Adolescent health in the Eastern Mediterranean Region: findings from the global burden of disease 2015 study

Peter Azzopardi, Karly Cini, Elissa Kennedy, Susan Sawyer, Charbel Elbcheraoui, Raghid Charara, Ibrahim Khalil, Maziar Moradi-Lakeh, Michael Collison, Rima A. Afifi, Jamela Al-raiby, Kristopher J. Krohn, Farah Daoud, Adrienne Chew, Ashkan Afshin, Kyle J. Foreman, Nicholas J. Kassebaum, Michael Kutz, Hmwe H. Kyu, Patrick LiuHelen E. Olsen, Alison Smith, Jeffrey D. Stanaway, Haidong Wang, Johan Ärnlöv, Aliasghar Ahmadkiadaliri, Khurshid Alam, Deena Alasfoor, Raghib Ali, Reza Alizadeh-Navaei, Rajaa Al-Raddadi, Khalid A. Altirkawi, Nelson Alvis-Guzman, Nahla Anber, Carl Abelardo T. Antonio, Palwasha Anwari, Al Artaman, Hamid Asayesh, Suzanne L. Barker-Collo, Neeraj Bedi, Ettore Beghi, Derrick A. Bennett, Isabela M. Bensenor, Zulfiqar A. Bhutta, Zahid A. Butt, Carlos A. Castañeda-Orjuela, Ferrán Catalá-López, Fiona J. Charlson, Johanna M. Geleijnse, Theo Vos

Research output: Contribution to journalArticleAcademicpeer-review

13 Citations (Scopus)


Objectives: The 22 countries of the East Mediterranean Region (EMR) have large populations of adolescents aged 10–24 years. These adolescents are central to assuring the health, development, and peace of this region. We described their health needs. Methods: Using data from the Global Burden of Disease Study 2015 (GBD 2015), we report the leading causes of mortality and morbidity for adolescents in the EMR from 1990 to 2015. We also report the prevalence of key health risk behaviors and determinants. Results: Communicable diseases and the health consequences of natural disasters reduced substantially between 1990 and 2015. However, these gains have largely been offset by the health impacts of war and the emergence of non-communicable diseases (including mental health disorders), unintentional injury, and self-harm. Tobacco smoking and high body mass were common health risks amongst adolescents. Additionally, many EMR countries had high rates of adolescent pregnancy and unmet need for contraception. Conclusions: Even with the return of peace and security, adolescents will have a persisting poor health profile that will pose a barrier to socioeconomic growth and development of the EMR.

Original languageEnglish
Pages (from-to)79-96
Number of pages18
JournalInternational Journal of Public Health
Publication statusPublished - 1 May 2018


  • Adolescent health
  • Burden of disease
  • Eastern Mediterranean Region


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