加拿大安大略省住院患有饮食障碍的儿科患者,随着时间的推移
Sarah Smith1,2,3, Alice Charach1,3,4,5, Teresa To1,2,5
1Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
JAMA network open
|December 4, 2023
概括
从2002年到2019年,儿童饮食障碍住院病例增加了一倍以上,男性和年轻青少年的病例显著增加. 医疗保健服务必须适应不断变化的患者人口统计和不断上升的入院率.
科学领域:
- 儿科健康 儿科健康
- 心理健康研究 心理健康研究
- 公共卫生监督 公共卫生监督
背景情况:
- 了解儿童饮食障碍住院的趋势对于有效的服务提供至关重要.
- 随着患者特征的变化,需要更新治疗和护理策略.
- 加拿大安大略省为研究这些时间趋势提供了宝贵的环境.
研究的目的:
- 分析儿童饮食障碍住院率的时间趋势.
- 在17年的时间里,检查临床和人口因素的变化.
- 为满足当前患者需求而调整服务.
主要方法:
- 基于人群的,重复的横截面研究设计.
- 在安大略省利用了链接的卫生行政和人口数据库.
- 从2002年到2020年,分析了年龄在5-17岁的个人住院的情况.
主要成果:
- 2002年至2019年期间,儿童饮食障碍住院总数增加了139% .
- 在男性 (416%),年轻青少年 (196%) 和其他饮食障碍患者 (255%) 中观察到显著增加.
- 到2019年,男性,年轻的青少年和患有其他饮食障碍的个人占住院病例的比例更大.
结论:
- 儿童饮食障碍住院病例随着时间的推移显著增加.
- 在传统上代表性不足的群体中,住院病例显著增加.
- 饮食障碍项目需要调整以应对不断变化的患者个人资料和需求的增加.
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