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DISABILITY-                   Disability-Adjusted Life Years (DALYs) represents the total
                     ADJUSTED                    burden of the diseases and injuries. The DALY for each

                    LIFE YEARS                   disease and injury was calculated by total sum of the Years
                                                 of Life Lost (YLL) and Years Lost due to Disability (YLD) for
                         (DALYs)                 the disease or injury. The burden of disease of a disease
                                                 group was calculated by total sum of the DALYs across all the
                                                 diseases or injury in the group. The total burden of disease
                                                 was calculated by summing the DALYs across all conditions.




                                                        DALYs = YLL + YLD















                       HEALTH-                   In this report, we used Sullivan’s method to calculate Health-
               ADJUSTED LIFE                     Adjusted Life Expectancy (HALE) (described by Jagger et al.

                 EXPECTANCY                      2006). This method is simple and intuitive. Sullivan’s method
                                                 requires age-specific proportions of time spent in different
                          (HALE)                 states of health and age-specific mortality information from
                                                 a life table. Measures of HALE are calculated by adjusting
                                                 estimates of the life expectancy of the population of interest
                                                 proportionately to the average health of individuals in each
                                                 age group.


















                                                 where:
                                                 HALE is health-adjusted life expectancy
                                                 x is the exact age for which life expectancy or HALE is to be
                                                 estimated
                                                 s refers to sex
                                                 L  refers to the number of person-years lived in the age
                                                  x,s
                                                 group x, for sex, s
                                                 L’ refers to the health-adjusted number of person-years
                                                   x,s
                                                 lived in the age group x, for sex, s



                                                     Malaysian Burden Of Disease And Injury Study 2015-2017
                                             CENTRE FOR BURDEN OF DISEASE RESEARCH, INSTITUTE FOR PUBLIC HEALTH  9
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