Shared burdens, shared responsibilities: advancing the 2030 Agenda for Sustainable Development
Ce dossier présente les résultats d'une étude internationale évaluant, sur la période 1990-2023 et pour 204 pays et territoires, les causes de décès, les années de vie perdues ainsi que les années de vie ajustées sur l'incapacité
In The Lancet, as part of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023, the GBD 2023 Causes of Death Collaborators analysed cause-specific mortality and years of life lost for 292 causes by age and sex across 204 countries and territories and 660 subnational locations from 1990 to 2023.1 This analysis included a focus on premature death (defined as death before age 70 years), and assessed the correlation between mean age at death and Socio-demographic Index (SDI), building upon the use of SDI in previous GBD analyses.1 First introduced in GBD 2015 to inform health intervention priorities, SDI is a composite indicator of income per capita, educational attainment in people aged 15 years and older, and total fertility rate for females younger than 25 years.2 Overall, between 1990 and 2023, ischaemic heart disease and stroke have been the top two global causes of mortality, except in 2021, when the top cause was COVID-19.1 Age-standardised mortality rates declined between 1990 and 2023 for both ischaemic heart disease (from 161·4 to 99·8 deaths per 100 000 population) and stroke (from 157·2 to 75·9 per 100 000 population).1 In 2023, COVID-19 dropped to become the 20th leading cause of death, while the top five causes of death in 2023 had shifted up in the ranking since 2021: ischaemic heart disease, stroke, chronic obstructive pulmonary disease (38·4 per 100 000 population), lower respiratory infections (31·6 per 100 000 population), and neonatal disorders (26·7 per 100 000 population)
The Lancet , commentaire, 2025