Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990-2021.

IF 3.5 3区医学 Q2 NUTRITION & DIETETICS

Journal of Eating Disorders Pub Date : 2025-05-26 DOI:10.1186/s40337-025-01288-w

Jesús Alberto Pérez-Hernández, Itzel Alejandra Téllez-Castillo, Liliana Giraldo-Rodríguez, Marcela Agudelo-Botero

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引用次数: 0

Abstract

Background: Eating disorders (ED) have been on the rise in both high-income and middle-income countries. The objective of this study is to analyze the burden of eating disorders (ED) due anorexia nervosa (AN) and bulimia nervosa (BN) in Mexico at the national and subnational levels between 1990 and 2021 and to measure the correlation between disability-adjusted life years (DALY) with the socio-demographic index (SDI) and with the healthcare access and quality index (HAQI) for both 1990 and 2021.

Methods: This was a secondary analysis of the GBD 2021. The DALY number and age-standardized rate (ASR) were analyzed for 1990, 2005, 2019, and 2021. The data were disaggregated by sex, age groups, and subcauses (AN and BN) at national and subnational levels.

Results: In Mexico, the ASR DALY due to ED increased by 50.2% and 49.6% between 1990 and 2021. In all states and for all years, women had higher ASR DALY due to ED than men. The ASR DALY was also higher for BN than for AN. A positive and significant correlation existed between ASR DALY due to ED and the SDI and HAQI.

Conclusions: ED due AN and BN represents a significant burden for individuals under 50 years old in Mexico. There are wide disparities between states and heterogeneous patterns by sex, age groups, and subcauses. Prioritizing this issue on the country's public policy agenda is crucial.

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探讨1990-2021年墨西哥神经性厌食症和神经性贪食症的负担。

背景：饮食失调（ED）在高收入和中等收入国家都呈上升趋势。本研究的目的是分析1990年至2021年间墨西哥国家和地方各级神经性厌食症（AN）和神经性贪食症（BN）导致的饮食失调（ED）负担，并测量1990年和2021年残疾调整生命年（DALY）与社会人口指数（SDI）和医疗保健可及性和质量指数（HAQI）之间的相关性。方法：这是GBD 2021的二次分析。分析1990年、2005年、2019年和2021年的DALY人数和年龄标准化率（ASR）。数据在国家和国家以下各级按性别、年龄组和亚原因（AN和BN）分类。结果：在墨西哥，1990年至2021年间，ED引起的ASR DALY分别增加了50.2%和49.6%。在所有州和所有年份，女性因ED引起的ASR DALY高于男性。BN的ASR DALY也高于AN。ED所致ASR DALY与SDI、HAQI呈显著正相关。结论：AN和BN引起的ED是墨西哥50岁以下个体的重大负担。在不同的州和不同的模式之间存在着巨大的差异，如性别、年龄组和亚原因。将这一问题置于国家公共政策议程的优先位置至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Eating Disorders Neuroscience-Behavioral Neuroscience

CiteScore

5.30

自引率

17.10%

发文量

161

审稿时长

16 weeks

期刊介绍： Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.