Abstract
Objective: To test the hypothesis that the socio-cultural transition in the 1990s in Eastern Europe was associated with an increase in admissions for eating disorders (ED). Method: Cases of ICD-9 and ICD-10 ED in 1981, 1986 and 1992-2005 and first admissions for ICD-10 anorexia nervosa (AN) in 1994-2005 were retrieved from the Czech national register of hospital admissions. Age-and sexadjusted admission rates (per 100,000) were calculated and time trends tested by Poisson regression. Results: The admission rate for ED in females aged 10-39 quadrupled from 2.6 (95% CI 2.1-3.0) in 1981 to 10.6 (95% CI 9.8-11.5) in 2001, and remained elevated till 2005. The rate of first-time admissions for AN in 10-to 39-old females increased from 4.5 (95% CI 3.6-5.4) in 1994 to 7.5 (95% CI 6.3-8.6) in 1999, followed by a non-significant decrease. Conclusion: Temporal association of an increase in admissions with socio-cultural transition suggests that risk of severe ED including AN is culture-dependent.
| Original language | English |
|---|---|
| Pages (from-to) | 541-550 |
| Number of pages | 10 |
| Journal | Social Psychiatry and Psychiatric Epidemiology |
| Volume | 45 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - May 2010 |
| Externally published | Yes |
Bibliographical note
Funding Information:Acknowledgments This work was supported by the Czech Government Grant VZ 216 208 16. We would like to thank to Mgr. Jiri Holub for granting us the access to the register.
ASJC Scopus Subject Areas
- Epidemiology
- Health(social science)
- Social Psychology
- Psychiatry and Mental health
