Tannous Wadad Kathy, Hay Phillipa, Girosi Federico, Heriseanu Andreea I, Ahmed Moin Uddin, Touyz Stephen
Translational Health Research Institute, School of Medicine, Western Sydney University, NSW, Australia.
School of Psychology and InsideOut Institute, University of Sydney, Camperdown, NSW, Australia.
Psychol Med. 2021 May 17:1-15. doi: 10.1017/S0033291721000775.
The most common eating disorders (EDs) are bulimia nervosa (BN) and binge eating disorder (BED), serious psychiatric illnesses that have devastating effects on the physical and psychological wellbeing of sufferers. EDs range in complexity and severity but can be life-threatening without appropriate treatment. Although it is well-known that quality of life impacts is high for ED sufferers, research regarding fiscal and related costs is severely limited. The aim of this study was to understand economic and other costs of EDs at the community level.
Data were derived from 2017 household community representative structured interview of 2977 people aged ⩾ 15 years in South Australia. ED diagnoses, health systems, productivity, transaction, out-of-pocket expenses and other related costs of BN and BED were used to estimate the economic burden of EDs in South Australia.
The annual total economic cost of EDs in 2018 was estimated at $84 billion for South Australia. This included $81 billion from the burden of disease as the result of years lived with disability (YLD) ($62 billion) and years of life lost ($19 billion). The health system costs, productivity and tax revenue loss to the Australian economy were estimated at $1 billion, $1.6 billion and $0.6 billion, respectively.
The YLD average cost in 2018 in South Australia was $296 649 per person. This is two-thirds of the costs borne by individuals and the wider economy. Prevention and management initiatives for EDs need to take into account these costs when assessing their potential benefits.
最常见的饮食失调症包括神经性贪食症（BN）和暴饮暴食症（BED），这两种严重的精神疾病会对患者的身心健康造成毁灭性影响。饮食失调症的复杂程度和严重程度各不相同，但如果得不到适当治疗，可能会危及生命。尽管众所周知饮食失调症患者的生活质量受到很大影响，但关于财务及相关成本的研究却极为有限。本研究的目的是了解社区层面饮食失调症的经济及其他成本。
数据来自2017年对南澳大利亚州2977名15岁及以上人群进行的家庭社区代表性结构化访谈。神经性贪食症和暴饮暴食症的诊断、卫生系统、生产力、交易、自付费用及其他相关成本被用于估算南澳大利亚州饮食失调症的经济负担。
2018年南澳大利亚州饮食失调症的年度总经济成本估计为840亿美元。这包括因残疾生存年数（YLD）（620亿美元）和生命损失年数（190亿美元）导致的810亿美元疾病负担。澳大利亚经济的卫生系统成本、生产力和税收收入损失估计分别为10亿美元、16亿美元和6亿美元。
2018年南澳大利亚州YLD的平均成本为每人296,649美元。这占个人和更广泛经济所承担成本的三分之二。饮食失调症的预防和管理举措在评估其潜在益处时需要考虑这些成本。
