title: Disability-adjusted Life Years for 313 Diseases and Injuries: the 2012 Korean Burden of Disease Study.
abstract: This study is part of a 5-year research project on the national burden of diseases, injuries, and risk factors in Korea. Using disability-adjusted life years (DALYs), a metric introduced by the 1990 Global Burden of Disease (GBD) project, we performed a comprehensive and detailed assessment of the magnitude and distribution of both fatal and non-fatal health problems in the Korean population. The concept and general approach were consistent with the original GBD study, with some methodological modifications to make the study more suitable for Korea. We computed DALYs for 313 causes in both sexes and nine age groups using the entire population's medical records and newly generated Korean disability weights. In 2012, the dominant disease burden was non-communicable diseases, which accounted for 85.21% of total DALYs, while injuries accounted for 7.77% and communicable, maternal, neonatal, and nutritional disorders for 7.02%. Of the total DALYs, 88.67% were from years lived with disability and 11.32% were from years of life lost due to premature mortality. Diabetes mellitus was the leading cause of DALYs, followed by low back pain, chronic obstructive pulmonary disease, ischemic heart disease, ischemic stroke, cirrhosis of the liver, falls, osteoarthritis, motorized vehicle with three or more wheels, and self-harm. The results reported here identify key health challenges and opportunities for future health interventions and policy changes, and provide information that will help assess the major public health issues in Korea, a nation faced with one of the world's most rapidly ageing populations.
authors: Department of Public Health, Graduate School, Korea University, Seoul, Korea.
authors: Jihyun
authors: http://orcid.org/0000-0001-7758-4794
authors: J
authors: Yoon
authors: Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea.
authors: In Hwan
authors: http://orcid.org/0000-0002-5450-9887
authors: IH
authors: Oh
authors: Department of Public Health, Graduate School, Korea University, Seoul, Korea.
authors: Hyeyoung
authors: http://orcid.org/0000-0001-8668-8384
authors: H
authors: Seo
authors: Department of Nursing, Pyeongtaek University, Pyeongtaek, Korea.
authors: Eun Jung
authors: http://orcid.org/0000-0003-2352-5267
authors: EJ
authors: Kim
authors: Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea.
authors: Young Hoon
authors: http://orcid.org/0000-0002-2146-9399
authors: YH
authors: Gong
authors: Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Korea.
authors: Minsu
authors: http://orcid.org/0000-0001-9949-9224
authors: M
authors: Ock
authors: Department of Preventive Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
authors: Dohee
authors: http://orcid.org/0000-0002-0549-8704
authors: D
authors: Lim
authors: Department of Social and Preventive Medicine, Inha University School of Medicine, Incheon, Korea.
authors: Won Kyung
authors: http://orcid.org/0000-0002-6014-8854
authors: WK
authors: Lee
authors: Department of Preventive Medicine, School of Medicine, Kyung Hee University, Seoul, Korea.
authors: Ye Rin
authors: http://orcid.org/0000-0002-4507-4877
authors: YR
authors: Lee
authors: Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea.
authors: Dongwoo
authors: http://orcid.org/0000-0001-7731-4081
authors: D
authors: Kim
authors: Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Korea.
authors: Min Woo
authors: http://orcid.org/0000-0002-4574-1318
authors: MW
authors: Jo
authors: Department of Preventive Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.
authors: Hyesook
authors: http://orcid.org/0000-0002-9359-6522
authors: H
authors: Park
authors: Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea. yoonsj02@korea.ac.kr.
authors: Seok Jun
authors: http://orcid.org/0000-0003-3297-0071
authors: SJ
authors: Yoon
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D003920:Diabetes Mellitus / Q000191:economics; D004185:Disability Evaluation; D005260:Female; D000071219:Global Burden of Disease / Q000706:statistics & numerical data; D006291:Health Policy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008017:Life Expectancy; D008297:Male; D008875:Middle Aged; D019057:Quality-Adjusted Life Years; D056910:Republic of Korea; D012307:Risk Factors; D012737:Sex Factors; D055815:Young Adult
keywords: Burden of Disease; Disability-Adjusted Life Year (DALY); Health Policy; Korea; Population Health