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. 2021 Oct 19;6(11):e848–e857. doi: 10.1016/S2468-2667(21)00232-2

Table 4.

Total annual ACE-attributable DALYs and costs calculated for each country

Population (millions)* GDP per capita, US$, 2019 ACE-attributable DALYs (thousands) ACE-attributable costs (US$ billion) Equivalent % of GDP
Albania 2·9 $5352·9 79·7 $0·4 2·8%
Belgium 11·5 $46 116·7 162·6 $7·5 1·4%
Czech Republic 10·7 $23 101·8 246·5 $5·7 2·3%
Denmark 5·8 $59 822·1 136·0 $8·1 2·3%
Finland 5·5 $48 685·9 225·2 $11·0 4·1%
France 67·1 $40 493·9 939·4 $38·0 1·4%
Germany 83·1 $46 258·9 2796·6 $129·4 3·4%
Greece 10·7 $19 582·5 123·8 $2·4 1·2%
Hungary 9·8 $16 475·7 239·1 $3·9 2·4%
Ireland 4·9 $78 661·0 97·8 $7·7 2·0%
Italy 60·3 $33 189·6 916·2 $30·4 1·5%
Latvia 1·9 $17 836·4 105·0 $1·9 5·5%
Lithuania 2·8 $19 455·5 93·0 $1·8 3·3%
Moldova 2·7 $4498·5 107·6 $0·5 4·0%
Montenegro 0·6 $8832·0 13·0 $0·1 2·1%
Netherlands 17·3 $52 447·8 536·2 $28·1 3·1%
North Macedonia 2·1 $6093·1 31·6 $0·2 1·5%
Norway 5·3 $75 419·6 145·7 $11·0 2·7%
Poland 38·0 $15 595·2 941·5 $14·7 2·5%
Romania 19·4 $12 919·5 660·5 $8·5 3·4%
Russia 144·4 $11 585·0 4312·4 $50·0 2·9%
Serbia 6·9 $7402·4 191·9 $1·4 2·8%
Spain 47·1 $29 613·7 565·9 $16·8 1·2%
Sweden 10·3 $51 610·1 117·9 $6·1 1·1%
Switzerland 8·6 $81 993·7 250·5 $20·5 2·9%
Turkey 83·4 $9042·5 926·5 $8·4 1·1%
Ukraine 44·4 $3659·0 2538·9 $9·3 6·0%
UK 66·8 $42 300·3 1858·7 $78·6 2·8%

Findings should not be assumed as comparable between countries and are affected by the characteristics of contributing studies (appendix p 2). ACE=adverse childhood experience. DALY=disability-adjusted life-year. GDP=gross domestic product (current US$).

*

2019 figures for total population according to World Bank data.