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Table 2 Global and regional stroke incidence, prevalence, mortality, and burden from 1990 to 2017

From: Socioeconomic status and stroke incidence, prevalence, mortality, and worldwide burden: an ecological analysis from the Global Burden of Disease Study 2017

Measure/region Age Metric name All-type stroke Ischaemic stroke Intracerebral haemorrhage Subarachnoid haemorrhage
Mean (95% uncertainty interval) Mean (95% uncertainty interval) Mean (95% uncertainty interval) Mean (95% uncertainty interval)
1990 2017 Percent change 1990 2017 Percent change 1990 2017 Percent change 1990 2017 Percent change
Incidence
 Global Age-standardised Rate 169.6 (160.3 to 179.4) 150.5 (140.3 to 161.8) − 11 (− 13 to − 9) 98.7 (89.9 to 108.4) 98 (88.1 to 109.7) − 1 (− 4 to 3) 56.9 (53.6 to 60.4) 39.3 (36.2 to 42.9) − 31 (− 33 to − 29) 14.1 (12.4 to 16.4) 13.2 (11.8 to 14.6) − 7 (− 15 to − 4)
Female to male ratio 0.89 0.84 − 6 0.90 0.83 − 8 0.79 0.73 − 8 1.30 1.31 1
All ages Number (million) 6.8 (6.4 to 7.2) 11.9 (11.1 to 12.8) 76 (71 to 80) 3.9 (3.5 to 4.3) 7.7 (7 to 8.7) 101 (94 to 108) 2.3 (2.2 to 2.5) 3.1 (2.9 to 3.4) 34 (30 to 39) 0.6 (0.5 to 0.7) 1.1 (1 to 1.2) 73 (55 to 79)
Rate 125.9 (118.9 to 133.6) 156.2 (145.5 to 167.9) 24 (21 to 27) 71.4 (64.6 to 78.9) 101.3 (91 to 113.6) 42 (37 to 47) 43.2 (40.6 to 45.9) 40.9 (37.6 to 44.7) − 5 (− 8 to − 2) 11.4 (10 to 13.4) 13.9 (12.5 to 15.5) 22 (10 to 26)
 World Bank low income Age-standardised Rate 152.9 (144.6 to 162) 129.7 (120.7 to 139.8) − 15 (− 17 to − 13) 78.1 (70.6 to 86.5) 75 (66.5 to 85) − 4 (− 7 to − 1) 61.2 (56.8 to 65.7) 41.4 (37.7 to 45.3) − 32 (− 35 to − 30) 13.6 (12 to 15.4) 13.4 (11.8 to 15.1) − 2 (− 7 to − 0)
Female to male ratio 0.97 0.95 − 2 1.04 0.97 − 7 0.85 0.83 − 1 1.18 1.20 2
All ages Number (million) 0.2 (0.2 to 0.3) 0.4 (0.4 to 0.4) 69 (65 to 73) 0.1 (0.1 to 0.1) 0.2 (0.2 to 0.3) 92 (86 to 99) 0.1 (0.1 to 0.1) 0.1 (0.1 to 0.1) 33 (29 to 38) 0 (0 to 0) 0 (0 to 0.1) 98 (83 to 104)
Rate 71.6 (67.6 to 76.1) 59.7 (55.6 to 64.5) − 17 (− 19 to − 15) 34.7 (31.3 to 38.8) 33 (29.3 to 37.5) − 5 (− 8 to − 2) 29.4 (27.3 to 31.5) 19.4 (17.6 to 21.3) − 34 (− 36 to − 32) 7.5 (6.6 to 8.6) 7.4 (6.5 to 8.3) − 2 (− 9 to 1)
 World Bank lower middle income Age-standardised Rate 154.7 (146.1 to 163.7) 129.3 (120.6 to 139.1) − 16 (− 18 to − 14) 87.5 (79.4 to 96.8) 78.7 (70.3 to 88.8) − 10 (− 13 to − 7) 54.8 (51.2 to 58.7) 39.2 (35.8 to 42.9) − 28 (− 31 to − 26) 12.4 (10.9 to 14.5) 11.4 (10.1 to 12.8) − 8 (− 15 to − 6)
Female to male ratio 0.99 0.93 − 6 1.04 0.94 − 10 0.86 0.85 − 1 1.23 1.21 − 2
All ages Number (million) 1.6 (1.5 to 1.7) 2.9 (2.7 to 3.1) 77 (73 to 82) 0.9 (0.8 to 1) 1.7 (1.5 to 1.9) 96 (89 to 103) 0.6 (0.6 to 0.7) 0.9 (0.8 to 1) 49 (44 to 54) 0.2 (0.1 to 0.2) 0.3 (0.3 to 0.3) 86 (69 to 91)
Rate 85 (80.2 to 90.4) 93.2 (86.8 to 100.5) 10 (7 to 13) 45.3 (40.7 to 50.4) 54.8 (48.8 to 62.3) 21 (17 to 25) 31.6 (29.5 to 33.8) 29.2 (26.6 to 32) − 8 (− 11 to − 5) 8.1 (7 to 9.6) 9.3 (8.2 to 10.5) 15 (4 to 18)
 World Bank upper middle income Age-standardised Rate 202.7 (191.8 to 214.5) 190.1 (176.6 to 205) − 6 (− 9 to − 3) 114.3 (104.1 to 125.7) 128.7 (116.1 to 143.5) 13 (8 to 17) 75.7 (71.4 to 80.3) 50 (46 to 54.4) − 34 (− 36 to − 32) 12.7 (10.9 to 16.2) 11.4 (10.2 to 12.7) − 10 (− 26 to − 6)
Female to male ratio 0.88 0.78 − 11 0.91 0.80 − 12 0.79 0.67 − 15 1.23 1.25 1
All ages Number (million) 3 (2.9 to 3.2) 6.1 (5.6 to 6.6) 101 (94 to 107) 1.7 (1.5 to 1.8) 4.1 (3.7 to 4.6) 148 (138 to 159) 1.2 (1.1 to 1.2) 1.6 (1.5 to 1.7) 38 (33 to 43) 0.2 (0.2 to 0.3) 0.4 (0.3 to 0.4) 74 (42 to 84)
Rate 143.9 (135.8 to 152.5) 231.5 (214.4 to 249.9) 61 (55 to 66) 78.7 (71.3 to 87.1) 156.6 (141.2 to 175.4) 99 (91 to 107) 55 (51.8 to 58.6) 60.8 (56 to 66.4) 10 (6 to 15) 10.1 (8.7 to 13.1) 14.1 (12.5 to 15.8) 40 (14 to 47)
World Bank high income Age-standardised Rate 145.2 (136.8 to 153.9) 114.7 (107.3 to 123) − 21 (− 23 to − 19) 92.2 (84.1 to 100.9) 74.2 (67.5 to 82.8) − 19 (− 22 to − 16) 35 (33.1 to 37.2) 21.6 (19.9 to 23.4) − 38 (− 41 to − 36) 18 (16.1 to 20.1) 18.9 (17.2 to 20.8) 5 (2 to 8)
Female to male ratio 0.82 0.85 4 0.79 0.79 0 0.73 0.72 − 1 1.36 1.44 6
All ages Number (million) 1.8 (1.7 to 2) 2.4 (2.3 to 2.6) 33 (29 to 37) 1.2 (1.1 to 1.3) 1.6 (1.5 to 1.8) 38 (32 to 43) 0.4 (0.4 to 0.5) 0.5 (0.4 to 0.5) 5 (0 to 10) 0.2 (0.2 to 0.2) 0.4 (0.3 to 0.4) 61 (56 to 66)
Rate 184.6 (173.3 to 195.9) 205.7 (191.8 to 220.3) 11 (9 to 15) 118.3 (107.6 to 129.9) 137 (124.1 to 152.3) 16 (11 to 21) 44.4 (41.9 to 47.3) 39.2 (36.1 to 42.6) − 12 (− 16 to − 8) 21.8 (19.5 to 24.4) 29.5 (26.9 to 32.4) 35 (31 to 39)
Prevalence
 Global Age-standardised Rate 1261 (1208.2 to 1318.7) 1300.6 (1229 to 1374.7) 3 (1 to 5) 942.5 (891.1 to 999.6) 1038 (968.8 to 1114.1) 10 (7 to 13) 260.7 (242.3 to 279.9) 220.2 (199.3 to 241.7) − 16 (− 19 to − 12) 121.8 (112.6 to 131.9) 113.9 (104.2 to 125.2) − 6 (− 8 to − 5)
Female to male ratio 1.02 0.96 −6 0.95 0.90 − 5 1.07 1.00 − 6 1.48 1.46 − 1
All ages Number (million) 53.3 (51.1 to 55.7) 104.2 (98.5 to 110.1) 95 (91 to 100) 39 (36.8 to 41.3) 82.4 (77 to 88.5) 112 (106 to 117) 11.9 (11.1 to 12.8) 17.9 (16.2 to 19.7) 50 (43 to 58) 5.4 (5 to 5.9) 9.3 (8.5 to 10.2) 72 (68 to 76)
Rate 988 (947.7 to 1032.7) 1363.5 (1288.6 to 1441.3) 38 (35 to 41) 722.3 (682.7 to 765.3) 1078.7 (1007.4 to 1158.5) 49 (45 to 53) 221.2 (205.5 to 237.5) 234.5 (211.9 to 257.4) 6 (1 to 11) 100.5 (93.2 to 109.1) 122 (111.6 to 134.1) 21 (19 to 24)
 World Bank low income Age-standardised Rate 1026.6 (984.2 to 1074.5) 996 (949.6 to 1049.3) − 3 (− 5 to − 1) 713.4 (672 to 759.5) 726.4 (682.2 to 777.2) 2 (0 to 3) 263.5 (247.6 to 280.1) 220.5 (198.4 to 244.3) − 16 (− 22 to − 10) 104 (97.1 to 111.6) 102.7 (94.6 to 112.1) − 1 (− 4 to 2)
Female to male ratio 1.13 1.08 − 5 1.14 1.06 − 7 1.03 1.04 0 1.32 1.34 2
All ages Number (million) 1.7 (1.7 to 1.8) 3.3 (3.2 to 3.5) 91 (87 to 95) 1.2 (1.1 to 1.3) 2.4 (2.2 to 2.5) 100 (97 to 103) 0.5 (0.5 to 0.6) 0.9 (0.8 to 1) 70 (58 to 81) 0.2 (0.2 to 0.2) 0.4 (0.4 to 0.4) 99 (94 to 105)
Rate 531 (509.2 to 554.3) 500.6 (476.1 to 527.5) − 6 (− 8 to − 4) 358.8 (337.7 to 382.5) 354.5 (332.2 to 379.2) − 1 (− 3 to 0) 158.7 (149.4 to 168.8) 133.2 (119.5 to 146.9) − 16 (− 22 to − 10) 58.9 (55 to 63.2) 58 (53.3 to 62.7) − 2 (− 4 to 1)
 World Bank lower middle income Age-standardised Rate 1075.4 (1026.1 to 1131.5) 1076.8 (1020.1 to 1142.5) 0 (− 1 to 2) 789.6 (741.2 to 845.9) 823.1 (767.8 to 887.4) 4 (3 to 6) 241.7 (224.3 to 259.8) 214.4 (192.9 to 236.7) − 11 (− 16 to − 7) 103 (94.8 to 111.8) 97.2 (88.9 to 106.8) − 6 (−7 to − 4)
Female to male ratio 1.11 1.01 − 9 1.09 0.97 − 11 1.10 1.06 − 3 1.37 1.34 − 2
All ages Number (million) 12.5 (11.9 to 13.1) 25.7 (24.3 to 27.2) 106 (103 to 109) 8.8 (8.3 to 9.4) 19 (17.7 to 20.5) 116 (112 to 119) 3.3 (3 to 3.5) 5.7 (5.1 to 6.3) 75 (66 to 84) 1.3 (1.2 to 1.5) 2.6 (2.3 to 2.8) 91 (87 to 95)
Rate 646.7 (617.9 to 679.8) 823.3 (780 to 872.6) 27 (25 to 29) 457.5 (429.5 to 489) 610.2 (568.8 to 656.8) 33 (31 to 36) 168.7 (157 to 181.5) 182.5 (164 to 201.2) 8 (3 to 14) 69.8 (64.4 to 75.6) 82.3 (74.8 to 90.5) 18 (15 to 20)
 World Bank upper middle income Age-standardised Rate 1397.7 (1334.7 to 1466) 1553.2 (1459.9 to 1648.5) 11 (8 to 14) 1017.6 (956.2 to 1082.3) 1277.1 (1186.7 to 1375.5) 25 (22 to 29) 337.1 (312.8 to 362.4) 264.6 (239.5 to 290.9) − 22 (− 25 to − 18) 107.8 (99.4 to 117.7) 97.3 (88.9 to 107.3) − 10 (− 12 to − 8)
Female to male ratio 1.04 0.94 − 10 1.00 0.91 − 9 1.08 0.97 − 10 1.38 1.35 − 2
All ages Number (million) 23 (22 to 24.1) 50.7 (47.6 to 53.8) 121 (114 to 127) 16.1 (15.2 to 17.2) 41.2 (38.2 to 44.5) 155 (147 to 163) 6.1 (5.7 to 6.6) 8.7 (7.9 to 9.6) 43 (36 to 51) 1.9 (1.7 to 2.1) 3.2 (2.9 to 3.6) 71 (67 to 76)
Rate 1087.7 (1041.3 to 1140.7) 1922.9 (1806.4 to 2042.6) 77 (72 to 82) 763.9 (718.4 to 812.8) 1563.5 (1450.8 to 1688.1) 105 (98 to 111) 288.6 (267.9 to 310.9) 330.5 (298.3 to 364.6) 15 (9 to 21) 89.6 (82.6 to 97.8) 123 (111.8 to 136.1) 37 (34 to 41)
 World Bank high income Age-standardised Rate 1258.4 (1208.4 to 1312.2) 1163.2 (1108.7 to 1221.2) − 8 (− 10 to − 5) 996 (947.2 to 1048.5) 911.7 (858.3 to 970.4) − 8 (− 12 to − 5) 165.3 (152.9 to 178) 143.5 (130.6 to 156.8) − 13 (− 17 to − 9) 164 (152.7 to 176.8) 171.8 (157.8 to 187.5) 5 (3 to 7)
Female to male ratio 0.91 0.94 3 0.82 0.83 2 1.05 1.07 2 1.62 1.69 4
All ages Number (million) 15.9 (15.2 to 16.5) 23.9 (22.6 to 25.1) 51 (46 to 55) 12.7 (12 to 13.4) 19.3 (18.1 to 20.5) 53 (47 to 58) 2 (1.8 to 2.1) 2.5 (2.3 to 2.7) 27 (21 to 32) 2 (1.8 to 2.1) 3.1 (2.8 to 3.4) 57 (54 to 61)
Rate 1584.4 (1520 to 1653.6) 2006 (1901.4 to 2109.8) 27 (23 to 30) 1265.2 (1200.2 to 1336.2) 1623.1 (1517.4 to 1727.4) 28 (23 to 33) 198.3 (183.4 to 213.5) 211 (192.2 to 230.4) 6 (2 to 11) 197 (183.1 to 212.8) 260.3 (239.2 to 284.8) 32 (29 to 35)
Deaths
 Global Age-standardised Rate 120.8 (118.4 to 125.3) 80.5 (78.9 to 82.6) − 33 (− 35 to − 32) 55.9 (53.9 to 57.9) 36.6 (35.5 to 38) − 34 (− 36 to − 32) 54.3 (51.4 to 58.6) 38.2 (37 to 39.4) − 30 (− 33 to − 27) 10.7 (8.4 to 12.2) 5.7 (5.3 to 6.3) − 47 (− 52 to − 34)
Female to male ratio 0.86 0.75 − 13 0.93 0.80 − 14 0.77 0.69 − 10 0.98 0.85 − 13
All ages Number (million) 4.4 (4.3 to 4.5) 6.2 (6 to 6.3) 41 (38 to 45) 1.9 (1.8 to 1.9) 2.7 (2.7 to 2.9) 47 (43 to 52) 2.1 (2 to 2.2) 3 (2.9 to 3.1) 44 (36 to 50) 0.4 (0.3 to 0.5) 0.4 (0.4 to 0.5) 4 (− 6 to 29)
Rate 80.9 (79.2 to 83.8) 80.7 (79.1 to 82.8) 0 (− 3 to 2) 34.6 (33.3 to 35.9) 36 (34.8 to 37.4) 4 (1 to 7) 38.3 (36.2 to 41.4) 38.9 (37.7 to 40.2) 2 (− 4 to 6) 8 (6.3 to 9.1) 5.8 (5.5 to 6.4) − 27 (− 34 to − 9)
 World Bank low income Age-standardised Rate 143.1 (132.1 to 153.9) 106.7 (98.6 to 114.8) − 25 (− 30 to − 20) 55.9 (48.6 to 63.4) 43.1 (36.3 to 48.9) − 23 (− 28 to − 17) 79.5 (70.8 to 88.6) 58.5 (52.9 to 63.8) − 26 (− 32 to − 20) 7.7 (5.4 to 10.9) 5.1 (3.7 to 7.7) − 34 (− 42 to − 23)
Female to male ratio 1.01 0.92 − 9 1.30 1.14 − 13 0.88 0.81 − 8 0.72 0.65 − 10
All ages Number (million) 0.2 (0.2 to 0.2) 0.3 (0.2 to 0.3) 48 (36 to 61) 0.1 (0.1 to 0.1) 0.1 (0.1 to 0.1) 59 (45 to 73) 0.1 (0.1 to 0.1) 0.2 (0.1 to 0.2) 44 (32 to 58) 0 (0 to 0) 0 (0 to 0) 30 (12 to 51)
Rate 54.7 (50.4 to 59.1) 40 (37.3 to 42.6) − 27 (− 33 to − 21) 17.9 (15.5 to 20.5) 14.1 (12 to 16) − 21 (− 28 to − 14) 33 (29 to 37.4) 23.5 (21.4 to 25.6) − 29 (− 35 to − 22) 3.8 (2.7 to 5.1) 2.4 (1.7 to 3.6) − 36 (− 44 to − 25)
 World Bank lower middle income Age-standardised Rate 133.6 (128 to 140.2) 102.6 (98.8 to 106.6) − 23 (− 27 to − 20) 64 (59 to 70.4) 47.6 (43.7 to 52.7) − 26 (− 29 to − 21) 60.7 (53.5 to 66.3) 48.2 (43.9 to 51.3) − 21 (− 26 to − 15) 8.9 (7.4 to 11.3) 6.8 (6 to 8) − 24 (− 32 to − 14)
Female to male ratio 0.96 0.85 − 12 1.11 0.91 − 18 0.82 0.79 − 5 0.95 0.90 − 5
All ages Number (million) 1.2 (1.1 to 1.2) 2 (1.9 to 2) 70 (62 to 78) 0.5 (0.4 to 0.5) 0.8 (0.7 to 0.9) 72 (63 to 82) 0.6 (0.5 to 0.6) 1 (0.9 to 1.1) 71 (60 to 83) 0.1 (0.1 to 0.1) 0.2 (0.1 to 0.2) 56 (41 to 76)
Rate 60.1 (57.5 to 62.6) 63.3 (61 to 65.7) 5 (0 to 10) 24.7 (22.7 to 27.4) 26.3 (23.9 to 29.4) 7 (1 to 13) 30.3 (26.8 to 32.8) 32 (29.4 to 34) 6 (− 1 to 13) 5.1 (4.2 to 6.4) 4.9 (4.4 to 5.9) − 4 (− 13 to 9)
 World Bank upper middle income Age-standardised Rate 159.7 (155.8 to 168.1) 101.5 (99.1 to 104.3) − 36 (− 39 to − 34) 67.9 (65.4 to 71.9) 46.7 (45.6 to 47.9) − 31 (− 35 to − 28) 75.1 (71.5 to 84.4) 48.5 (46.9 to 50.2) − 35 (− 42 to − 32) 16.7 (10.8 to 19.1) 6.3 (5.6 to 6.8) − 62 (− 68 to − 45)
Female to male ratio 0.87 0.71 − 19 0.96 0.76 − 21 0.78 0.65 − 17 0.96 0.81 − 15
All ages Number (million) 2.1 (2 to 2.2) 3.1 (3 to 3.1) 48 (42 to 53) 0.8 (0.8 to 0.8) 1.4 (1.3 to 1.4) 72 (63 to 81) 1 (1 to 1.1) 1.5 (1.4 to 1.5) 46 (32 to 55) 0.2 (0.2 to 0.3) 0.2 (0.2 to 0.2) − 20 (− 32 to 15)
Rate 97.6 (95.3 to 102.5) 116 (113.2 to 119.2) 19 (14 to 23) 37.7 (36.3 to 40.1) 51.9 (50.6 to 53.2) 38 (30 to 45) 48.4 (46.1 to 54.4) 56.7 (54.9 to 58.8) 17 (6 to 24) 11.5 (7.6 to 13.1) 7.4 (6.5 to 8) − 36 (− 45 to − 8)
 World Bank high income Age-standardised Rate 71 (70.2 to 72) 31.4 (30.7 to 32.7) − 56 (− 57 to − 54) 39.6 (39.2 to 40.2) 15.9 (15.5 to 16.6) − 60 (− 61 to − 58) 25.7 (25.3 to 26.1) 12.1 (11.8 to 12.5) − 53 (− 54 to − 51) 5.7 (5.5 to 5.9) 3.4 (3.3 to 3.7) − 39 (− 41 to − 37)
Female to male ratio 0.79 0.76 − 4 0.79 0.78 − 2 0.72 0.69 − 4 1.18 0.97 − 17
All ages Number (million) 0.9 (0.9 to 1) 0.8 (0.8 to 0.9) − 12 (− 14 to − 8) 0.5 (0.5 to 0.5) 0.4 (0.4 to 0.5) − 15 (− 17 to − 11) 0.3 (0.3 to 0.3) 0.3 (0.3 to 0.3) − 11 (− 14 to − 7) 0.1 (0.1 to 0.1) 0.1 (0.1 to 0.1) 8 (4 to 12)
Rate 93.8 (92.7 to 95.1) 69.7 (68.2 to 72.7) − 26 (− 27 to − 23) 52.6 (52 to 53.4) 37.7 (36.8 to 39.5) − 28 (− 30 to − 25) 34 (33.5 to 34.6) 25.5 (24.8 to 26.6) − 25 (− 27 to − 22) 7.2 (7 to 7.6) 6.5 (6.3 to 6.9) − 9 (− 12 to − 6)
DALYs (disability-adjusted life years)
 Global Age-standardised Rate 2392.7 (2316.5 to 2478.9) 1657.2 (1587.4 to 1723.8) − 31 (− 33 to − 29) 948.8 (891.4 to 1008.2) 702.8 (649.5 to 756.5) − 26 (− 29 to − 23) 1158.4 (1095.2 to 1242.3) 800.3 (773.3 to 826.1) − 31 (− 34 to − 28) 285.5 (235.2 to 321.9) 154.1 (143.7 to 170.1) − 46 (− 51 to − 35)
Female to male ratio 0.84 0.73 − 13 0.90 0.79 − 12 0.76 0.66 − 13 1.00 0.89 −11
All ages Number (million) 98.9 (95.6 to 102.5) 132.1 (126.5 to 137.4) 34 (29 to 37) 36.6 (34.3 to 39) 55.1 (50.9 to 59.4) 50 (45 to 56) 49.3 (46.6 to 52.8) 64.5 (62.3 to 66.6) 31 (24 to 36) 12.9 (10.7 to 14.5) 12.4 (11.6 to 13.7) − 4 (− 12 to 15)
Rate 1832.8 (1772.6 to 1900.2) 1728.3 (1655.6 to 1797.7) − 6 (− 9 to − 3) 679.3 (635.7 to 723.2) 721.7 (666.6 to 777.7) 6 (2 to 10) 914.1 (863 to 977.8) 844.3 (815.8 to 871.4) − 8 (− 12 to − 4) 239.5 (197.6 to 268.6) 162.3 (151.3 to 179.1) − 32 (− 38 to − 19)
 World Bank low income Age-standardised Rate 2954.9 (2713.1 to 3182.4) 2153.7 (2005.6 to 2280) − 27 (− 33 to − 21) 975.2 (855.3 to 1104.4) 761.5 (661.4 to 857.8) − 22 (− 28 to − 16) 1758.7 (1554.7 to 1993.4) 1245.5 (1137.3 to 1354.8) − 29 (− 35 to − 22) 221.1 (160.9 to 294.1) 146.6 (110.1 to 209) − 34 (− 42 to − 23)
Female to male ratio 1.01 0.88 − 12 1.36 1.14 − 16 0.89 0.78 − 12 0.74 0.69 − 7
All ages Number (million) 4.9 (4.4 to 5.3) 6.8 (6.4 to 7.2) 40 (28 to 54) 1.4 (1.2 to 1.6) 2.1 (1.9 to 2.4) 54 (41 to 67) 3 (2.6 to 3.5) 4.1 (3.8 to 4.5) 36 (23 to 52) 0.5 (0.4 to 0.6) 0.6 (0.4 to 0.8) 23 (8 to 46)
Rate 1483.1 (1348.5 to 1622.4) 1027.2 (962.8 to 1080.8) − 31 (− 37 to − 24) 418.1 (365.6 to 476.2) 318.2 (278 to 359.5) − 24 (− 30 to − 17) 918.2 (794.7 to 1059.9) 619.5 (564.8 to 676.4) − 33 (− 39 to − 25) 146.8 (106.8 to 184.6) 89.5 (67.2 to 123.7) − 39 (− 47 to − 28)
 World Bank lower middle income Age-standardised Rate 2635.2 (2526.1 to 2743.2) 2046.2 (1968.4 to 2122.8) − 22 (− 26 to − 19) 1058 (968.4 to 1168.8) 822.3 (748 to 918.8) − 22 (− 26 to − 18) 1322.2 (1180.6 to 1429.9) 1034 (956.2 to 1095) − 22 (− 27 to − 17) 255.1 (213.5 to 311) 189.9 (169.5 to 223.6) − 26 (− 32 to − 17)
Female to male ratio 0.93 0.82 − 12 1.08 0.89 − 18 0.82 0.75 − 8 1.00 0.92 − 7
All ages Number (million) 29.2 (27.8 to 30.4) 47.1 (45.2 to 48.8) 61 (52 to 69) 10.1 (9.2 to 11.3) 17.3 (15.6 to 19.4) 70 (62 to 80) 15.5 (13.9 to 16.7) 24.9 (23.1 to 26.3) 61 (49 to 71) 3.5 (3 to 4.2) 5 (4.4 to 5.8) 40 (27 to 57)
Rate 1511.2 (1441.5 to 1575.9) 1508.1 (1449.4 to 1565) 0 (− 6 to 5) 525.6 (478.9 to 584.3) 553 (499.6 to 621.7) 5 (− 0 to 11) 801.7 (718.3 to 865.6) 796.4 (739.8 to 841.5) − 1 (− 8 to 6) 184 (153.6 to 218.6) 158.7 (141.3 to 186.5) − 14 (− 21 to − 3)
 World Bank upper middle income Age-standardised Rate 3061.9 (2961.4 to 3199.4) 1966.7 (1873.3 to 2062.6) − 36 (− 38 to − 34) 1151.4 (1084.9 to 1225.4) 882.9 (812.8 to 952.1) − 23 (− 28 to − 19) 1512.5 (1440.7 to 1686.6) 932 (899.2 to 967.7) − 38 (− 44 to − 35) 398 (279.3 to 449.3) 151.8 (137.1 to 163.9) − 62 (− 67 to − 48)
Female to male ratio 0.84 0.67 − 20 0.90 0.74 − 18 0.76 0.59 − 22 0.97 0.82 − 16
All ages Number (million) 47.4 (45.8 to 49.4) 63.1 (60.1 to 66.2) 33 (28 to 38) 16.4 (15.4 to 17.5) 27.9 (25.6 to 30.1) 70 (60 to 78) 24.2 (23 to 26.9) 30.4 (29.3 to 31.6) 26 (15 to 33) 6.8 (4.9 to 7.6) 4.9 (4.4 to 5.3) − 28 (− 37 to − 4)
Rate 2244.3 (2168.7 to 2341.8) 2396.2 (2281.6 to 2513.2) 7 (3 to 10) 778.5 (730.5 to 829.2) 1057.8 (972.4 to 1141.2) 36 (28 to 43) 1145.8 (1090.9 to 1273) 1153.4 (1112.7 to 1198.1) 1 (− 8 to 6) 320 (230.3 to 360.1) 185 (166.4 to 200.1) − 42 (− 50 to − 23)
 World Bank high income Age-standardised Rate 1302.5 (1244.4 to 1356.5) 652.2 (600.1 to 703.9) − 50 (− 52 to − 48) 638.8 (596.6 to 679.7) 321.2 (282.1 to 358.9) − 50 (− 53 to − 47) 493 (481.6 to 503.7) 225.9 (218.3 to 234.4) − 54 (− 55 to − 53) 170.8 (162.8 to 178.6) 105.1 (97.3 to 113.4) − 38 (− 41 to − 35)
Female to male ratio 0.76 0.77 1 0.75 0.77 2 0.66 0.64 − 4 1.19 1.14 − 4
All ages Number (million) 16.9 (16.1 to 17.5) 14.2 (13.1 to 15.2) − 16 (− 19 to − 13) 8.5 (8 to 9.1) 7.5 (6.7 to 8.4) − 11 (− 16 to − 7) 6.3 (6.2 to 6.4) 4.7 (4.6 to 4.9) − 25 (− 27 to − 23) 2 (1.9 to 2.1) 1.9 (1.8 to 2.1) − 6 (− 9 to − 1)
Rate 1685.7 (1611.6 to 1753.7) 1191.5 (1098.4 to 1280.2) − 29 (− 32 to − 27) 852.1 (797.6 to 905.1) 634.3 (562.7 to 702.8) − 26 (− 30 to − 22) 630.2 (616.6 to 643.6) 395.5 (382.9 to 409.7) − 37 (− 39 to − 35) 203.4 (193.8 to 212.8) 161.7 (149.7 to 174.6) − 21 (− 24 to − 17)
  1. Data were extracted from [8]. Rates are defined per 100,000 people