < 0.001 | 5675 (2051–13845) | 0.41 (0.15–0.99) | 11,925 (4359–29486) | 0.78 (0.29–1.89) | 2.59 (2.47–2.71) | < 0.001 |
Southeast Asia | 643,980 (387320–971635) | 135.82 (80.96-204.54) | 1,845,023 (1135116–2743963) | 251.58 (155.25-375.71) | 3.7 (3.62–3.79) | < 0.001 | 3801 (1416–8957) | 0.8 (0.29–1.89) | 10,590 (3981–24948) | 1.45 (0.54–3.39) | 3.6 (3.52–3.68) | < 0.001 |
Oceania | 7225 (4350–10872) | 112.4 (67.45-168.41) | 22,141 (13340–33502) | 161.07 (96.72-244.27) | 3.94 (3.87–4.01) | < 0.001 | 43 (16–99) | 0.66 (0.24–1.52) | 131 (48–303) | 0.95 (0.35–2.22) | 3.9 (3.82–3.98) | < 0.001 |
Sub-Saharan Africa | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Eastern Sub-Saharan Africa | 75,173 (42107–115915) | 45.19 (25.46–68.93) | 242,653 (138860–379077) | 60.78 (34.84–94.04) | 4.12 (4.09–4.15) | < 0.001 | 436 (156–1048) | 0.26 (0.09–0.63) | 1383 (500–3315) | 0.34 (0.12–0.81) | 4.07 (4.03–4.11) | < 0.001 |
Central Sub-Saharan Africa | 18,808 (10508–29534) | 38.56 (21.63–60.75) | 74,167 (42477–116253) | 59.09 (33.69–92.61) | 4.86 (4.83–4.89) | < 0.001 | 107 (39–255) | 0.22 (0.08–0.52) | 420 (150–1001) | 0.33 (0.12–0.8) | 4.81 (4.75–4.87) | < 0.001 |
Southern Sub-Saharan Africa | 42,289 (24246–66611) | 79.85 (45.94-124.26) | 88,556 (52090–136025) | 102.59 (60.3-156.52) | 2.58 (2.53–2.64) | < 0.001 | 248 (91–592) | 0.46 (0.17–1.1) | 514 (189–1225) | 0.59 (0.22–1.41) | 2.56 (2.52–2.6) | < 0.001 |
Western Sub-Saharan Africa | 71,770 (39798–112726) | 41.06 (22.79–63.87) | 292,581 (166409–464477) | 67.97 (38.95-107.05) | 4.95 (4.91–4.99) | < 0.001 | 409 (148–980) | 0.23 (0.08–0.55) | 1651 (594–3965) | 0.38 (0.14–0.92) | 4.92 (4.87–4.96) | < 0.001 |
South Asia | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
South Asia | 571,418 (344248–844600) | 53.12 (32.17–78.06) | 2,019,708 (1219961–3084013) | 102.21 (61.58-156.12) | 4.45 (4.4–4.5) | < 0.001 | 3408 (1274–7827) | 0.31 (0.12–0.73) | 11,494 (4262–27337) | 0.58 (0.22–1.38) | 4.26 (4.21–4.31) | < 0.001 |
Latin America and Caribbean | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Caribbean | 39,416 (23652–59357) | 106.5 (63.66–162.1) | 65,058 (39081–99974) | 135.49 (81.19-208.51) | 1.73 (1.67–1.8) | < 0.001 | 233 (84–539) | 0.62 (0.23–1.46) | 380 (137–886) | 0.79 (0.29–1.84) | 1.68 (1.6–1.77) | < 0.001 |
Central Latin America | 344,191 (219004–511862) | 214.12 (134.73-321.01) | 688,837 (424109–1039581) | 259.33 (159.67-391.34) | 2.41 (2.36–2.46) | < 0.001 | 1975 (751–4560) | 1.22 (0.47–2.84) | 3870 (1454–9289) | 1.46 (0.55–3.5) | 2.33 (2.27–2.39) | < 0.001 |
Tropical Latin America | 74,697 (43165–113931) | 46.83 (27-71.04) | 136,173 (80992–209087) | 56.04 (33.47–85.7) | 2.04 (1.89–2.19) | < 0.001 | 450 (160–1054) | 0.28 (0.1–0.65) | 794 (287–1900) | 0.33 (0.12–0.78) | 1.93 (1.79–2.07) | < 0.001 |
Andean Latin America | 52,468 (36058–73407) | 144.28 (98-201.71) | 155,263 (103671–221457) | 231.33 (154.66-331.22) | 3.84 (3.69–4) | < 0.001 | 296 (115–675) | 0.81 (0.32–1.86) | 887 (333–1987) | 1.32 (0.5–2.95) | 3.87 (3.74–4.01) | < 0.001 |
North Africa and Middle East | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
North Africa and Middle East | 465,354 (284864–699736) | 139.78 (85.23-209.47) | 1,286,635 (788268–1931605) | 189.29 (115.98-284.74) | 3.55 (3.49–3.61) | < 0.001 | 2965 (1108–6644) | 0.88 (0.33-2) | 7863 (2959–18073) | 1.16 (0.44–2.66) | 3.41 (3.32–3.5) | < 0.001 |
Central Europe, Eastern Europe, and Central Asia | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Central Asia | 20,586 (11704–31975) | 29.75 (17.1-46.35) | 44,054 (26166–69079) | 44.14 (26.29–69.55) | 2.66 (2.58–2.74) | < 0.001 | 119 (43–281) | 0.17 (0.06–0.4) | 252 (90–610) | 0.25 (0.09–0.61) | 2.63 (2.55–2.71) | < 0.001 |
Eastern Europe | 40,352 (22865–62187) | 17.63 (9.9-27.28) | 49,089 (27896–74609) | 24.5 (13.56–37.54) | 0.66 (0.61–0.71) | < 0.001 | 234 (84–556) | 0.1 (0.04–0.24) | 284 (100–670) | 0.14 (0.05–0.34) | 0.64 (0.58–0.7) | < 0.001 |
Central Europe | 20,728 (11458–32642) | 16.73 (9.17–26.48) | 22,110 (13010–34041) | 21.2 (12.42–32.58) | 0.22 (0.18–0.26) | < 0.001 | 117 (42–286) | 0.09 (0.03–0.23) | 124 (44–298) | 0.12 (0.04–0.28) | 0.19 (0.15–0.22) | < 0.001 |
High–income regions |  |  |  |  |  |  |  |  |  |  |  |  |
Southern Latin America | 49,953 (29311–77594) | 101.26 (59.57-156.76) | 114,242 (68753–175200) | 165.08 (99.49-251.21) | 2.89 (2.85–2.93) | < 0.001 | 298 (108–723) | 0.6 (0.22–1.46) | 676 (245–1642) | 0.98 (0.35–2.38) | 2.85 (2.81–2.9) | < 0.001 |
Western Europe | 1,018,017 (676340–1464423) | 254.82 (169.23-366.82) | 1,234,639 (783786–1797422) | 313.13 (200.8-458.73) | 0.65 (0.59–0.72) | < 0.001 | 6204 (2417–13604) | 1.56 (0.61–3.42) | 7434 (2852–16726) | 1.91 (0.73–4.29) | 0.61 (0.53–0.69) | < 0.001 |
North America | 706,094 (433657–1047840) | 225.25 (136.98-333.29) | 884,375 (591814–1230870) | 263.96 (176.84-367.93) | 0.76 (0.6–0.93) | < 0.001 | 4317 (1674–10131) | 1.38 (0.53–3.2) | 5352 (2125–12388) | 1.6 (0.63–3.72) | 0.7 (0.62–0.78) | < 0.001 |
Australasia | 45,403 (25297–72422) | 205.63 (114.54-328.31) | 67,125 (37863–109797) | 243.97 (138.54–399.1) | 1.35 (1.24–1.46) | < 0.001 | 266 (95–645) | 1.21 (0.43–2.91) | 392 (138–934) | 1.43 (0.5–3.42) | 1.33 (1.24–1.42) | < 0.001 |
Asia Pacific | 638,066 (387000–953015) | 339.37 (208.23-507.54) | 585,630 (357270–885306) | 350.39 (214.15-528.99) | -0.31 (-0.36 - -0.27) | < 0.001 | 3598 (1352–8418) | 1.92 (0.72–4.46) | 3278 (1196–7608) | 1.98 (0.73–4.64) | -0.34 (-0.4 - -0.27) | < 0.001 |