Browsing by Author "Susan M. Sawyer"
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PublicationArticle Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019(Elsevier Ltd, 2022) Amy E. Peden; Patricia Cullen; Kate Louise Francis; Holger Moeller; Margaret M. Peden; Pengpeng Ye; Maoyi Tian; Zhiyong Zou; Susan M. Sawyer; Amirali Aali; Zeinab Abbasi-Kangevari; Mohsen Abbasi-Kangevari; Michael Abdelmasseh; Meriem Abdoun; Rami Abd-Rabu; Deldar Morad Abdulah; Ame Mehadi Abdurehman; Getachew Abebe; Ayele Mamo Abebe; Aidin Abedi; Hassan Abidi; Richard Gyan Aboagye; Hiwa Abubaker Ali; Eman Abu Gharbieh; Denberu Eshetie Adane; Tigist Demssew Adane; Isaac Yeboah Addo; Ololade Grace Adewole; Sangeet Adhikari; Mohammad Adnan; Qorinah Estiningtyas Sakilah Adnani; Aanuoluwapo Adeyimika Bachelor Afolabi; Saira Afzal; Muhammad Sohail Afzal; Zahra Babaei Aghdam; Bright Opoku Ahinkorah; Araz Ramazan Ahmad; Tauseef Ahmad; Sajjad Ahmad; Ali Ahmadi; Haroon Ahmed; Muktar Beshir Ahmed; Ali Ahmed; Ayman Ahmed; Jivan Qasim Ahmed; Tarik Ahmed Rashid; Janardhana P. Aithala; Budi Aji; Meisam Akhlaghdoust; Fares Alahdab; Fahad Mashhour Alanezi; Astawus Alemayehu; Hanadi Al Hamad; Syed Shujait Ali; Liaqat Ali; Yousef Alimohamadi; Vahid Alipour; Syed Mohamed Aljunid; Louay Almidani; Sami Almustanyir; Khalid A. Altirkawi; Nelson J. Alvis-Zakzuk; Edward Kwabena Ameyaw; Tarek Tawfik Amin; Mehrdad Amir-Behghadami; Sohrab Amiri; Hoda Amiri; Tadele Fentabil Anagaw; Tudorel Andrei; Catalina Liliana Andrei; Davood Anvari; Sumadi Lukman Anwar; Anayochukwu Edward Anyasodor; Jalal Arabloo; Morteza Arab-Zozani; Asrat Arja; Judie Arulappan; Ashokan Arumugam; Armin Aryannejad; Saeed Asgary; Tahira Ashraf; Seyyed Shamsadin Athari; Alok Atreya; Sameh Attia; Avinash Aujayeb; Atalel Fentahun Awedew; Sina Azadnajafabad; Mohammadreza Azangou-Khyavy; Samad Azari; Amirhossein Azari Jafari; Hosein Azizi; Ahmed Y. Azzam; Ashish D. Badiye; Nayereh Baghcheghi; Sara Bagherieh; Atif Amin Baig; Shankar M. Bakkannavar; Asaminew Birhanu Balta; MacIej Banach; Palash Chandra Banik; Hansi Bansal; Mainak Bardhan; Francesco BaroneAdesi; Amadou Barrow; Azadeh Bashiri; Pritish Baskaran; Saurav Basu; Nebiyou Simegnew Bayileyegn; Abebe Ayalew Bekel; Alehegn Bekele Bekele; Salaheddine Bendak; Isabela M. Bensenor; Alemshet Yirga Berhie; Devidas S. Bhagat; Akshaya Srikanth Bhagavathula; Pankaj Bhardwaj; Nikha Bhardwaj; Sonu Bhaskar; Ajay Nagesh Bhat; Krittika Bhattacharyya; Zulfiqar A. Bhutta; Sadia Bibi; Bagas Suryo Bintoro; Saeid Bitaraf; Belay Boda Abule Bodicha; Archith Boloor; Souad Bouaoud; Julie Brown; Katrin Burkart; Nadeem Shafique Butt; Muhammad Hammad Butt; Luis Alberto Cámera; Julio Cesar Campuzano Rincon; Chao Cao; Andre F. Carvalho; Márcia Carvalho; Promit Ananyo Chakraborty; Eeshwar K. Chandrasekar; Jung-Chen Chang; Periklis Charalampous; Jaykaran Charan; Vijay Kumar Chattu; Bitew Mekonnen Chekole; Abdulaal Chitheer; Daniel Youngwhan Cho; Hitesh Chopra; Devasahayam J. Christopher; Isaac Sunday Chukwu; Natália Cruz-Martins; Omid Dadras; Saad M.A. Dahlawi; Xiaochen Dai; Giovanni Damiani; Gary L. Darmstadt; Reza Darvishi Cheshmeh Soltani; Aso Mohammad Darwesh; Saswati Das; Anna Dastiridou; Sisay Abebe Debela; Amin Dehghan; Getnet Makasha Demeke; Andreas K. Demetriades; Solomon Demissie; Fikadu Nugusu Dessalegn; Abebaw Alemayehu Desta; Mostafa Dianatinasab; Nancy Diao; Diana Dias Da Silva; Daniel Diaz; Lankamo Ena Digesa; Mengistie Diress; Shirin Djalalinia; Linh Phuong Doan; Milad Dodangeh; Paul Narh Doku; Deepa Dongarwar; Haneil Larson Dsouza; Ebrahim Eini; Michael Ekholuenetale; Temitope Cyrus Ekundayo; Ahmed Elabbas Mustafa Elagali; Mostafa Ahmed Elbahnasawy; Hala Rashad Elhabashy; Muhammed Elhadi; Maysaa El Sayed Zaki; Daniel Berhanie Enyew; Ryenchindorj Erkhembayar; Sharareh Eskandarieh; Farshid Etaee; Adeniyi Francis Fagbamigbe; Pawan Sirwan Faris; Abbas Farmany; Andre Faro; Farshad Farzadfar; Ali Fatehizadeh; Seyed Mohammad Fereshtehnejad; Abdullah Hamid Feroze; Getahun Fetensa; Bikila Regassa Feyisa; Irina Filip; Florian Fischer; Behzad Foroutan; Masoud Foroutan; Kayode Raphael Fowobaje; Richard Charles Franklin; Takeshi Fukumoto; Peter Andras Gaal; Muktar A. Gadanya; Yaseen Galali; Nasrin Galehdar; Balasankar Ganesan; Tushar Garg; Mesfin Gebrehiwot Damtew Gebrehiwot; Yosef Haile Gebremariam; Yibeltal Yismaw Gela; Urge Gerema; Mansour Ghafourifard; Seyyed-Hadi Ghamari; Reza Ghanbari; Mohammad Ghasemi Nour; Maryam Gholamalizadeh; Ali Gholami; Ali Gholamrezanezhad; Sherief Ghozy; Syed Amir Gilani; Tiffany K. Gill; Iago Giné-Vázquez; Zeleke Abate Girma; James C. Glasbey; Franklin N. Glozah; Mahaveer Golechha; Pouya Goleij; Michal Grivna; Habtamu Alganeh Guadie; Damitha Asanga Gunawardane; Yuming Guo; Veer Bala Gupta; Sapna Gupta; Bhawna Gupta; Vivek Kumar Gupta; Arvin Haj-Mirzaian; Rabih Halwani; Randah R. Hamadeh; Sajid Hameed; Lolemo Kelbiso Hanfore; Asif Hanif; Arief Hargono; Netanja I. Harlianto; Mehdi Harorani; Ahmed I. Hasaballah; S.M. Mahmudul Hasan; Amr Hassan; Soheil Hassanipour; Hadi Hassankhani; Rasmus J. Havmoeller; Simon I. Hay; Mohammad Heidari; Delia Hendrie; Demisu Zenbaba Heyi; Yuta Hiraike; Ramesh Holla; Nobuyuki Horita; Sheikh Jamal Hossain; Mohammad Bellal Hossain Hossain; Sedighe Hosseini Shabanan; Mehdi Hosseinzadeh; Sorin Hostiuc; Amir Human Hoveidaei; Alexander Kevin Hsiao; Salman Hussain; Amal Hussein; Segun Emmanuel Ibitoye; Olayinka Stephen Ilesanmi; Irena M. Ilic; Milena D. Ilic; Behzad Imani; Mustapha Immurana; Leeberk Raja Inbaraj; Sheikh Mohammed Shariful Islam; Rakibul M. Islam; Mohammad Mainul Islam; Nahlah Elkudssiah Ismail; J. Linda Merin; Haitham Jahrami; Mihajlo Jakovljevic; Manthan Dilipkumar Janodia; Tahereh Javaheri; Sathish Kumar Jayapal; Umesh Umesh Jayarajah; Sudha Jayaraman; Jayakumar Jeganathan; Bedru Jemal; Ravi Prakash Jha; Jost B. Jonas; Tamas Joo; Nitin Joseph; Jacek Jerzy Jozwiak; Mikk Jürisson; Ali Kabir; Vidya Kadashetti; Dler Hussein Kadir; Laleh R. Kalankesh; Leila R. Kalankesh; Rohollah Kalhor; Vineet Kumar Kamal; Rajesh Kamath; Himal Kandel; Rami S. Kantar; Neeti Kapoor; Hassan Karami; Ibraheem M. Karaye; Samad Karkhah; Patrick D.M.C. Katoto; Joonas H. Kauppila; Gbenga A. Kayode; Leila Keikavoosi-Arani; Cumali Keskin; Yousef Saleh Khader; Himanshu Khajuria; Mohammad Khammarnia; Ejaz Ahmad Khan; Md Nuruzzaman Khan; Maseer Khan; Yusra H. Khan; Imteyaz A. Khan; Abbas Khan; Moien A.B. Khan; Javad Khanali; Moawiah Mohammad Khatatbeh; Hamid Reza Khayat Kashani; Habibolah Khazaie; Jagdish Khubchandani; Zemene Demelash Kifle; Jihee Kim; Yun Jin Kim; Sezer Kisa; Adnan Kisa; Cameron J. Kneib; Farzad Kompani; Hamid Reza Koohestani; Parvaiz A. Koul; Sindhura Lakshmi Koulmane Laxminarayana; Ai Koyanagi; Kewal Krishan; Vijay Krishnamoorthy; Burcu Kucuk Bicer; Nithin Kumar; Naveen Kumar; Narinder Kumar; Manasi Kumar; Om P. Kurmi; Lucie Laflamme; Judit Lám; Iván Landires; Bagher Larijani; Savita Lasrado; Paolo Lauriola; Carlo La Vecchia; Shaun Wen Huey Lee; Yo Han Lee; Sang-Woong Lee; Wei Chen Lee; Samson Mideksa Legesse; Shanshan Li; Stephen S. Lim; László Lorenzovici; Amana Ogeto Luke; Farzan Madadizadeh; Áurea M. Madureira-Carvalho; Muhammed Magdy Abd El Razek; Soleiman Mahjoub; Ata Mahmoodpoor; Razzagh Mahmoudi; Marzieh Mahmoudimanesh; Azeem Majeed; Alaa Makki; Elaheh Malakan Rad; Mohammad-Reza Malekpour; Ahmad Azam Malik; Tauqeer Hussain Mallhi; Deborah Carvalho Malta; Borhan Mansouri; Mohammad Ali Mansournia; Elezebeth Mathews; Sazan Qadir Maulud; Dennis Mazingi; Entezar Mehrabi Nasab; Oliver Mendoza-Cano; Ritesh G. Menezes; Dechasa Adare Mengistu; Alexios-Fotios A. Mentis; Atte Meretoja; Mohamed Kamal Mesregah; Tomislav Mestrovic; Ana Carolina Micheletti Gomide Nogueira de Sá; Ted R. Miller; Seyed Peyman Mirghaderi; Andreea Mirica; Seyyedmohammadsadeq Mirmoeeni; Erkin M. Mirrakhimov; Moonis Mirza; Sanjeev Misra; Prasanna Mithra; Chaitanya Mittal; Madeline E. Moberg; Mokhtar Mohammadi; Soheil Mohammadi; Esmaeil Mohammadi; Reza Mohammadpourhodki; Shafiu Mohammed; Teroj Abdulrahman Mohammed; Mohammad Mohseni; Ali H. Mokdad; Sara Momtazmanesh; Lorenzo Monasta; Mohammad Ali Moni; Rafael Silveira Moreira; Shane Douglas Morrison; Ebrahim Mostafavi; Haleh Mousavi Isfahani; Sumaira Mubarik; Lorenzo Muccioli; Soumyadeep Mukherjee; Francesk Mulita; Ghulam Mustafa; Ahamarshan Jayaraman Nagarajan; Mukhammad David Naimzada; Vinay Nangia; Hasan Nassereldine; Zuhair S. Natto; Biswa Prakash Nayak; Ionut Negoi; Seyed Aria Nejadghaderi; Samata Nepal; Sandhya Neupane Kandel; Nafise Noroozi; Virginia Nuñez-Samudio; Ogochukwu Janet Nzoputam; Chimezie Igwegbe Nzoputam; Chimedsuren Ochir; Julius Nyerere Odhiambo; Oluwakemi Ololade Odukoya; Hassan Okati-Aliabad; Osaretin Christabel Okonji; Andrew T. Olagunju; Ahmed Omar Bali; Emad Omer; Adrian Otoiu; Stanislav S. Otstavnov; Nikita Otstavnov; Bilcha Oumer; Mayowa O. Owolabi; P.A. Mahesh; Alicia Padron-Monedero; Jagadish Rao Padubidri; Mohammad Taha Pahlevan Fallahy; Songhomitra Panda-Jonas; Seithikurippu R. Pandi-Perumal; Shahina Pardhan; Eun-Kee Park; Sangram Kishor Patel; Aslam Ramjan Pathan; Siddhartha Pati; Uttam Paudel; Shrikant Pawar; Paolo Pedersini; Mario F.P. Peres; Ionela-Roxana Petcu; Michael R. Phillips; Julian David Pillay; Zahra Zahid Piracha; Mohsen Poursadeqiyan; Naeimeh Pourtaheri; Ibrahim Qattea; Amir Radfar; Ata Rafiee; Pankaja Raghav Raghav; Fakher Rahim; Muhammad Aziz Rahman; Firman Suryadi Rahman; Mosiur Rahman; Amir Masoud Rahmani; Shayan Rahmani; Sheetal Raj Moolambally; Sheena Ramazanu; Kiana Ramezanzadeh; Juwel Rana; Saleem Muhammad Rana; Chythra R. Rao; Sowmya J. Rao; Vahid Rashedi; Mohammad Mahdi Rashidi; Prateek Rastogi; Azad Rasul; Salman Rawaf; David Laith Rawaf; Lal Rawal; Reza Rawassizadeh; Negar Rezaei; Nazila Rezaei; Mohsen Rezaeian; Aziz Rezapour; Abanoub Riad; Muhammad Riaz; Jennifer Rickard; Jefferson Antonio Buendia Rodriguez; Leonardo Roever; Luca Ronfani; Bedanta Roy; S. Manjula; Aly M.A. Saad; Siamak Sabour; Leila Sabzmakan; Basema Saddik; Malihe Sadeghi; Mohammad Reza Saeb; Umar Saeed; Sahar Saeedi Moghaddam; Sher Zaman Safi; Biniyam Sahiledengle; Harihar Sahoo; Mohammad Ali Sahraian; Morteza Saki; Payman Salamati; Sana Salehi; Marwa Rashad Salem; Abdallah M. Samy; Juan Sanabria; Milena M. Santric-Milicevic; Muhammad Arif Nadeem Saqib; Yaser Sarikhani; Arash Sarveazad; Brijesh Sathian; Maheswar Satpathy; Ganesh Kumar Saya; Ione Jayce Ceola Schneider; David C. Schwebel; Hamed Seddighi; Subramanian Senthilkumaran; Allen Seylani; Hosein Shabaninejad; Melika Shafeghat; Pritik A. Shah; Saeed Shahabi; Ataollah Shahbandi; Fariba Shahraki-Sanavi; Masood Ali Shaikh; Elaheh Shaker; Mehran Shams-Beyranvand; Mohd Shanawaz; Mohammed Shannawaz; Mequannent Melaku Sharew Sharew; Neeraj Sharma; Bereket Beyene Shashamo; Maryam Shayan; Rahim Ali Sheikhi; Jiabin Shen; B. Suresh Kumar Shetty; Pavanchand H. Shetty; Jae Il Shin; Nebiyu Aniley Shitaye; K.M. Shivakumar; Parnian Shobeiri; Seyed Afshin Shorofi; Sunil Shrestha; Soraya Siabani; Negussie Boti Sidemo; Wudneh Simegn; Ehsan Sinaei; Paramdeep Singh; Robert Sinto; Md Shahjahan Siraj; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; David A. Sleet; S.N. Chandan; Bogdan Socea; Marco Solmi; Yonatan Solomon; Yi Song; Raúl A.R.C. Sousa; Ireneous N. Soyiri; Mark A. Stokes; Muhammad Suleman; Rizwan Suliankatchi Abdulkader; Jing Sun; Rafael Tabarés-Seisdedos; Seyyed Mohammad Tabatabaei; Mohammad Tabish; Ensiyeh Taheri; Moslem Taheri Soodejani; Mircea Tampa; KerKan Tan; Ingan Ukur Tarigan; Md Tariqujjaman; Nathan Y. Tat; Vivian Y. Tat; Arash Tavakoli; Belay Negash Tefera; Yibekal Manaye Tefera; Gebremaryam Temesgen; Mohamad-Hani Temsah; Pugazhenthan Thangaraju; Rekha Thapar; Nikhil Kenny Thomas; Jansje Henny Vera Ticoalu; Marius Belmondo Tincho; Amir Tiyuri; Munkhsaikhan Togtmol; Marcos Roberto Tovani-Palone; Mai Thi Ngoc Tran; Sana Ullah; Saif Ullah; Irfan Ullah; Srikanth Umakanthan; Bhaskaran Unnikrishnan; Era Upadhyay; Sahel Valadan Tahbaz; Pascual R. Valdez; Tommi Juhani Vasankari; Siavash Vaziri; Massimiliano Veroux; Dominique Vervoort; Francesco S. Violante; Vasily Vlassov; Linh Gia Vu; Yasir Waheed; Yanzhong Wang; Yuan-Pang Wang; Cong Wang; Taweewat Wiangkham; Nuwan Darshana Wickramasinghe; Abay Tadesse Woday; Ai-Min Wu; Gahin Abdulraheem Tayib Yahya; Seyed Hossein Yahyazadeh Jabbari; Lin Yang; Sanni Yaya; Arzu Yigit; Vahit Yigit; Eshetu Yisihak; Naohiro Yonemoto; Yuyi You; Mustafa Z. Younis; Chuanhua Yu; Ismaeel Yunusa; Hossein Yusefi; Mazyar Zahir; Sojib Bin Zaman; Iman Zare; Kourosh Zarea; Mikhail Sergeevich Zastrozhin; Zhi-Jiang Zhang; Yunquan Zhang; Arash Ziapour; Sanjay Zodpey; Mohammad Zoladl; George C. Patton; Rebecca Q. IversBackground: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licensePublicationArticle Burden of injury along the development spectrum: associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017(BMJ Publishing Group, 2020) Juanita A. Haagsma; Spencer L. James; Chris D. Castle; Zachary V. Dingels; Jack T. Fox; Erin B. Hamilton; Zichen Liu; Lydia R. Lucchesi; Nicholas L.S. Roberts; Dillon O. Sylte; Oladimeji M. Adebayo; Alireza Ahmadi; Muktar Beshir Ahmed; Miloud Taki Eddine Aichour; Fares Alahdab; Suliman A. Alghnam; Syed Mohamed Aljunid; Rajaa M. Al-Raddadi; Ubai Alsharif; Khalid Altirkawi; Mina Anjomshoa; Carl Abelardo T. Antonio; Seth Christopher Yaw Appiah; Olatunde Aremu; Amit Arora; Hamid Asayesh; Reza Assadi; Ashish Awasthi; Beatriz Paulina Ayala Quintanilla; Shivanthi Balalla; Amrit Banstola; Suzanne Lyn Barker-Collo; Till Winfried Bärnighausen; Shahrzad Bazargan-Hejazi; Neeraj Bedi; Masoud Behzadifar; Meysam Behzadifar; Corina Benjet; Derrick A. Bennett; Isabela M. Bensenor; Soumyadeep Bhaumik; Zulfiqar A. Bhutta; Ali Bijani; Guilherme Borges; Rohan Borschmann; Dipan Bose; Soufiane Boufous; Alexandra Brazinova; Julio Cesar Campuzano Rincon; Rosario Cárdenas; Juan J. Carrero; Félix Carvalho; Carlos A. Castañeda-Orjuela; Ferrán Catalá-López; Jee-Young J. Choi; Devasahayam J. Christopher; Christopher Stephen Crowe; Koustuv Dalal; Ahmad Daryani; Dragos Virgil Davitoiu; Louisa Degenhardt; Diego De Leo; Jan-Walter De Neve; Kebede Deribe; Getenet Ayalew Dessie; Gabrielle Aline deVeber; Samath Dhamminda Dharmaratne; Linh Phuong Doan; Kate A. Dolan; Tim Robert Driscoll; Manisha Dubey; Ziad El-Khatib; Christian Lycke Ellingsen; Maysaa El Sayed Zaki; Aman Yesuf Endries; Sharareh Eskandarieh; Andre Faro; Seyed-Mohammad Fereshtehnejad; Eduarda Fernandes; Irina Filip; Florian Fischer; Richard Charles Franklin; Takeshi Fukumoto; Kebede Embaye Gezae; Tiffany K. Gill; Alessandra C. Goulart; Ayman Grada; Yuming Guo; Rahul Gupta; Hassan Haghparast Bidgoli; Arvin Haj-Mirzaian; Arya Haj-Mirzaian; Randah R. Hamadeh; Samer Hamidi; Josep Maria Haro; Hadi Hassankhani; Hamid Yimam Hassen; Rasmus Havmoeller; Delia Hendrie; Andualem Henok; Martha Híjar; Michael K. Hole; Enayatollah Homaie Rad; Naznin Hossain; Sorin Hostiuc; Guoqing Hu; Ehimario U. Igumbor; Olayinka Stephen Ilesanmi; Seyed Sina Naghibi Irvani; Sheikh Mohammed Shariful Islam; Rebecca Q. Ivers; Kathryn H. Jacobsen; Nader Jahanmehr; Mihajlo Jakovljevic; Achala Upendra Jayatilleke; Ravi Prakash Jha; Jost B. Jonas; Zahra Jorjoran Shushtari; Jacek Jerzy Jozwiak; Mikk Jürisson; Ali Kabir; Rizwan Kalani; Amir Kasaeian; Abraham Getachew Kelbore; Andre Pascal Kengne; Yousef Saleh Khader; Morteza Abdullatif Khafaie; Nauman Khalid; Ejaz Ahmad Khan; Abdullah T. Khoja; Aliasghar A. Kiadaliri; Young-Eun Kim; Daniel Kim; Adnan Kisa; Ai Koyanagi; Barthelemy Kuate Defo; Burcu Kucuk Bicer; Manasi Kumar; Ratilal Lalloo; Hilton Lam; Faris Hasan Lami; Van C. Lansingh; Janet L. Leasher; Shanshan Li; Shai Linn; Raimundas Lunevicius; Flavia R. Machado; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; Narayan Bahadur Mahotra; Marek Majdan; Azeem Majeed; Reza Malekzadeh; Manzoor Ahmad Malik; Deborah Carvalho Malta; Ana-Laura Manda; Mohammad Ali Mansournia; Benjamin Ballard Massenburg; Pallab K. Maulik; Hailemariam Abiy Alemu Meheretu; Man Mohan Mehndiratta; Addisu Melese; Walter Mendoza; Melkamu Merid Mengesha; Tuomo J. Meretoja; Atte Meretoja; Tomislav Mestrovic; Tomasz Miazgowski; Ted R. Miller; G.K. Mini; Erkin M. Mirrakhimov; Babak Moazen; Naser Mohammad Gholi Mezerji; Roghayeh Mohammadibakhsh; Shafiu Mohammed; Mariam Molokhia; Lorenzo Monasta; Stefania Mondello; Pablo A. Montero-Zamora; Yoshan Moodley; Mahmood Moosazadeh; Ghobad Moradi; Maziar Moradi-Lakeh; Lidia Morawska; Ilais Moreno Velásquez; Shane Douglas Morrison; Marilita M. Moschos; Seyyed Meysam Mousavi; Srinivas Murthy; Kamarul Imran Musa; Gurudatta Naik; Farid Najafi; Vinay Nangia; Bruno Ramos Nascimento; Duduzile Edith Ndwandwe; Ionut Negoi; Trang Huyen Nguyen; Son Hoang Nguyen; Long Hoang Nguyen; Huong Lan Thi Nguyen; Dina Nur Anggraini Ningrum; Yirga Legesse Nirayo; Richard Ofori-Asenso; Felix Akpojene Ogbo; In-Hwan Oh; Olanrewaju Oladimeji; Andrew T. Olagunju; Tinuke O. Olagunju; Pedro R. Olivares; Heather M. Orpana; Stanislav S. Otstavnov; P.A. Mahesh; Smita Pakhale; Eun-Kee Park; George C. Patton; Konrad Pesudovs; Michael R. Phillips; Suzanne Polinder; Swayam Prakash; Amir Radfar; Anwar Rafay; Alireza Rafiei; Siavash Rahimi; Vafa Rahimi-Movaghar; Muhammad Aziz Rahman; Rajesh Kumar Rai; Kiana Ramezanzadeh; Salman Rawaf; David Laith Rawaf; Andre M.N. Renzaho; Serge Resnikoff; Shahab Rezaeian; Leonardo Roever; Luca Ronfani; Gholamreza Roshandel; Yogesh Damodar Sabde; Basema Saddik; Payman Salamati; Yahya Salimi; Inbal Salz; Abdallah M. Samy; Juan Sanabria; Lidia Sanchez Riera; Milena M. Santric Milicevic; Maheswar Satpathy; Monika Sawhney; Susan M. Sawyer; Sonia Saxena; Mete Saylan; Ione J.C. Schneider; David C. Schwebel; Soraya Seedat; Sadaf G. Sepanlou; Masood Ali Shaikh; Mehran Shams-Beyranvand; Morteza Shamsizadeh; Mahdi Sharif-Alhoseini; Aziz Sheikh; Jiabin Shen; Mika Shigematsu; Rahman Shiri; Ivy Shiue; João Pedro Silva; Jasvinder A. Singh; Dhirendra Narain Sinha; Adauto Martins Soares Filho; Joan B. Soriano; Sergey Soshnikov; Ireneous N. Soyiri; Vladimir I. Starodubov; Dan J. Stein; Mark A. Stokes; Mu'awiyyah Babale Sufiyan; Jacob E. Sunshine; Bryan L. Sykes; Rafael Tabarés-Seisdedos; Karen M. Tabb; Arash Tehrani-Banihashemi; Gizachew Assefa Tessema; Jarnail Singh Thakur; Khanh Bao Tran; Bach Xuan Tran; Lorainne Tudor Car; Olalekan A. Uthman; Benjamin S. Chudi Uzochukwu; Pascual R. Valdez; Elena Varavikova; Ana Maria Nogales Vasconcelos; Narayanaswamy Venketasubramanian; Francesco S. Violante; Vasily Vlassov; Yasir Waheed; Yuan-Pang Wang; Tissa Wijeratne; Andrea Sylvia Winkler; Priyanka Yadav; Yuichiro Yano; Muluken Azage Yenesew; Paul Yip; Engida Yisma; Naohiro Yonemoto; Mustafa Z. Younis; Chuanhua Yu; Shamsa Zafar; Zoubida Zaidi; Sojib Bin Zaman; Mohammad Zamani; Yong Zhao; Sanjay Zodpey; Simon I. Hay; Alan D. Lopez; Ali H. Mokdad; Theo VosBackground The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates. Methods Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm-the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate. results For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced. Conclusions The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.PublicationArticle Global injury morbidity and mortality from 1990 to 2017: Results from the global burden of disease study 2017(BMJ Publishing Group, 2020) Spencer L. James; Chris D. Castle; Zachary V. Dingels; Jack T. Fox; Erin B. Hamilton; Zichen Liu; Nicholas L.S. Roberts; Dillon O. Sylte; Nathaniel J. Henry; Kate E. LeGrand; Ahmed Abdelalim; Amir Abdoli; Ibrahim Abdollahpour; Rizwan Suliankatchi Abdulkader; Aidin Abedi; Akine Eshete Abosetugn; Abdelrahman I. Abushouk; Oladimeji M. Adebayo; Marcela Agudelo-Botero; Tauseef Ahmad; Rushdia Ahmed; Muktar Beshir Ahmed; Miloud Taki Eddine Aichour; Fares Alahdab; Genet Melak Alamene; Fahad Mashhour Alanezi; Animut Alebel; Niguse Meles Alema; Suliman A. Alghnam; Samar Al-Hajj; Beriwan Abdulqadir Ali; Saqib Ali; Mahtab Alikhani; Cyrus Alinia; Vahid Alipour; Syed Mohamed Aljunid; Amir Almasi-Hashiani; Nihad A. Almasri; Khalid Altirkawi; Yasser Sami Abdeldayem Amer; Saeed Amini; Arianna Maever Loreche Amit; Catalina Liliana Andrei; Alireza Ansari-Moghaddam; Carl Abelardo T. Antonio; Seth Christopher Yaw Appiah; Jalal Arabloo; Morteza Arab-Zozani; Zohreh Arefi; Olatunde Aremu; Filippo Ariani; Amit Arora; Malke Asaad; Babak Asghari; Nefsu Awoke; Beatriz Paulina Ayala Quintanilla; Getinet Ayano; Martin Amogre Ayanore; Samad Azari; Ghasem Azarian; Alaa Badawi; Ashish D. Badiye; Eleni Bagli; Atif Amin Baig; Mohan Bairwa; Ahad Bakhtiari; Arun Balachandran; Maciej Banach; Srikanta K. Banerjee; Palash Chandra Banik; Amrit Banstola; Suzanne Lyn Barker-Collo; Till Winfried Bärnighausen; Lope H. Barrero; Akbar Barzegar; Mohsen Bayati; Bayisa Abdissa Baye; Neeraj Bedi; Masoud Behzadifar; Tariku Tesfaye Bekuma; Habte Belete; Corina Benjet; Derrick A. Bennett; Isabela M. Bensenor; Kidanemaryam Berhe; Pankaj Bhardwaj; Anusha Ganapati Bhat; Krittika Bhattacharyya; Sadia Bibi; Ali Bijani; Muhammad Shahdaat Bin Sayeed; Guilherme Borges; Antonio Maria Borzì; Soufiane Boufous; Alexandra Brazinova; Nikolay Ivanovich Briko; Shyam S. Budhathoki; Josip Car; Rosario Cárdenas; Félix Carvalho; João Mauricio Castaldelli-Maia; Carlos A. Castañeda-Orjuela; Giulio Castelpietra; Ferrán Catalá-López; Ester Cerin; Joht S. Chandan; Wagaye Fentahun Chanie; Soosanna Kumary Chattu; Vijay Kumar Chattu; Irini Chatziralli; Neha Chaudhary; Daniel Youngwhan Cho; Mohiuddin Ahsanul Kabir Chowdhury; Dinh-Toi Chu; Samantha M. Colquhoun; Maria-Magdalena Constantin; Vera M. Costa; Giovanni Damiani; Ahmad Daryani; Claudio Alberto Dávila-Cervantes; Feleke Mekonnen Demeke; Asmamaw Bizuneh Demis; Gebre Teklemariam Demoz; Desalegn Getnet Demsie; Afshin Derakhshani; Kebede Deribe; Rupak Desai; Mostafa Dianati Nasab; Diana Dias da Silva; Zahra Sadat Dibaji Forooshani; Kerrie E. Doyle; Tim Robert Driscoll; Eleonora Dubljanin; Bereket Duko Adema; Arielle Wilder Eagan; Aziz Eftekhari; Elham Ehsani-Chimeh; Maysaa El Sayed Zaki; Demelash Abewa Elemineh; Shaimaa I. El-Jaafary; Ziad El-Khatib; Christian Lycke Ellingsen; Mohammad Hassan Emamian; Daniel Adane Endalew; Sharareh Eskandarieh; Pawan Sirwan Faris; Andre Faro; Farshad Farzadfar; Yousef Fatahi; Wubalem Fekadu; Tomas Y. Ferede; Seyed-Mohammad Fereshtehnejad; Eduarda Fernandes; Pietro Ferrara; Garumma Tolu Feyissa; Irina Filip; Florian Fischer; Morenike Oluwatoyin Folayan; Masoud Foroutan; Joel Msafiri Francis; Richard Charles Franklin; Takeshi Fukumoto; Biniyam Sahiledengle Geberemariyam; Abadi Kahsu Gebre; Ketema Bizuwork Gebremedhin; Gebreamlak Gebremedhn Gebremeskel; Berhe Gebremichael; Getnet Azeze Gedefaw; Birhanu Geta; Mansour Ghafourifard; Farhad Ghamari; Ahmad Ghashghaee; Asadollah Gholamian; Tiffany K. Gill; Alessandra C. Goulart; Ayman Grada; Michal Grivna; Mohammed Ibrahim Mohialdeen Gubari; Rafael Alves Guimarães; Yuming Guo; Gaurav Gupta; Juanita A. Haagsma; Nima Hafezi-Nejad; Hassan Haghparast Bidgoli; Brian James Hall; Randah R. Hamadeh; Samer Hamidi; Josep Maria Haro; Md Mehedi Hasan; Amir Hasanzadeh; Soheil Hassanipour; Hadi Hassankhani; Hamid Yimam Hassen; Rasmus Havmoeller; Khezar Hayat; Delia Hendrie; Fatemeh Heydarpour; Martha Híjar; Hung Chak Ho; Chi Linh Hoang; Michael K. Hole; Ramesh Holla; Naznin Hossain; Mehdi Hosseinzadeh; Sorin Hostiuc; Guoqing Hu; Segun Emmanuel Ibitoye; Olayinka Stephen Ilesanmi; Irena Ilic; Milena D. Ilic; Leeberk Raja Inbaraj; Endang Indriasih; Seyed Sina Naghibi Irvani; Sheikh Mohammed Shariful Islam; M. Mofizul Islam; Rebecca Q. Ivers; Kathryn H. Jacobsen; Mohammad Ali Jahani; Nader Jahanmehr; Mihajlo Jakovljevic; Farzad Jalilian; Sudha Jayaraman; Achala Upendra Jayatilleke; Ravi Prakash Jha; Yetunde O. John-Akinola; Jost B. Jonas; Nitin Joseph; Farahnaz Joukar; Jacek Jerzy Jozwiak; Suresh Banayya Jungari; Mikk Jürisson; Ali Kabir; Rajendra Kadel; Amaha Kahsay; Leila R. Kalankesh; Rohollah Kalhor; Teshome Abegaz Kamil; Tanuj Kanchan; Neeti Kapoor; Manoochehr Karami; Amir Kasaeian; Hagazi Gebremedhin Kassaye; Taras Kavetskyy; Hafte Kahsay Kebede; Peter Njenga Keiyoro; Abraham Getachew Kelbore; Bayew Kelkay; Yousef Saleh Khader; Morteza Abdullatif Khafaie; Nauman Khalid; Ibrahim A. Khalil; Rovshan Khalilov; Mohammad Khammarnia; Ejaz Ahmad Khan; Maseer Khan; Tripti Khanna; Habibolah Khazaie; Fatemeh Khosravi Shadmani; Roba Khundkar; Daniel N. Kiirithio; Young-Eun Kim; Daniel Kim; Yun Jin Kim; Adnan Kisa; Sezer Kisa; Hamidreza Komaki; Shivakumar K.M. Kondlahalli; Vladimir Andreevich Korshunov; Ai Koyanagi; Moritz U.G. Kraemer; Kewal Krishan; Burcu Kucuk Bicer; Nuworza Kugbey; Vivek Kumar; Nithin Kumar; G. Anil Kumar; Manasi Kumar; Girikumar Kumaresh; Om P. Kurmi; Oluwatosin Kuti; Carlo La Vecchia; Faris Hasan Lami; Prabhat Lamichhane; Justin J. Lang; Van C. Lansingh; Dennis Odai Laryea; Savita Lasrado; Arman Latifi; Paolo Lauriola; Janet L. Leasher; Shaun Wen Huey Lee; Tsegaye Lolaso Lenjebo; Miriam Levi; Shanshan Li; Shai Linn; Xuefeng Liu; Alan D. Lopez; Paulo A. Lotufo; Raimundas Lunevicius; Ronan A. Lyons; Mohammed Madadin; Muhammed Magdy Abd El Razek; Narayan Bahadur Mahotra; Marek Majdan; Azeem Majeed; Jeadran N. Malagon-Rojas; Venkatesh Maled; Reza Malekzadeh; Deborah Carvalho Malta; Navid Manafi; Amir Manafi; Ana-Laura Manda; Narayana Manjunatha; Fariborz Mansour-Ghanaei; Borhan Mansouri; Mohammad Ali Mansournia; Joemer C. Maravilla; Lyn M. March; Amanda J. Mason-Jones; Seyedeh Zahra Masoumi; Benjamin Ballard Massenburg; Pallab K. Maulik; Gebrekiros Gebremichael Meles; Addisu Melese; Zeleke Aschalew Melketsedik; Peter T.N. Memiah; Walter Mendoza; Ritesh G. Menezes; Meresa Berwo Mengesha; Melkamu Merid Mengesha; Tuomo J. Meretoja; Atte Meretoja; Hayimro Edemealem Merie; Tomislav Mestrovic; Bartosz Miazgowski; Tomasz Miazgowski; Ted R. Miller; G.K. Mini; Andreea Mirica; Erkin M. Mirrakhimov; Mehdi Mirzaei-Alavijeh; Prasanna Mithra; Babak Moazen; Masoud Moghadaszadeh; Efat Mohamadi; Yousef Mohammad; Karzan Abdulmuhsin Mohammad; Aso Mohammad Darwesh; Naser Mohammad Gholi Mezerji; Abdollah Mohammadian-Hafshejani; Milad Mohammadoo-Khorasani; Reza Mohammadpourhodki; Shafiu Mohammed; Jemal Abdu Mohammed; Farnam Mohebi; Mariam Molokhia; Lorenzo Monasta; Yoshan Moodley; Mahmood Moosazadeh; Masoud Moradi; Ghobad Moradi; Maziar Moradi-Lakeh; Farhad Moradpour; Lidia Morawska; Ilais Moreno Velásquez; Naho Morisaki; Shane Douglas Morrison; Tilahun Belete Mossie; Atalay Goshu Muluneh; Srinivas Murthy; Kamarul Imran Musa; Ghulam Mustafa; Ashraf F. Nabhan; Ahamarshan Jayaraman Nagarajan; Gurudatta Naik; Mukhammad David Naimzada; Farid Najafi; Vinay Nangia; Bruno Ramos Nascimento; Morteza Naserbakht; Vinod Nayak; Duduzile Edith Ndwandwe; Ionut Negoi; Josephine W. Ngunjiri; Cuong Tat Nguyen; Huong Lan Thi Nguyen; Rajan Nikbakhsh; Dina Nur Anggraini Ningrum; Chukwudi A. Nnaji; Peter S. Nyasulu; Felix Akpojene Ogbo; Onome Bright Oghenetega; In-Hwan Oh; Emmanuel Wandera Okunga; Andrew T. Olagunju; Tinuke O. Olagunju; Ahmed Omar Bali; Obinna E. Onwujekwe; Kwaku Oppong Asante; Heather M. Orpana; Erika Ota; Nikita Otstavnov; Stanislav S. Otstavnov; P.A. Mahesh; Jagadish Rao Padubidri; Smita Pakhale; Keyvan Pakshir; Songhomitra Panda-Jonas; Eun-Kee Park; Sangram Kishor Patel; Ashish Pathak; Sanghamitra Pati; George C. Patton; Kebreab Paulos; Amy E. Peden; Veincent Christian Filipino Pepito; Jeevan Pereira; Hai Quang Pham; Michael R. Phillips; Marina Pinheiro; Roman V. Polibin; Suzanne Polinder; Hossein Poustchi; Swayam Prakash; Dimas Ria Angga Pribadi; Parul Puri; Zahiruddin Quazi Syed; Mohammad Rabiee; Navid Rabiee; Amir Radfar; Anwar Rafay; Ata Rafiee; Alireza Rafiei; Fakher Rahim; Siavash Rahimi; Vafa Rahimi-Movaghar; Muhammad Aziz Rahman; Ali Rajabpour-Sanati; Fatemeh Rajati; Ivo Rakovac; Kavitha Ranganathan; Sowmya J. Rao; Vahid Rashedi; Prateek Rastogi; Priya Rathi; Salman Rawaf; Lal Rawal; Reza Rawassizadeh; Vishnu Renjith; Andre M.N. Renzaho; Serge Resnikoff; Aziz Rezapour; Ana Isabel Ribeiro; Jennifer Rickard; Carlos Miguel Rios González; Luca Ronfani; Gholamreza Roshandel; Anas M. Saad; Yogesh Damodar Sabde; Siamak Sabour; Basema Saddik; Saeed Safari; Roya Safari-Faramani; Hamid Safarpour; Mahdi Safdarian; S. Mohammad Sajadi; Payman Salamati; Farkhonde Salehi; Saleh Salehi Zahabi; Marwa R. Rashad Salem; Hosni Salem; Omar Salman; Inbal Salz; Abdallah M. Samy; Juan Sanabria; Lidia Sanchez Riera; Milena M. Santric Milicevic; Abdur Razzaque Sarker; Arash Sarveazad; Brijesh Sathian; Monika Sawhney; Susan M. Sawyer; Sonia Saxena; Mehdi Sayyah; David C. Schwebel; Soraya Seedat; Subramanian Senthilkumaran; Sadaf G. Sepanlou; Seyedmojtaba Seyedmousavi; Feng Sha; Faramarz Shaahmadi; Saeed Shahabi; Masood Ali Shaikh; Mehran Shams-Beyranvand; Morteza Shamsizadeh; Mahdi Sharif-Alhoseini; Hamid Sharifi; Aziz Sheikh; Mika Shigematsu; Jae Il Shin; Rahman Shiri; Soraya Siabani; Inga Dora Sigfusdottir; Pankaj Kumar Singh; Jasvinder A. Singh; Dhirendra Narain Sinha; Catalin-Gabriel Smarandache; Emma U.R. Smith; Amin Soheili; Bija Soleymani; Ali Reza Soltanian; Joan B. Soriano; Muluken Bekele Sorrie; Ireneous N. Soyiri; Dan J. Stein; Mark A. Stokes; Babale Sufiyan Mu'awiyyah; Hafiz Ansar Rasul Suleria; Bryan L. Sykes; Rafael Tabarés-Seisdedos; Karen M. Tabb; Biruk Wogayehu Taddele; Degena Bahrey Tadesse; Animut Tagele Tamiru; Ingan Ukur Tarigan; Yonatal Mesfin Tefera; Arash Tehrani-Banihashemi; Merhawi Gebremedhin Tekle; Gebretsadkan Hintsa Tekulu; Ayenew Kassie Tesema; Berhe Etsay Tesfay; Rekha Thapar; Asres Bedaso Tilahune; Kenean Getaneh Tlaye; Hamid Reza Tohidinik; Roman Topor-Madry; Bach Xuan Tran; Khanh Bao Tran; Jaya Prasad Tripathy; Alexander C. Tsai; Lorainne Tudor Car; Saif Ullah; Irfan Ullah; Maida Umar; Bhaskaran Unnikrishnan; Era Upadhyay; Olalekan A. Uthman; Pascual R. Valdez; Tommi Juhani Vasankari; Narayanaswamy Venketasubramanian; Francesco S. Violante; Vasily Vlassov; Yasir Waheed; Girmay Teklay Weldesamuel; Andrea Werdecker; Taweewat Wiangkham; Haileab Fekadu Wolde; Dawit Habte Woldeyes; Dawit Zewdu Wondafrash; Temesgen Gebeyehu Wondmeneh; Adam Belay Wondmieneh; Ai-Min Wu; Rajaram Yadav; Ali Yadollahpour; Yuichiro Yano; Sanni Yaya; Vahid Yazdi-Feyzabadi; Paul Yip; Engida Yisma; Naohiro Yonemoto; Seok-Jun Yoon; Yoosik Youm; Mustafa Z. Younis; Zabihollah Yousefi; Yong Yu; Chuanhua Yu; Hasan Yusefzadeh; Telma Zahirian Moghadam; Zoubida Zaidi; Sojib Bin Zaman; Mohammad Zamani; Maryam Zamanian; Hamed Zandian; Ahmad Zarei; Fatemeh Zare; Zhi-Jiang Zhang; Yunquan Zhang; Sanjay Zodpey; Lalit Dandona; Rakhi Dandona; Louisa Degenhardt; Samath Dhamminda Dharmaratne; Simon I. Hay; Ali H. Mokdad; Robert C. Reiner; Benn Sartorius; Theo VosBackground Past research in population health trends has shown that injuries form a substantial burden of population health loss. Regular updates to injury burden assessments are critical. We report Global Burden of Disease (GBD) 2017 Study estimates on morbidity and mortality for all injuries. methods We reviewed results for injuries from the GBD 2017 study. GBD 2017 measured injury-specific mortality and years of life lost (YLLs) using the Cause of Death Ensemble model. To measure non-fatal injuries, GBD 2017 modelled injury-specific incidence and converted this to prevalence and years lived with disability (YLDs). YLLs and YLDs were summed to calculate disability-adjusted life years (DALYs). Findings In 1990, there were 4 260 493 (4 085 700 to 4 396 138) injury deaths, which increased to 4 484 722 (4 332 010 to 4 585 554) deaths in 2017, while age-standardised mortality decreased from 1079 (1073 to 1086) to 738 (730 to 745) per 100 000. In 1990, there were 354 064 302 (95% uncertainty interval: 338 174 876 to 371 610 802) new cases of injury globally, which increased to 520 710 288 (493 430 247 to 547 988 635) new cases in 2017. During this time, age-standardised incidence decreased non-significantly from 6824 (6534 to 7147) to 6763 (6412 to 7118) per 100 000. Between 1990 and 2017, age-standardised DALYs decreased from 4947 (4655 to 5233) per 100 000 to 3267 (3058 to 3505). Interpretation Injuries are an important cause of health loss globally, though mortality has declined between 1990 and 2017. Future research in injury burden should focus on prevention in high-burden populations, improving data collection and ensuring access to medical care. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.PublicationArticle Global, regional, and national age-specific progress towards the 2020 milestones of the WHO End TB Strategy: a systematic analysis for the Global Burden of Disease Study 2021(Elsevier Ltd, 2024) Jorge R. Ledesma; Jianing Ma; Meixin Zhang; Ann V. L. Basting; Huong Thi Chu; Avina Vongpradith; Amanda Novotney; Kate E. LeGrand; Yvonne Yiru Xu; Xiaochen Dai; Sneha Ingle Nicholson; Lauryn K. Stafford; Austin Carter; Jennifer M. Ross; Hedayat Abbastabar; Meriem Abdoun; Deldar Morad Abdulah; Richard Gyan Aboagye; Hassan Abolhassani; Woldu Aberhe Abrha; Hiwa Abubaker Ali; Eman Abu-Gharbieh; Salahdein Aburuz; Isaac Yeboah Addo; Abiola Victor Adepoju; Kishor Adhikari; Qorinah Estiningtyas Sakilah Adnani; Saryia Adra; Abel Afework; Shahin Aghamiri; Williams Agyemang-Duah; Bright Opoku Ahinkorah; Danish Ahmad; Sajjad Ahmad; Amir Mahmoud Ahmadzade; Haroon Ahmed; Mohammed Ahmed; Ayman Ahmed; Karolina Akinosoglou; Tareq Mohammed Ali Al-Ahdal; Nazmul Alam; Mohammed Albashtawy; Mohammad T. AlBataineh; Adel Ali Saeed Al-Gheethi; Abid Ali; Endale Alemayehu Ali; Liaqat Ali; Zahid Ali; Syed Shujait Shujait Ali; Kasim Allel; Awais Altaf; Jaffar A. Al-Tawfiq; Nelson Alvis-Guzman; Nelson J. Alvis-Zakzuk; Reza Amani; Ganiyu Adeniyi Amusa; Jimoh Amzat; Jason R. Andrews; Abhishek Anil; Razique Anwer; Aleksandr Y. Aravkin; Damelash Areda; Anton A. Artamonov; Raphael Taiwo Aruleba; Mulusew A. Asemahagn; Sachin R. Atre; Avinash Aujayeb; Davood Azadi; Sina Azadnajafabad; Ahmed Y. Azzam; Muhammad Badar; Ashish D. Badiye; Sara Bagherieh; Saeed Bahadorikhalili; Atif Amin Baig; Maciej Banach; Biswajit Banik; Mainak Bardhan; Hiba Jawdat Barqawi; Zarrin Basharat; Pritish Baskaran; Saurav Basu; Maryam Beiranvand; Melaku Ashagrie Belete; Makda Abate Belew; Uzma Iqbal Belgaumi; Apostolos Beloukas; Paulo J. G. Bettencourt; Akshaya Srikanth Bhagavathula; Nikha Bhardwaj; Pankaj Bhardwaj; Ashish Bhargava; Vivek Bhat; Jasvinder Singh Bhatti; Gurjit Kaur Bhatti; Boris Bikbov; Veera R. Bitra; Vesna Bjegovic-Mikanovic; Danilo Buonsenso; Katrin Burkart; Yasser Bustanji; Zahid A. Butt; Paulo Camargos; Yu Cao; Sinclair Carr; Felix Carvalho; Luca Cegolon; Muthia Cenderadewi; Muge Cevik; Yaacoub Chahine; Vijay Kumar Chattu; Patrick R. Ching; Hitesh Chopra; Eunice Chung; Mareli M. Claassens; Kaleb Coberly; Natália Cruz-Martins; Bashir Dabo; Sriharsha Dadana; Omid Dadras; Isaac Darban; Jiregna Darega Gela; Aso Mohammad Darwesh; Mahmood Dashti; Berecha Hundessa Demessa; Biniyam Demisse; Solomon Demissie; Awoke Masrie Asrat Derese; Kebede Deribe; Hardik Dineshbhai Desai; Vinoth Gnana Chellaiyan Devanbu; Arkadeep Dhali; Kuldeep Dhama; Sameer Dhingra; Thao Huynh Phuong Do; Deepa Dongarwar; Haneil Larson Dsouza; John Dube; Arkadiusz Marian Dziedzic; Abdelaziz Ed-Dra; Ferry Efendi; Diyan Ermawan Effendi; Aziz Eftekharimehrabad; Nopryan Ekadinata; Temitope Cyrus Ekundayo; Muhammed Elhadi; Legesse Tesfaye Elilo; Theophilus I. Emeto; Luchuo Engelbert Bain; Adeniyi Francis Fagbamigbe; Ayesha Fahim; Alireza Feizkhah; Getahun Fetensa; Florian Fischer; Abduzhappar Gaipov; Aravind P. Gandhi; Rupesh K. Gautam; Miglas W. Gebregergis; Mesfin Gebrehiwot; Kahsu Gebrekirstos Gebrekidan; Kazem Ghaffari; Fariba Ghassemi; Ramy Mohamed Ghazy; Amador Goodridge; Anmol Goyal; Shi-Yang Guan; Mesay Dechasa Gudeta; Rashid Abdi Guled; Novianti Br Gultom; Veer Bala Gupta; Vivek Kumar Gupta; Sapna Gupta; Hailey Hagins; Semira Goitom Hailu; Wase Benti Hailu; Samer Hamidi; Asif Hanif; Harapan Harapan; Rumina Syeda Hasan; Shoaib Hassan; Johannes Haubold; Kamal Hezam; Sung Hwi Hong; Nobuyuki Horita; Md Belal Hossain; Mehdi Hosseinzadeh; Mihaela Hostiuc; Sorin Hostiuc; Hong-Han Huynh; Segun Emmanuel Ibitoye; Kevin S. Ikuta; Irena M. Ilic; Milena D. Ilic; Md Rabiul Islam; Nahlah Elkudssiah Ismail; Faisal Ismail; Abdollah Jafarzadeh; Mihajlo Jakovljevic; Mahsa Jalili; Manthan Dilipkumar Janodia; Nabi Jomehzadeh; Jost B. Jonas; Nitin Joseph; Charity Ehimwenma Joshua; Zubair Kabir; Bhushan Dattatray Kamble; Tanuj Kanchan; Himal Kandel; Kehinde Kazeem Kanmodi; Rami S. Kantar; Ibraheem M. Karaye; Arman Karimi Behnagh; Gebrehiwot G. Kassa; Rimple Jeet Kaur; Navjot Kaur; Himanshu Khajuria; Faham Khamesipour; Yusra H. Khan; M. Nuruzzaman Khan; Mahammed Ziauddin Khan Suheb; Khaled Khatab; Fatemeh Khatami; Min Seo Kim; Soewarta Kosen; Parvaiz A. Koul; Sindhura Lakshmi Koulmane Laxminarayana; Kewal Krishan; Burcu Kucuk Bicer; Md Abdul Kuddus; Mukhtar Kulimbet; Nithin Kumar; Dharmesh Kumar Lal; Iván Landires; Kamaluddin Latief; Trang Diep Thanh Le; Thao Thi Thu Le; Caterina Ledda; Munjae Lee; Seung Won Lee; Temesgen L. Lerango; Stephen S. Lim; Chaojie Liu; Xuefeng Liu; Platon D. Lopukhov; Hong Luo; Hengliang Lv; Preetam Bhalchandra Mahajan; Amir Ali Mahboobipour; Azeem Majeed; Elaheh Malakan Rad; Kashish Malhotra; Muhammad Sajeel Ahmed Malik; Lesibana Anthony Malinga; Tauqeer Hussain Mallhi; Aseer Manilal; Bernardo Alfonso Martinez-Guerra; Francisco Rogerlândio Martins-Melo; Roy Rillera Marzo; Hossein Masoumi-Asl; Vasundhara Mathur; Richard James Maude; Ravi Mehrotra; Ziad A. Memish; Walter Mendoza; Ritesh G. Menezes; Muayad Aghali Merza; Tomislav Mestrovic; Laurette Mhlanga; Sanjeev Misra; Arup Kumar Misra; Prasanna Mithra; Babak Moazen; Hussen Mohammed; Ali H. Mokdad; Lorenzo Monasta; Catrin E. Moore; Parsa Mousavi; Francesk Mulita; Fungai Musaigwa; Raman Muthusamy; Ahamarshan Jayaraman Nagarajan; Pirouz Naghavi; Ganesh R. Naik; Gurudatta Naik; Sanjeev Nair; Tapas Sadasivan Nair; Zuhair S. Natto; Biswa Prakash Nayak; Hadush Negash; Dang H. Nguyen; Van Thanh Nguyen; Robina Khan Niazi; Chukwudi A. Nnaji; Lawrence Achilles Nnyanzi; Efaq Ali Noman; Shuhei Nomura; Bogdan Oancea; Kehinde O. Obamiro; Ismail A. Odetokun; Daniel Bogale Odo Odo; Oluwakemi Ololade Odukoya; In-Hwan Oh; Chukwuma O. Okereke; Osaretin Christabel Okonji; Eyal Oren; Edgar Ortiz-Brizuela; Uchechukwu Levi Osuagwu; Amel Ouyahia; P.A. Mahesh Padukudru; Pragyan Paramita Parija; Romil R. Parikh; Seoyeon Park; Ashwaghosha Parthasarathi; Shankargouda Patil; Shrikant Pawar; Minjin Peng; Veincent Christian Filipino Pepito; Prince Peprah; João Perdigão; Norberto Perico; Hoang Tran Pham; Maarten J. Postma; Attur Ravindra Attur Prabhu; Manya Prasad; Akila Prashant; Elton Junio Sady Prates; Fakher Rahim; Mosiur Rahman; Muhammad Aziz Rahman; Masoud Rahmati; Sathish Rajaa; Shakthi Kumaran Ramasamy; Indu Ramachandra Rao; Sowmya J. Rao; Deepthi Rapaka; Ahmed Mustafa Rashid; Zubair Ahmed Ratan; Nakul Ravikumar; Salman Rawaf; Murali Mohan Rama Krishna Reddy; Elrashdy Moustafa Mohamed Redwan; Giuseppe Remuzzi; Luis Felipe Reyes; Nazila Rezaei; Mohsen Rezaeian; Omid Rezahosseini; Mónica Rodrigues; Priyanka Roy; Guilherme de Andrade Ruela; Siamak Sabour; Basema Saddik; Umar Saeed; Sher Zaman Safi; Narjes Saheb Sharif-Askari; Fatemeh Saheb Sharif-Askari; Amirhossein Sahebkar; Biniyam Sahiledengle; Soumya Swaroop Sahoo; Nasir Salam; Afeez Abolarinwa Salami; Samreen Saleem; Mohamed A. Saleh; Hossein Samadi Kafil; Sara Samadzadeh; Yoseph Leonardo Samodra; Rama Krishna Sanjeev; Aswini Saravanan; Susan M. Sawyer; Siddharthan Selvaraj; Sabyasachi Senapati; Subramanian Senthilkumaran; Pritik A. Shah; Samiah Shahid; Masood Ali Shaikh; Sunder Sham; Mohammad Ali Shamshirgaran; Mohd Shanawaz; Medha Sharath; Samendra P. Sherchan; Ranjitha S. Shetty; Hesamaddin Shirzad-Aski; Aminu Shittu; Emmanuel Edwar Siddig; João Pedro Silva; Surjit Singh; Paramdeep Singh; Harpreet Singh; Jasvinder A. Singh; Md Shahjahan Siraj; Siswanto Siswanto; Ranjan Solanki; Yonatan Solomon; Joan B. Soriano; Chandrashekhar T. Sreeramareddy; Vijay Kumar Srivastava; Paschalis Steiropoulos; Chandan Kumar Swain; Takahiro Tabuchi; Mircea Tampa; Jacques J. L. Lukenze Tamuzi; Nathan Y. Tat; Razieh Tavakoli Oliaee; Gebrehiwot Teklay; Edosa Geta Tesfaye; Belay Tessema; Pugazhenthan Thangaraju; Rekha Thapar; Chern Choong Chern Thum; Jansje Henny Vera Ticoalu; Imad M. Tleyjeh; Ruoyan Tobe-Gai; Temesgen Mohammed Toma; Khai Hoan Tram; Aniefiok John Udoakang; Tungki Pratama Umar; Chukwuma David Umeokonkwo; Seyed Mohammad Vahabi; Asokan Govindaraj Vaithinathan; Job F. M. van Boven; Shoban Babu Varthya; Ziyue Wang; Muktar S. A. Warsame; Ronny Westerman; Tewodros Eshete Wonde; Sajad Yaghoubi; Siyan Yi; Vahit Yigit; Dong Keon Yon; Naohiro Yonemoto; Chuanhua Yu; Fathiah Zakham; Moein Zangiabadian; Francis Zeukeng; Haijun Zhang; Yang Zhao; Peng Zheng; Magdalena Zielinska; Joshua A. Salomon; Robert C. Reiner; Mohsen Naghavi; Theo Vos; Simon I. Hay; Christopher J. L. Murray; Hmwe Hmwe KyuBackground: Global evaluations of the progress towards the WHO End TB Strategy 2020 interim milestones on mortality (35% reduction) and incidence (20% reduction) have not been age specific. We aimed to assess global, regional, and national-level burdens of and trends in tuberculosis and its risk factors across five separate age groups, from 1990 to 2021, and to report on age-specific progress between 2015 and 2020. Methods: We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 (GBD 2021) analytical framework to compute age-specific tuberculosis mortality and incidence estimates for 204 countries and territories (1990–2021 inclusive). We quantified tuberculosis mortality among individuals without HIV co-infection using 22 603 site-years of vital registration data, 1718 site-years of verbal autopsy data, 825 site-years of sample-based vital registration data, 680 site-years of mortality surveillance data, and 9 site-years of minimally invasive tissue sample (MITS) diagnoses data as inputs into the Cause of Death Ensemble modelling platform. Age-specific HIV and tuberculosis deaths were established with a population attributable fraction approach. We analysed all available population-based data sources, including prevalence surveys, annual case notifications, tuberculin surveys, and tuberculosis mortality, in DisMod-MR 2.1 to produce internally consistent age-specific estimates of tuberculosis incidence, prevalence, and mortality. We also estimated age-specific tuberculosis mortality without HIV co-infection that is attributable to the independent and combined effects of three risk factors (smoking, alcohol use, and diabetes). As a secondary analysis, we examined the potential impact of the COVID-19 pandemic on tuberculosis mortality without HIV co-infection by comparing expected tuberculosis deaths, modelled with trends in tuberculosis deaths from 2015 to 2019 in vital registration data, with observed tuberculosis deaths in 2020 and 2021 for countries with available cause-specific mortality data. Findings: We estimated 9·40 million (95% uncertainty interval [UI] 8·36 to 10·5) tuberculosis incident cases and 1·35 million (1·23 to 1·52) deaths due to tuberculosis in 2021. At the global level, the all-age tuberculosis incidence rate declined by 6·26% (5·27 to 7·25) between 2015 and 2020 (the WHO End TB strategy evaluation period). 15 of 204 countries achieved a 20% decrease in all-age tuberculosis incidence between 2015 and 2020, eight of which were in western sub-Saharan Africa. When stratified by age, global tuberculosis incidence rates decreased by 16·5% (14·8 to 18·4) in children younger than 5 years, 16·2% (14·2 to 17·9) in those aged 5–14 years, 6·29% (5·05 to 7·70) in those aged 15–49 years, 5·72% (4·02 to 7·39) in those aged 50–69 years, and 8·48% (6·74 to 10·4) in those aged 70 years and older, from 2015 to 2020. Global tuberculosis deaths decreased by 11·9% (5·77 to 17·0) from 2015 to 2020. 17 countries attained a 35% reduction in deaths due to tuberculosis between 2015 and 2020, most of which were in eastern Europe (six countries) and central Europe (four countries). There was variable progress by age: a 35·3% (26·7 to 41·7) decrease in tuberculosis deaths in children younger than 5 years, a 29·5% (25·5 to 34·1) decrease in those aged 5–14 years, a 15·2% (10·0 to 20·2) decrease in those aged 15–49 years, a 7·97% (0·472 to 14·1) decrease in those aged 50–69 years, and a 3·29% (–5·56 to 9·07) decrease in those aged 70 years and older. Removing the combined effects of the three attributable risk factors would have reduced the number of all-age tuberculosis deaths from 1·39 million (1·28 to 1·54) to 1·00 million (0·703 to 1·23) in 2020, representing a 36·5% (21·5 to 54·8) reduction in tuberculosis deaths compared to those observed in 2015. 41 countries were included in our analysis of the impact of the COVID-19 pandemic on tuberculosis deaths without HIV co-infection in 2020, and 20 countries were included in the analysis for 2021. In 2020, 50 900 (95% CI 49 700 to 52 400) deaths were expected across all ages, compared to an observed 45 500 deaths, corresponding to 5340 (4070 to 6920) fewer deaths; in 2021, 39 600 (38 300 to 41 100) deaths were expected across all ages compared to an observed 39 000 deaths, corresponding to 657 (–713 to 2180) fewer deaths. Interpretation: Despite accelerated progress in reducing the global burden of tuberculosis in the past decade, the world did not attain the first interim milestones of the WHO End TB Strategy in 2020. The pace of decline has been unequal with respect to age, with older adults (ie, those aged >50 years) having the slowest progress. As countries refine their national tuberculosis programmes and recalibrate for achieving the 2035 targets, they could consider learning from the strategies of countries that achieved the 2020 milestones, as well as consider targeted interventions to improve outcomes in older age groups. Funding: Bill & Melinda Gates Foundation. © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licensePublicationArticle Global, regional, and national sex differences in the global burden of tuberculosis by HIV status, 1990–2019: results from the Global Burden of Disease Study 2019(Elsevier Ltd, 2022) Jorge R. Ledesma; Jianing Ma; Avina Vongpradith; Emilie R. Maddison; Amanda Novotney; Molly H. Biehl; Kate E. Legrand; Jennifer M. Ross; Deepa Jahagirdar; Dana Bryazka; Rachel Feldman; Hassan Abolhassani; Akine Eshete Abosetugn; Eman Abu-Gharbieh; Oladimeji M. Adebayo; Qorinah Estiningtyas Sakilah Adnani; Saira Afzal; Bright Opoku Ahinkorah; Sajjad Ahmad Ahmad; Sepideh Ahmadi; Tarik Ahmed Rashid; Yusra Ahmed Salih; Addis Aklilu; Chisom Joyqueenet Akunna; Hanadi Al Hamad; Fares Alahdab; Yosef Alemayehu; Kefyalew Addis Alene; Beriwan Abdulqadir Ali; Liaqat Ali; Vahid Alipour; Hesam Alizade; Rajaa M. Al-Raddadi; Nelson Alvis-Guzman; Saeed Amini; Arianna Maever L. Amit; Jason A. Anderson; Sofa Androudi; Carl Abelardo T. Antonio; Catherine M. Antony; Razique Anwer; Jalal Arabloo; Asrat Arja; Mulusew A. Asemahagn; Sachin R. Atre; Gulrez Shah Azhar; B.B. Darshan; Zaheer-Ud-Din Babar; Atif Amin Baig; Maciej Banach; Hiba Jawdat Barqawi; Fabio Barra; Amadou Barrow; Sanjay Basu; Uzma Iqbal Belgaumi; Akshaya Srikanth Bhagavathula; Nikha Bhardwaj; Pankaj Bhardwaj; Natalia V. Bhattacharjee; Krittika Bhattacharyya; Ali Bijani; Boris Bikbov; Archith Boloor; Nikolay Ivanovich Briko; Danilo Buonsenso; Sharath Burugina Nagaraja; Zahid A. Butt; Austin Carter; Felix Carvalho; Jaykaran Charan; Souranshu Chatterjee; Soosanna Kumary Chattu; Vijay Kumar Chattu; Devasahayam J. Christopher; Dinh-Toi Chu; Mareli M. Claassens; Omid Dadras; Amare Belachew Dagnew; Xiaochen Dai; Lalit Dandona; Rakhi Dandona; Parnaz Daneshpajouhnejad; Aso Mohammad Darwesh; Deepak Dhamnetiya; Mostafa Dianatinasab; Daniel Diaz; Linh Phuong Doan; Sahar Eftekharzadeh; Muhammed Elhadi; Amir Emami; Shymaa Enany; Emerito Jose A. Faraon; Farshad Farzadfar; Eduarda Fernandes; Lorenzo Ferro Desideri; Irina Filip; Florian Fischer; Masoud Foroutan; Tahvi D. Frank; Alberto L. Garcia-Basteiro; Christian Garcia-Calavaro; Tushar Garg; Biniyam Sahiledengle Geberemariyam; Keyghobad Ghadiri; Ahmad Ghashghaee; Mahaveer Golechha; Amador Goodridge; Bhawna Gupta; Sapna Gupta; Veer Bala Gupta; Vivek Kumar Gupta; Mohammad Rifat Haider; Samer Hamidi; Asif Hanif; Shaful Haque; Harapan Harapan; Arief Hargono; Ahmed I. Hasaballah; Abdiwahab Hashi; Shoaib Hassan; Hadi Hassankhani; Khezar Hayat; Kamal Hezam; Ramesh Holla; Mehdi Hosseinzadeh; Mihaela Hostiuc; Mowafa Househ; Rabia Hussain; Segun Emmanuel Ibitoye; Irena M. Ilic; Milena D. Ilic; Seyed Sina Naghibi Irvani; Nahlah Elkudssiah Ismail; Ramaiah Itumalla; Jalil Jaafari; Kathryn H. Jacobsen; Vardhmaan Jain; Fatemeh Javanmardi; Sathish Kumar Jayapal; Shubha Jayaram; Ravi Prakash Jha; Jost B. Jonas; Nitin Joseph; Farahnaz Joukar; Zubair Kabir; Ashwin Kamath; Tanuj Kanchan; Himal Kandel; Patrick D.M.C. Katoto; Gbenga A. Kayode; Parkes J. Kendrick; Amene Abebe Kerbo; Himanshu Khajuria; Rovshan Khalilov; Khaled Khatab; Abdullah T. Khoja; Jagdish Khubchandani; Min Seo Kim; Yun Jin Kim; Adnan Kisa; Sezer Kisa; Soewarta Kosen; Parvaiz A. Koul; Sindhura Lakshmi Koulmane Laxminarayana; Ai Koyanagi; Kewal Krishan; Burcu Kucuk Bicer; Avinash Kumar; G. Anil Kumar; Narinder Kumar; Nithin Kumar; Alexander Kwarteng; Hassan Mehmood Lak; Dharmesh Kumar Lal; Iván Landires; Savita Lasrado; Shaun Wen Huey Lee; Wei-Chen Lee; Christine Lin; Xuefeng Liu; Platon D. Lopukhov; Rafael Lozano; Daiane Borges Machado; Shilpashree Madhava Kunjathur; Deepak Madi; Preetam Bhalchandra Mahajan; Azeem Majeed; Ahmad Azam Malik; Francisco Rogerlândio Martins-Melo; Saurabh Mehta; Ziad A. Memish; Walter Mendoza; Ritesh G. Menezes; Hayimro Edemealem Merie; Amanual Getnet Mersha; Mohamed Kamal Mesregah; Tomislav Mestrovic; Nour Mheidly Mheidly; Sanjeev Misra; Prasanna Mithra; Masoud Moghadaszadeh; Mokhtar Mohammadi; Abdollah Mohammadian-Hafshejani; Shafu Mohammed; Mariam Molokhia; Mohammad Ali Moni; Ahmed Al Montasir; Catrin E. Moore; Ahamarshan Jayaraman Nagarajan; Sanjeev Nair; Suma Nair; Atta Abbas Naqvi; Sreenivas Narasimha Swamy; Biswa Prakash Nayak; Javad Nazari; Sandhya Neupane Kandel; Trang Huyen Nguyen; Molly R. Nixon; Chukwudi A. Nnaji; Mpiko Ntsekhe; Virginia Nuñez-Samudio; Bogdan Oancea; Oluwakemi Ololade Odukoya; Andrew T. Olagunju; Eyal Oren; P.A. Mahesh; Ramakrishnan Parthasarathi; Fatemeh Pashazadeh Kan; Sanjay M. Pattanshetty; Rajan Paudel; Pintu Paul; Shrikant Pawar; Veincent Christian Filipino Pepito; Norberto Perico; Majid Pirestani; Roman V. Polibin; Maarten J. Postma; Akram Pourshams; Akila Prashant; Dimas Ria Angga Pribadi; Amir Radfar; Alireza Rafei; Fakher Rahim; Vafa Rahimi-Movaghar; Mahfuzar Rahman; Mosiur Rahman; Amir Masoud Rahmani; Priyanga Ranasinghe; Chythra R. Rao; David Laith Rawaf; Salman Rawaf; Marissa B. Reitsma; Giuseppe Remuzzi; Andre M. N. Renzaho; Melese Abate Reta; Nima Rezaei; Omid Rezahosseini; Mohammad Sadegh Rezai; Aziz Rezapour; Gholamreza Roshandel; Denis O. Roshchin; Siamak Sabour; K.M. Saif-Ur-rahman; Nasir Salam; Hossein Samadi Kafl; Mehrnoosh Samaei; Abdallah M. Samy; Satish Saroshe; Benn Sartorius; Brijesh Sathian; Susan M. Sawyer; Subramanian Senthilkumaran; Allen Seylani; Omid Shafaat; Masood Ali Shaikh; Kiomars Sharaf; Ranjitha S. Shetty; Mika Shigematsu; Jae Il Shin; João Pedro Silva; Jitendra Kumar Singh; Smriti Sinha; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; Emma Elizabeth Spurlock; Chandrashekhar T. Sreeramareddy; Paschalis Steiropoulos; Mu'awiyyah Babale Sufyan; Takahiro Tabuchi; Eyayou Girma Tadesse; Zemenu Tamir; Elvis Enowbeyang Tarkang; Yohannes Tekalegn; Fisaha Haile Tesfay; Belay Tessema; Rekha Thapar; Imad I. Tleyjeh; Ruoyan Tobe-Gai; Bach Xuan Tran; Berhan Tsegaye; Gebiyaw Wudie Tsegaye; Anayat Ullah; Chukwuma David Umeokonkwo; Sahel Valadan Tahbaz; Bay Vo; Giang Thu Vu; Yasir Waheed; Magdalene K. Walters; Joanna L. Whisnant; Mesfn Agachew Woldekidan; Befkadu Legesse Wubishet; Seyed Hossein Yahyazadeh Jabbari; Taklo Simeneh Yazie Yazie; Yigizie Yeshaw; Siyan Yi; Vahit Yigit; Naohiro Yonemoto; Chuanhua Yu; Ismaeel Yunusa; Mikhail Sergeevich Zastrozhin; Anasthasia Zastrozhina; Zhi-Jiang Zhang; Alimuddin Zumla; Ali H. Mokdad; Joshua A. Salomon; Robert C. Reiner; Stephen S. Lim; Mohsen Naghavi; Theo Vos; Simon I. Hay; Christopher J. L. Murray; Hmwe Hmwe KyuBackground: Tuberculosis is a major contributor to the global burden of disease, causing more than a million deaths annually. Given an emphasis on equity in access to diagnosis and treatment of tuberculosis in global health targets, evaluations of differences in tuberculosis burden by sex are crucial. We aimed to assess the levels and trends of the global burden of tuberculosis, with an emphasis on investigating differences in sex by HIV status for 204 countries and territories from 1990 to 2019. Methods: We used a Bayesian hierarchical Cause of Death Ensemble model (CODEm) platform to analyse 21 505 site-years of vital registration data, 705 site-years of verbal autopsy data, 825 site-years of sample-based vital registration data, and 680 site-years of mortality surveillance data to estimate mortality due to tuberculosis among HIV-negative individuals. We used a population attributable fraction approach to estimate mortality related to HIV and tuberculosis coinfection. A compartmental meta-regression tool (DisMod-MR 2.1) was then used to synthesise all available data sources, including prevalence surveys, annual case notifications, population-based tuberculin surveys, and tuberculosis cause-specific mortality, to produce estimates of incidence, prevalence, and mortality that were internally consistent. We further estimated the fraction of tuberculosis mortality that is attributable to independent effects of risk factors, including smoking, alcohol use, and diabetes, for HIV-negative individuals. For individuals with HIV and tuberculosis coinfection, we assessed mortality attributable to HIV risk factors including unsafe sex, intimate partner violence (only estimated among females), and injection drug use. We present 95% uncertainty intervals for all estimates. Findings: Globally, in 2019, among HIV-negative individuals, there were 1·18 million (95% uncertainty interval 1·08–1·29) deaths due to tuberculosis and 8·50 million (7·45–9·73) incident cases of tuberculosis. Among HIV-positive individuals, there were 217 000 (153 000–279 000) deaths due to tuberculosis and 1·15 million (1·01–1·32) incident cases in 2019. More deaths and incident cases occurred in males than in females among HIV-negative individuals globally in 2019, with 342 000 (234 000–425 000) more deaths and 1·01 million (0·82–1·23) more incident cases in males than in females. Among HIV-positive individuals, 6250 (1820–11 400) more deaths and 81 100 (63 300–100 000) more incident cases occurred among females than among males in 2019. Age-standardised mortality rates among HIV-negative males were more than two times greater in 105 countries and age-standardised incidence rates were more than 1·5 times greater in 74 countries than among HIV-negative females in 2019. The fraction of global tuberculosis deaths among HIV-negative individuals attributable to alcohol use, smoking, and diabetes was 4·27 (3·69–5·02), 6·17 (5·48–7·02), and 1·17 (1·07–1·28) times higher, respectively, among males than among females in 2019. Among individuals with HIV and tuberculosis coinfection, the fraction of mortality attributable to injection drug use was 2·23 (2·03–2·44) times greater among males than females, whereas the fraction due to unsafe sex was 1·06 (1·05–1·08) times greater among females than males. Interpretation: As countries refine national tuberculosis programmes and strategies to end the tuberculosis epidemic, the excess burden experienced by males is important. Interventions are needed to actively communicate, especially to men, the importance of early diagnosis and treatment. These interventions should occur in parallel with efforts to minimise excess HIV burden among women in the highest HIV burden countries that are contributing to excess HIV and tuberculosis coinfection burden for females. Placing a focus on tuberculosis burden among HIV-negative males and HIV and tuberculosis coinfection among females might help to diminish the overall burden of tuberculosis. This strategy will be crucial in reaching both equity and burden targets outlined by global health milestones. Funding: Bill & Melinda Gates Foundation. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licensePublicationArticle The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019(Elsevier Ltd, 2022) Elysia M. Alvarez; Lisa M. Force; Rixing Xu; Kelly Compton; Dan Lu; Hannah Jacqueline Henrikson; Jonathan M. Kocarnik; James D. Harvey; Alyssa Pennini; Frances E. Dean; Weijia Fu; Martina T. Vargas; Theresa H. M. Keegan; Hany Ariffin; Ronald D. Barr; Yana Arturovna Erdomaeva; D. Sanjeeva Gunasekera; Yetunde O. John-Akinola; Tyler G. Ketterl; Tezer Kutluk; Marcio Henrique Malogolowkin; Prashant Mathur; Venkatraman Radhakrishnan; Lynn Ann Gloeckler Ries; Carlos Rodriguez-Galindo; Garik Barisovich Sagoyan; Iyad Sultan; Behzad Abbasi; Mohsen Abbasi-Kangevari; Zeinab Abbasi-Kangevari; Hedayat Abbastabar; Michael Abdelmasseh; Sherief Abd-Elsalam; Amir Abdoli; Haimanot Abebe; Aidin Abedi; Hassan Abidi; Hassan Abolhassani; Hiwa Abubaker Ali; Eman Abu-Gharbieh; Basavaprabhu Achappa; Juan Manuel Acuna; Isaac Akinkunmi Adedeji; Oyelola A. Adegboye; Qorinah Estiningtyas Sakilah Adnani; Shailesh M. Advani; Muhammad Sohail Afzal; Mohamad Aghaie Meybodi; Bahman Ahadinezhad; Bright Opoku Ahinkorah; Sajjad Ahmad; Sepideh Ahmadi; Muktar Beshir Ahmed; Tarik Ahmed Rashid; Yusra Ahmed Salih; Wajeeha Aiman; Gizachew Taddesse Akalu; Hanadi Al Hamad; Fares Alahdab; Abdulhadi A. AlAmodi; Fahad Mashhour Alanezi; Turki M. Alanzi; Adugnaw Zeleke Alem; Dejene Tsegaye Alem; Yosef Alemayehu; Fadwa Naji Alhalaiqa; Robert Kaba Alhassan; Saqib Ali; Gianfranco Alicandro; Vahid Alipour; Syed Mohamed Aljunid; Motasem Alkhayyat; Sunitha Alluri; Nihad A. Almasri; Sadeq Ali Al-Maweri; Sami Almustanyir; Rajaa M. Al-Raddadi; Nelson Alvis-Guzman; Edward Kwabena Ameyaw; Saeed Amini; Hubert Amu; Robert Ancuceanu; Catalina Liliana Andrei; Tudorel Andrei; Fereshteh Ansari; Alireza Ansari-Moghaddam; Davood Anvari; Anayochukwu Edward Anyasodor; Jalal Arabloo; Morteza Arab-Zozani; Ayele Mamo Argaw; Muhammad Arshad; Judie Arulappan; Armin Aryannejad; Zatollah Asemi; Mohammad Asghari Jafarabadi; Mohammad Reza Atashzar; Prince Atorkey; Alok Atreya; Sameh Attia; Avinash Aujayeb; Marcel Ausloos; Leticia Avila-Burgos; Atalel Fentahun Awedew; Beatriz Paulina Ayala Quintanilla; Alemu Degu Ayele; Solomon Shitu Ayen; Mohammed A. Azab; Sina Azadnajafabad; Hiva Azami; Mohammadreza Azangou-Khyavy; Amirhossein Azari Jafari; Ghasem Azarian; Ahmed Y. Azzam; Saeed Bahadory; Jianjun Bai; Atif Amin Baig; Jennifer L. Baker; Maciej Banach; Till Winfried Bärnighausen; Francesco Barone-Adesi; Fabio Barra; Amadou Barrow; Huda Basaleem; Abdul-Monim Mohammad Batiha; Masoud Behzadifar; Niguss Cherie Bekele; Rebuma Belete; Uzma Iqbal Belgaumi; Arielle Wilder Bell; Alemshet Yirga Berhie; Devidas S. Bhagat; Akshaya Srikanth Bhagavathula; Nikha Bhardwaj; Pankaj Bhardwaj; Sonu Bhaskar; Krittika Bhattacharyya; Vijayalakshmi S. Bhojaraja; Sadia Bibi; Ali Bijani; Antonio Biondi; Setognal Birara; Tone Bjørge; Obasanjo Afolabi Bolarinwa; Srinivasa Rao Bolla; Archith Boloor; Dejana Braithwaite; Hermann Brenner; Norma B. Bulamu; Katrin Burkart; Maria Teresa Bustamante-Teixeira; Nadeem Shafique Butt; Zahid A. Butt; Florentino Luciano Caetano Dos Santos; Chao Cao; Yin Cao; Giulia Carreras; Ferrán Catalá-López; Francieli Cembranel; Ester Cerin; Raja Chandra Chakinala; Promit Ananyo Chakraborty; Vijay Kumar Chattu; Pankaj Chaturvedi; Akhilanand Chaurasia; Prachi P. Chavan; Odgerel Chimed-Ochir; Jee-Young Jasmine Choi; Devasahayam J. Christopher; Dinh-Toi Chu; Michael T. Chung; Joao Conde; Vera Marisa Costa; Omar B. Da; Omid Dadras; Saad M. A. Dahlawi; Xiaochen Dai; Giovanni Damiani; Emanuele D'Amico; Lalit Dandona; Rakhi Dandona; Parnaz Daneshpajouhnejad; Amira Hamed Darwish; Ahmad Daryani; Fernando Pio De La Hoz; Sisay Abebe Debela; Takele Gezahegn G. Demie; Getu Debalkie Demissie; Zeleke Geto Demissie; Edgar Denova-Gutiérrez; Meseret Derbew Molla; Rupak Desai; Abebaw Alemayehu Desta; Deepak Dhamnetiya; Samath Dhamminda Dharmaratne; Mandira Lamichhane Dhimal; Meghnath Dhimal; Mostafa Dianatinasab; Mojtaba Didehdar; Mengistie Diress; Shirin Djalalinia; Huyen Phuc Do; Saeid Doaei; Fariba Dorostkar; Wendel Mombaque Dos Santos; Thomas M. Drake; Michael Ekholuenetale; Iman El Sayed; Maysaa El Sayed Zaki; Maha El Tantawi; Hassan El-Abid; Mostafa Ahmed Elbahnasawy; Iffat Elbarazi; Hala Rashad Elhabashy; Muhammed Elhadi; Shaimaa I. 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Kemp Bohan; Andre Pascal Kengne; Amene Abebe Kerbo; Mohammad Keykhaei; Yousef Saleh Khader; Himanshu Khajuria; Nastaran Khalili; Neda Khalili; Ejaz Ahmad Khan; Gulfaraz Khan; Maseer Khan; Md Nuruzzaman Khan; Moien A. B. Khan; Javad Khanali; Maryam Khayamzadeh; Omid Khosravizadeh; Jagdish Khubchandani; Roba Khundkar; Min Seo Kim; Yun Jin Kim; Adnan Kisa; Sezer Kisa; Katarzyna Kissimova-Skarbek; Ali-Asghar Kolahi; Jacek A. Kopec; Rajasekaran Koteeswaran; Sindhura Lakshmi Koulmane Laxminarayana; Ai Koyanagi; Nuworza Kugbey; G. Anil Kumar; Nithin Kumar; Alexander Kwarteng; Carlo La Vecchia; Qing Lan; Iván Landires; Savita Lasrado; Paolo Lauriola; Caterina Ledda; Sang-Woong Lee; Wei-Chen Lee; Yeong Yeh Lee; Yo Han Lee; James Leigh; Elvynna Leong; Bingyu Li; Jiarui Li; Ming-Chieh Li; Stephen S. Lim; Xuefeng Liu; Stany W. Lobo; Joana A. Loureiro; Alessandra Lugo; Raimundas Lunevicius; Hassan Magdy Abd El Razek; Muhammed Magdy Abd El Razek; Morteza Mahmoudi; Azeem Majeed; Alaa Makki; Shilpa Male; Mohammad-Reza Malekpour; Reza Malekzadeh; Ahmad Azam Malik; Mohammed A. Mamun; Navid Manafi; Fariborz Mansour-Ghanaei; Borhan Mansouri; Mohammad Ali Mansournia; Santi Martini; Seyedeh Zahra Masoumi; Clara N. Matei; Manu Raj Mathur; Colm McAlinden; Ravi Mehrotra; Walter Mendoza; Ritesh G. Menezes; Alexios-Fotios A. Mentis; Tuomo J. Meretoja; Amanual Getnet Mersha; Mohamed Kamal Mesregah; Tomislav Mestrovic; Junmei Miao Jonasson; Bartosz Miazgowski; Irmina Maria Michalek; Ted R. Miller; Alemu Basazin Mingude; Seyyedmohammadsadeq Mirmoeeni; Hamed Mirzaei; Sanjeev Misra; Prasanna Mithra; Karzan Abdulmuhsin Mohammad; Mokhtar Mohammadi; Seyyede Momeneh Mohammadi; Abdollah Mohammadian-Hafshejani; Reza Mohammadpourhodki; Arif Mohammed; Shafiu Mohammed; Teroj Abdulrahman Mohammed; Nagabhishek Moka; Ali H. 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Olagunju; Babayemi Oluwaseun Olakunde; Mojisola Morenike Oluwasanu; Emad Omar; Ahmed Omar Bali; Sokking Ong; Obinna E. Onwujekwe; Doris V. Ortega-Altamirano; Nikita Otstavnov; Stanislav S. Otstavnov; Bilcha Oumer; Mayowa O. Owolabi; P.A. Mahesh; Alicia Padron-Monedero; Jagadish Rao Padubidri; Keyvan Pakshir; Adrian Pana; Anamika Pandey; Shahina Pardhan; Fatemeh Pashazadeh; Maja Pasovic; Jenil R. Patel; Siddhartha Pati; Sanjay M. Pattanshetty; Uttam Paudel; Renato B. Pereira; Mario F. P. Peres; Arokiasamy Perianayagam; Maarten J. Postma; Hadi Pourjafar; Akram Pourshams; Akila Prashant; Thejodhar Pulakunta; Mirza Muhammad Fahd Fahd Qadir; Mohammad Rabiee; Navid Rabiee; Amir Radfar; Raghu Anekal Radhakrishnan; Ata Rafiee; Alireza Rafiei; Sima Rafiei; Fakher Rahim; Shadi Rahimzadeh; Mosiur Rahman; Muhammad Aziz Rahman; Amir Masoud Rahmani; Aashish Rajesh; Vajiheh Ramezani-Doroh; Kamal Ranabhat; Priyanga Ranasinghe; Chythra R. Rao; Sowmya J. Rao; Sina Rashedi; Mahsa Rashidi; Mohammad-Mahdi Rashidi; Goura Kishor Rath; David Laith Rawaf; Salman Rawaf; Lal Rawal; Reza Rawassizadeh; Mohammad Sadegh Razeghinia; Misganu Teshoma Regasa; Andre M. N. Renzaho; Maryam Rezaei; Negar Rezaei; Nima Rezaei; Mohsen Rezaeian; Aziz Rezapour; Sahba Rezazadeh-Khadem; Abanoub Riad; Ligia Estefania Rios Lopez; Jefferson Antonio Buendia Rodriguez; Luca Ronfani; Gholamreza Roshandel; Godfrey M. Rwegerera; Maha Mohamed Saber-Ayad; Siamak Sabour; Basema Saddik; Erfan Sadeghi; Saeid Sadeghian; Umar Saeed; Amirhossein Sahebkar; K.M. Saif-Ur-Rahman; S. Mohammad Sajadi; Sarvenaz Salahi; Sana Salehi; Marwa Rashad Salem; Hamideh Salimzadeh; Abdallah M. Samy; Juan Sanabria; Francesco Sanmarchi; Arash Sarveazad; Brijesh Sathian; Monika Sawhney; Susan M. Sawyer; Mete Saylan; Ione Jayce Ceola Schneider; Abdul-Aziz Seidu; Mario Šekerija; Endalew Gemechu Sendo; Sadaf G. Sepanlou; Allen Seylani; Kenbon Seyoum; Feng Sha; Omid Shafaat; Masood Ali Shaikh; Erfan Shamsoddin; Mohammed Shannawaz; Rajesh Sharma; Sara Sheikhbahaei; Adithi Shetty; B. Suresh Kumar Shetty; Pavanchand H. Shetty; Jae Il Shin; Reza Shirkoohi; K.M. Shivakumar; Parnian Shobeiri; Soraya Siabani; Migbar Mekonnen Sibhat; Sudeep K. Siddappa Malleshappa; Negussie Boti Sidemo; Diego Augusto Santos Silva; Guilherme Silva Julian; Achintya Dinesh Singh; Jasvinder A. Singh; Jitendra Kumar Singh; Surjit Singh; Abiy H. Sinke; Yitagesu Sintayehu; Valentin Yurievich Skryabin; Anna Aleksandrovna Skryabina; Lee Smith; Ahmad Sofi-Mahmudi; Mohammad Sadegh Soltani-Zangbar; Suhang Song; Emma Elizabeth Spurlock; Paschalis Steiropoulos; Kurt Straif; Ranjeeta Subedi; Mu'Awiyyah Babale Sufiyan; Rizwan Suliankatchi Abdulkader; Saima Sultana; Viktória Szerencsés; Miklós Szócska; Seidamir Pasha Tabaeian; Rafael Tabarés-Seisdedos; Mohammadreza Tabary; Takahiro Tabuchi; Hooman Tadbiri; Majid Taheri; Amir Taherkhani; Ken Takahashi; Mircea Tampa; Ker-Kan Tan; Vivian Y. Tat; Ahmad Tavakoli; Abdelghani Tbakhi; Arash Tehrani-Banihashemi; Mohamad-Hani Temsah; Fisaha Haile Tesfay; Bekele Tesfaye; Jarnail Singh Thakur; Rekha Thapar; Aravind Thavamani; Arulmani Thiyagarajan; Nihal Thomas; Ruoyan Tobe-Gai; Munkhsaikhan Togtmol; Seyed Abolfazl Tohidast; Hamid Reza Tohidinik; Musliu Adetola Tolani; Daniel Nigusse Tollosa; Mathilde Touvier; Marcos Roberto Tovani-Palone; Eugenio Traini; Bach Xuan Tran; Mai Thi Ngoc Tran; Jaya Prasad Tripathy; Biruk Shalmeno Tusa; Gebresilasea Gendisha Ukke; Irfan Ullah; Saif Ullah; Krishna Kishore Umapathi; Bhaskaran Unnikrishnan; Era Upadhyay; Tolassa Wakayo Ushula; Marco Vacante; Sahel Valadan Tahbaz; Shoban Babu Varthya; Massimiliano Veroux; Paul J. Villeneuve; Francesco S. Violante; Vasily Vlassov; Giang Thu Vu; Yasir Waheed; Ning Wang; Paul Ward; Adisu Birhanu Weldesenbet; Yi Feng Wen; Ronny Westerman; Andrea Sylvia Winkler; Befikadu Legesse Wubishet; Suowen Xu; Seyed Hossein Yahyazadeh Jabbari; Lin Yang; Sanni Yaya; Vahid Yazdi-Feyzabadi; Taklo Simeneh Yazie; Sisay Shewasinad Yehualashet; Alex Yeshaneh; Yigizie Yeshaw; Birhanu Wubale Yirdaw; Naohiro Yonemoto; Mustafa Z. Younis; Zabihollah Yousefi; Chuanhua Yu; Ismaeel Yunusa; Vesna Zadnik; Mazyar Zahir; Telma Zahirian Moghadam; Mohammad Zamani; Maryam Zamanian; Hamed Zandian; Fariba Zare; Mikhail Sergeevich Zastrozhin; Anasthasia Zastrozhina; Jianrong Zhang; Zhi-Jiang Zhang; Arash Ziapour; Mohammad Zoladl; Christopher J. L. Murray; Christina Fitzmaurice; Archie Bleyer; Nickhill BhaktaBackground: In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15–39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods: Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15–39 years to define adolescents and young adults. Findings: There were 1·19 million (95% UI 1·11–1·28) incident cancer cases and 396 000 (370 000–425 000) deaths due to cancer among people aged 15–39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59·6 [54·5–65·7] per 100 000 person-years) and high-middle SDI countries (53·2 [48·8–57·9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14·2 [12·9–15·6] per 100 000 person-years) and middle SDI (13·6 [12·6–14·8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23·5 million (21·9–25·2) DALYs to the global burden of disease, of which 2·7% (1·9–3·6) came from YLDs and 97·3% (96·4–98·1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation: Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Funding: Bill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St Baldrick's Foundation, and the National Cancer Institute. © 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
