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Health systems in transition
Portugal
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diseases have become more important compared with infectious diseases
(WHO, 2014). Among noncommunicable diseases, those with major impact
in morbidity, disability and premature death in the Portuguese population are
cancers (18.5% DALY), circulatory diseases (15.5% DALY), musculoskeletal
disorders (12.2% DALY) and mental and behavioural disorders (8.9% DALY)
(Table 1.4).
Table 1.4
Estimates of global burden of disease, by group of disease, as percentage of total
DALY and YLD, 2015
DALY
(% of total)
YLD
(% of total)
Noncommunicable diseases
85.9
88.5
Circulatory diseases
15.5
3.7
Malignant neoplasms
18.5
2.8
Mental and behavioural disorders
8.9
17.7
Diabetes and other endocrine, blood and urogenital diseases
7.2
7.7
Chronic respiratory diseases
4.1
3.9
Musculoskeletal disorders
12.2
25.1
Neurological disorders
7.1
8.9
Digestive diseases
1.7
1.3
Chronic liver diseases (including cirrhosis)
1.9
0.1
Other causes (including congenital, neonatal and other neglected causes)
8.8
17.3
Infectious diseases
6.2
4.7
External causes
7.9
6.8
Source
: Authors based on IHME, 2016.
Notes
: DALY: disability-adjusted life-years; YLD: years lived with disability. These estimates have been obtained from a different
modelling framework and may not be consistent with National Institute of Statistics data.
Estimates from the 2015 Global Burden of Disease study on years lived with
disability by the Portuguese population also place noncommunicable diseases
at the top, accounting for almost 90% of the total years lived with disability
(YLD). Considering only morbidity (measured in YLD), musculoskeletal
disorders have the most impact in the Portuguese population, accounting for
25.1% of YLD. Mental and behavioural disorders are the second condition with
the most impact in morbidity, accounting for 17.7% of the total YLD (Table 1.4).
Latest data from the Epidemiological National Study on Mental Health
show that mental health problems affect 22.9% the Portuguese population.
Anxiety (16.5%) and depression (7.9%) are the most prevalent problems. The
estimated lifetime prevalence of overall mental health problems is 42.7%
(Caldas de Almeida & Xavier, 2013).