2010年至2022年加拿大儿童和青少年的饮食障碍住院情况:使用行政数据进行基于人口的监测研究
Stephanie Toigo1, Debra K Katzman2, Ellie Vyver3
1Centre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1A 0K9, Canada. stephanie.toigo@phac-aspc.gc.ca.
Journal of eating disorders
|January 3, 2024
概括
加拿大的儿童饮食障碍住院病例在疫情期间增加,尤其是女性. 这凸显了对这些严重精神疾病的持续监测的需要.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 心理健康 心理健康
背景情况:
- 饮食障碍 (ED) 是一种严重的精神疾病,对健康有重大影响.
- 勃起障碍不成比例地影响女性和青少年.
- 加拿大的儿科ED住院治疗的流行病前趋势未得到充分研究,尽管COVID-19期间有明显的增加.
研究的目的:
- 检查2010年至2022年儿童饮食障碍 (ED) 住院病例的加拿大趋势.
- 根据性别,年龄,省/地区,住院时间,出院情况和ED诊断分析住院率.
- 调查COVID-19大流行对这些住院率的影响.
主要方法:
- 使用了5-17岁儿童和青少年的出院摘要数据库 (2010/112022/23) 的ICD-10代码.
- 包括诸如神经性厌食症,非典型的神经性厌食症,神经性食欲症和其他/未指定的EDs等诊断.
- 使用描述性统计数据和趋势分析分析了总和首次ED住院病例.
主要成果:
- 在2010/11年至2022/23年期间发生了18740例儿科ED住院治疗;65.9%是首次入院.
- 神经性厌食症是最常见的诊断 (51.3%).
- 女性 (66.7/100,000) 和青少年 (vs.儿童) 的住院率明显更高. 疫情期间 (2020-2021年) 的病率有所增加.
结论:
- 加拿大的儿科ED住院病例在疫情期间显著增加.
- 这种激增可能表明对替代护理的获取有限或ED严重程度增加,需要住院治疗.
- 持续监测对于监测流行后ED住院趋势至关重要.
相关概念视频
Anorexia Nervosa
73
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
73
Bulimia Nervosa
83
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
83
Binge Eating Disorders
70
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
70
Attention-Deficit/Hyperactivity Disorder
68
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
68
Diagnostic and Statistical Manual of Mental Disorders (DSM)
56
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
56
Specialized Care Centers and Settings-I
944
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
944


