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Health in times of uncertainty in the eastern Mediterranean region, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013

Overview of attention for article published in The Lancet Global Health, October 2016
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  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (98th percentile)

Mentioned by

news
32 news outlets
blogs
4 blogs
policy
1 policy source
twitter
124 tweeters
facebook
4 Facebook pages

Citations

dimensions_citation
95 Dimensions

Readers on

mendeley
429 Mendeley
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Title
Health in times of uncertainty in the eastern Mediterranean region, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013
Published in
The Lancet Global Health, October 2016
DOI 10.1016/s2214-109x(16)30168-1
Pubmed ID
Authors

Ali H Mokdad, Mohammad Hossein Forouzanfar, Farah Daoud, Charbel El Bcheraoui, Maziar Moradi-Lakeh, Ibrahim Khalil, Ashkan Afshin, Marwa Tuffaha, Raghid Charara, Ryan M Barber, Joseph Wagner, Kelly Cercy, Hannah Kravitz, Matthew M Coates, Margaret Robinson, Kara Estep, Caitlyn Steiner, Sara Jaber, Ali A Mokdad, Kevin F O'Rourke, Adrienne Chew, Pauline Kim, Mohamed Magdy Abd El Razek, Safa Abdalla, Foad Abd-Allah, Jerry P Abraham, Laith J Abu-Raddad, Niveen M E Abu-Rmeileh, Abdulwahab A Al-Nehmi, Ali S Akanda, Hanan Al Ahmadi, Mazin J Al Khabouri, Faris H Al Lami, Zulfa A Al Rayess, Deena Alasfoor, Fadia S AlBuhairan, Saleh F Aldhahri, Suliman Alghnam, Samia Alhabib, Nawal Al-Hamad, Raghib Ali, Syed Danish Ali, Mohammad Alkhateeb, Mohammad A AlMazroa, Mahmoud A Alomari, Rajaa Al-Raddadi, Ubai Alsharif, Nihaya Al-Sheyab, Shirina Alsowaidi, Mohamed Al-Thani, Khalid A Altirkawi, Azmeraw T Amare, Heresh Amini, Walid Ammar, Palwasha Anwari, Hamid Asayesh, Rana Asghar, Ali M Assabri, Reza Assadi, Umar Bacha, Alaa Badawi, Talal Bakfalouni, Mohammed O Basulaiman, Shahrzad Bazargan-Hejazi, Neeraj Bedi, Amit R Bhakta, Zulfiqar A Bhutta, Aref A Bin Abdulhak, Soufiane Boufous, Rupert R A Bourne, Hadi Danawi, Jai Das, Amare Deribew, Eric L Ding, Adnan M Durrani, Yousef Elshrek, Mohamed E Ibrahim, Babak Eshrati, Alireza Esteghamati, Imad A D Faghmous, Farshad Farzadfar, Andrea B Feigl, Seyed-Mohammad Fereshtehnejad, Irina Filip, Florian Fischer, Fortuné G Gankpé, Ibrahim Ginawi, Melkamu Dedefo Gishu, Rahul Gupta, Rami M Habash, Nima Hafezi-Nejad, Randah R Hamadeh, Hayet Hamdouni, Samer Hamidi, Hilda L Harb, Mohammad Sadegh Hassanvand, Mohammad T Hedayati, Pouria Heydarpour, Mohamed Hsairi, Abdullatif Husseini, Nader Jahanmehr, Vivekanand Jha, Jost B Jonas, Nadim E Karam, Amir Kasaeian, Nega Assefa Kassa, Anil Kaul, Yousef Khader, Shams Eldin A Khalifa, Ejaz A Khan, Gulfaraz Khan, Tawfik Khoja, Ardeshir Khosravi, Yohannes Kinfu, Barthelemy Kuate Defo, Arjun Lakshmana Balaji, Raimundas Lunevicius, Carla Makhlouf Obermeyer, Reza Malekzadeh, Morteza Mansourian, Wagner Marcenes, Habibolah Masoudi Farid, Alem Mehari, Abla Mehio-Sibai, Ziad A Memish, George A Mensah, Karzan A Mohammad, Ziad Nahas, Jamal T Nasher, Haseeb Nawaz, Chakib Nejjari, Muhammad Imran Nisar, Saad B Omer, Mahboubeh Parsaeian, Emmanuel K Peprah, Aslam Pervaiz, Farshad Pourmalek, Dima M Qato, Mostafa Qorbani, Amir Radfar, Anwar Rafay, Kazem Rahimi, Vafa Rahimi-Movaghar, Sajjad Ur Rahman, Rajesh K Rai, Saleem M Rana, Sowmya R Rao, Amany H Refaat, Serge Resnikoff, Gholamreza Roshandel, Georges Saade, Mohammad Y Saeedi, Mohammad Ali Sahraian, Shadi Saleh, Lidia Sanchez-Riera, Maheswar Satpathy, Sadaf G Sepanlou, Tesfaye Setegn, Amira Shaheen, Saeid Shahraz, Sara Sheikhbahaei, Kawkab Shishani, Karen Sliwa, Mohammad Tavakkoli, Abdullah S Terkawi, Olalekan A Uthman, Ronny Westerman, Mustafa Z Younis, Maysaa El Sayed Zaki, Faiez Zannad, Gregory A Roth, Haidong Wang, Mohsen Naghavi, Theo Vos, Abdullah A Al Rabeeah, Alan D Lopez, Christopher J L Murray

Abstract

The eastern Mediterranean region is comprised of 22 countries: Afghanistan, Bahrain, Djibouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon, Libya, Morocco, Oman, Pakistan, Palestine, Qatar, Saudi Arabia, Somalia, Sudan, Syria, Tunisia, the United Arab Emirates, and Yemen. Since our Global Burden of Disease Study 2010 (GBD 2010), the region has faced unrest as a result of revolutions, wars, and the so-called Arab uprisings. The objective of this study was to present the burden of diseases, injuries, and risk factors in the eastern Mediterranean region as of 2013. GBD 2013 includes an annual assessment covering 188 countries from 1990 to 2013. The study covers 306 diseases and injuries, 1233 sequelae, and 79 risk factors. Our GBD 2013 analyses included the addition of new data through updated systematic reviews and through the contribution of unpublished data sources from collaborators, an updated version of modelling software, and several improvements in our methods. In this systematic analysis, we use data from GBD 2013 to analyse the burden of disease and injuries in the eastern Mediterranean region specifically. The leading cause of death in the region in 2013 was ischaemic heart disease (90·3 deaths per 100 000 people), which increased by 17·2% since 1990. However, diarrhoeal diseases were the leading cause of death in Somalia (186·7 deaths per 100 000 people) in 2013, which decreased by 26·9% since 1990. The leading cause of disability-adjusted life-years (DALYs) was ischaemic heart disease for males and lower respiratory infection for females. High blood pressure was the leading risk factor for DALYs in 2013, with an increase of 83·3% since 1990. Risk factors for DALYs varied by country. In low-income countries, childhood wasting was the leading cause of DALYs in Afghanistan, Somalia, and Yemen, whereas unsafe sex was the leading cause in Djibouti. Non-communicable risk factors were the leading cause of DALYs in high-income and middle-income countries in the region. DALY risk factors varied by age, with child and maternal malnutrition affecting the younger age groups (aged 28 days to 4 years), whereas high bodyweight and systolic blood pressure affected older people (aged 60-80 years). The proportion of DALYs attributed to high body-mass index increased from 3·7% to 7·5% between 1990 and 2013. Burden of mental health problems and drug use increased. Most increases in DALYs, especially from non-communicable diseases, were due to population growth. The crises in Egypt, Yemen, Libya, and Syria have resulted in a reduction in life expectancy; life expectancy in Syria would have been 5 years higher than that recorded for females and 6 years higher for males had the crisis not occurred. Our study shows that the eastern Mediterranean region is going through a crucial health phase. The Arab uprisings and the wars that followed, coupled with ageing and population growth, will have a major impact on the region's health and resources. The region has historically seen improvements in life expectancy and other health indicators, even under stress. However, the current situation will cause deteriorating health conditions for many countries and for many years and will have an impact on the region and the rest of the world. Based on our findings, we call for increased investment in health in the region in addition to reducing the conflicts. Bill & Melinda Gates Foundation.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 429 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Canada 3 <1%
Belgium 1 <1%
United Kingdom 1 <1%
Portugal 1 <1%
Saudi Arabia 1 <1%
Switzerland 1 <1%
Qatar 1 <1%
Spain 1 <1%
Greece 1 <1%
Other 2 <1%
Unknown 416 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 72 17%
Researcher 63 15%
Student > Bachelor 41 10%
Student > Ph. D. Student 41 10%
Professor 33 8%
Other 101 24%
Unknown 78 18%
Readers by discipline Count As %
Medicine and Dentistry 131 31%
Nursing and Health Professions 48 11%
Social Sciences 26 6%
Psychology 20 5%
Agricultural and Biological Sciences 13 3%
Other 74 17%
Unknown 117 27%

Attention Score in Context

This research output has an Altmetric Attention Score of 363. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 August 2018.
All research outputs
#44,591
of 16,651,634 outputs
Outputs from The Lancet Global Health
#55
of 2,075 outputs
Outputs of similar age
#1,485
of 267,644 outputs
Outputs of similar age from The Lancet Global Health
#1
of 66 outputs
Altmetric has tracked 16,651,634 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,075 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 54.9. This one has done particularly well, scoring higher than 97% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,644 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 66 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.