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Incidence and prevalence of eating disorders among active duty US military-dependent youth from 2016 to 2021.

التفاصيل البيبلوغرافية
العنوان: Incidence and prevalence of eating disorders among active duty US military-dependent youth from 2016 to 2021.
المؤلفون: Thompson KA; Military Cardiovascular Outcomes Research (MiCOR) Program, USU, Bethesda, Maryland, USA.; Metis Foundation, San Antonio, Texas, USA., Bauman V; Military Cardiovascular Outcomes Research (MiCOR) Program, USU, Bethesda, Maryland, USA.; Metis Foundation, San Antonio, Texas, USA., Sunderland KW; Clinical Investigation Facility, David Grant Medical Center, Travis Air Force Base, California, USA.; Ripple Effect, Rockville, Maryland, USA., Thornton JA; Clinical Investigation Facility, David Grant Medical Center, Travis Air Force Base, California, USA.; Ripple Effect, Rockville, Maryland, USA., Schvey NA; Department of Medical and Clinical Psychology, USU, Bethesda, Maryland, USA., Moyer R; Department of Family Medicine, David Grant Medical Center, Travis Air Force Base, California, USA., Sekyere NA; Department of Family Medicine, David Grant Medical Center, Travis Air Force Base, California, USA., Funk W; Kennell and Associates Inc., Falls Church, Virginia, United States., Pav V; Kennell and Associates Inc., Falls Church, Virginia, United States.; School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA., Brydum R; Kennell and Associates Inc., Falls Church, Virginia, United States., Klein DA; Department of Family Medicine, David Grant Medical Center, Travis Air Force Base, California, USA.; Department of Family Medicine, USU, Bethesda, Maryland, USA.; Department of Pediatrics, USU, Bethesda, Maryland, USA., Lavender JM; Military Cardiovascular Outcomes Research (MiCOR) Program, USU, Bethesda, Maryland, USA.; Metis Foundation, San Antonio, Texas, USA.; Department of Medicine, USU, Bethesda, Maryland, USA., Tanofsky-Kraff M; Military Cardiovascular Outcomes Research (MiCOR) Program, USU, Bethesda, Maryland, USA.; Department of Medical and Clinical Psychology, USU, Bethesda, Maryland, USA.
المصدر: The International journal of eating disorders [Int J Eat Disord] 2023 Oct; Vol. 56 (10), pp. 1973-1982. Date of Electronic Publication: 2023 Jul 26.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley Country of Publication: United States NLM ID: 8111226 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-108X (Electronic) Linking ISSN: 02763478 NLM ISO Abbreviation: Int J Eat Disord Subsets: MEDLINE
أسماء مطبوعة: Publication: <2005-> : Hoboken, NJ : Wiley
Original Publication: [New York, N.Y. : Van Nostrand Reinhold Co., c1981-
مواضيع طبية MeSH: Military Personnel* , COVID-19*/epidemiology , Feeding and Eating Disorders*/diagnosis , Feeding and Eating Disorders*/epidemiology , Anorexia Nervosa*/therapy , Bulimia Nervosa*/diagnosis , Bulimia Nervosa*/epidemiology , Binge-Eating Disorder*/diagnosis, Male ; Child ; Humans ; Female ; Adolescent ; Incidence ; Prevalence ; Pandemics ; Retrospective Studies
مستخلص: Objective: The offspring of US military service members may be at increased risk for eating disorders. However, no epidemiological studies to date have evaluated eating disorder incidence rates and prevalence estimates among military-dependent youth.
Method: This retrospective cohort study examined eating disorder diagnoses in the military healthcare system (MHS) from 2016 through 2021. Active duty and national guard military-dependent youth, aged 10-17 years, who received care in the MHS via TRICARE Prime insurance, were identified by one or more ICD-10 codes indicative of an eating disorder diagnosis (anorexia nervosa, bulimia nervosa, binge-eating disorder, and other-specified eating disorders).
Results: During the 6-year surveillance period, 2534 dependents received incident diagnoses of eating disorders, with a crude overall incidence rate of 1.75 cases per 10,000 person-years. The most common diagnosis was other-specified eating disorder, followed by anorexia nervosa, bulimia nervosa, and binge-eating disorder. The crude annual incidence rate of all eating disorder diagnoses increased by nearly 65% from 2016 to 2021. Rates for all diagnoses were highest in 2020 and 2021. Period prevalence estimates were .08% for any eating disorder diagnosis, .01% for anorexia nervosa, .004% for bulimia nervosa, .004% for binge-eating disorder, and .06% for other-specified eating disorders.
Discussion: The observed increase in eating disorder diagnoses during the surveillance period appeared to be driven by female dependents. More military dependents experienced a new-onset diagnosis during the COVID-19 pandemic compared to previous years. These findings highlight the need for eating disorder screening, identification, and treatment for dependents within the MHS.
Public Significance Statement: Children of US military service members may be at increased risk for eating disorders. Results indicate new-onset eating disorder cases increased 65% from 2016 to 2021, primarily among girls compared to boys. The most diagnosed and fastest growing diagnosis was other-specified eating disorder. Rates of anorexia nervosa increased following the COVID-19 pandemic. Findings highlight the need for eating disorder screening, identification, and treatment within the military healthcare system.
(© 2023 Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: adolescents; eating disorders; incidence; military dependents; prevalence
تواريخ الأحداث: Date Created: 20230726 Date Completed: 20231023 Latest Revision: 20231026
رمز التحديث: 20240829
DOI: 10.1002/eat.24025
PMID: 37493029
قاعدة البيانات: MEDLINE
الوصف
تدمد:1098-108X
DOI:10.1002/eat.24025