Impact of the COVID-19 pandemic on eating disorders diagnoses among adolescents and young adults in Catalonia : A population-based cohort study
Raventós, Berta (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Abellan, Alicia (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Pistillo, Andrea (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Reyes, Carlen (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Burn, Edward (University of Oxford. Centre for Statistics in Medicine (CSM))
Duarte-Salles, Talita 1985- (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Universitat Autònoma de Barcelona

Fecha:	2023
Resumen:	Objective: To describe the impact of the COVID-19 pandemic on trends in incidence rates (IR) of diagnoses of eating disorders (ED) among adolescents and young adults. Methods: Population-based cohort study using primary care records of people aged 10-24 years between January, 2016 and December, 2021 in Catalonia, Spain. IRs were calculated monthly and grouped by the different stages of the COVID-19 pandemic in Catalonia: (1) the pre-lockdown (January, 2016-February, 2020), (2) lockdown (March-June, 2020) and, (3) post-lockdown (July, 2020-December, 2021) periods. Incidence rate ratios (IRR) relative to the corresponding periods in 2018-2019 were calculated. Results: A total of 1,179,009 individuals were included. The IR was 9. 2 per 100,000 person-months (95% confidence intervals [CI]: 8. 9-9. 5) during the pre-lockdown period. It decreased during the lockdown period (6. 3 per 100,000 person-months [5. 5-7. 3]), but substantially increased during the following period (19. 4. per 100,000 person-months [18. 7-20. 1]). While large reductions in IRs were observed for both sexes during the lockdown period (IRR 95% CI: 0. 65 [0. 54-0. 78] in females and 0. 46 [0. 29-0. 71] in males), substantial increases during the post-lockdown period were limited to females, and were particularly pronounced among those aged 10-14 and 15-19 years (2. 50 [2. 23-2. 80] and 2. 29 [2. 07-2. 54], respectively). Discussion: The COVID-19 pandemic has resulted in a substantial increase in ED diagnoses, primarily driven by higher rates among adolescent females. Public Significance: This population-based cohort study demonstrated a substantial increase in incidence rates of eating disorders in primary care following the end of lockdown in Catalonia, Spain, with adolescent girls seen to be most affected.
Ayudas:	Instituto de Salud Carlos III CP21/00023
Nota:	Altres ajuts: acords transformatius de la UAB
Nota:	This study was carried out as part of the Doctoral Program in Biomedical Research Methodology and Public Health at the Autonomous University of Barcelona. The authors would like to acknowledge the efforts of all public healthcare workers in Catalonia who daily register information in the populations' electronic health records.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Publicado en:	International Journal of Eating Disorders, Vol. 56 Núm. 1 (january 2023) , p. 225-234, ISSN 1098-108X

DOI: 10.1002/eat.23848
PMID: 36352763

10 p, 1.9 MB

El registro aparece en las colecciones:
Artículos > Artículos de investigación
Artículos > Artículos publicados