Three-quarters of Swedish adults who die prematurely – between the ages of 30 and 70 – die from cardiovascular disease, cancer, diabetes or chronic respiratory disease. Data from the international INDEPTH Network, covering low- and middle-income countries, showed that much lower proportions of deaths before the age of 65 were due to these same causes in other countries. This is partly because Sweden has already reached a late stage of epidemiological transition, with other possible causes of death in middle age relatively well controlled.
Emerging evidence on the increasing non-communicable disease burden among productive adults globally led the World Health Assembly to make a call for reducing premature deaths from non-communicable diseases by 25 per cent during the period from 2010 to 2025, the so-called 25×25 target.
In her dissertation, Ailiana Santosa shows that Sweden already met the 25×25 target in an earlier time period (1991-2006). This could, according to Ailiana Santosa, be an encouraging sign for other countries currently working towards the 25×25 target.
Non-communicable deaths are affected by levels and changes in behavioural risk factors (for example, tobacco use, high blood pressure, high cholesterol, physical inactivity, obesity and raised blood glucose). Explorations of relationships between risk factors and deaths in Västerbotten County, Sweden, highlighted the urgent need for holistic approaches for reducing the burden of non-communicable diseases and preventing people from dying prematurely.
“As for Sweden, it is important to continue delivering appropriate health system messages to the general population as well as to high-risk individuals. Furthermore, special efforts need to be carried out focusing on individuals with high risk of developing these chronic diseases,” says Ailiana Santosa.
Ailiana Santosa comes from Indonesia. She has a medical degree and is a doctoral student at the Department of Public Health and Clinical Medicine, unit of Epidemiology and Global Health, Umeå University.
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About the dissertation defence
On Friday 12 June, Ailiana Santosa, Department of Public Health and Clinical Medicine, unit for Epidemiology and Global Health at Umeå University, defends her dissertation entitled “Where are the world’s disease patterns heading? The challenges of epidemiological transition”.
The opponent is Professor Sarah Wild from the Centre for Population Health Sciences, School of Molecular, Genetic and Population Health Sciences at the University of Edinburgh, United Kingdom.
Main supervisor is Professor Peter Byass.
The defence takes place at 13:00 in lecture hall 135, Assembly point X, Building 9A, Family Medicine at the University Hospital of Umeå (NUS).
Editor: Anna Lawrence
Tel: 072-245 90 11