Department of Epidemiology, Brown University School of Public Health, Box G-S121-2, Providence, RI, 02912, USA.
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
BMC Public Health. 2024 Jul 2;24(1):1758. doi: 10.1186/s12889-024-19283-2.
The minority of people with an eating disorder receive treatment. Little is known about predictors of receiving treatment.
Using data from the Growing Up Today Study we identified correlates of receiving treatment for an eating disorder among the 1237 U.S. women who answered questions on treatment history in 2013 and reported meeting criteria for subthreshold eating disorder in ≥ 1 year between 1996 and 2013. Logistic regression models using generalized estimating equations were used to estimate the relative odds of receiving treatment.
Approximately 11% of the women reported receiving treatment for an eating disorder. Independent of type of eating disorder, those who had received a diagnosis of depression or anxiety were more likely (odds ratio (OR) = 3.05 95% confidence interval (CI) 1.87-4.97) to receive treatment for an eating disorder. Women with obesity were approximately 85% less likely to receive treatment (OR = 0.13, 95% CI 0.04-0.46) regardless of their type of eating disorder or history of depression of anxiety diagnosis.
Most women meeting criteria for an eating disorder do not receive treatment. Women with BED or obesity are the least likely to receive treatment.
少数进食障碍患者接受治疗。对于预测接受治疗的因素知之甚少。
使用今日成长研究的数据，我们确定了在 2013 年回答了治疗史问题的 1237 名美国女性中，哪些因素与接受进食障碍治疗相关，这些女性在 1996 年至 2013 年间报告了至少 1 年符合亚临床进食障碍标准。使用广义估计方程的逻辑回归模型来估计接受治疗的相对可能性。
约 11%的女性报告接受过进食障碍治疗。与进食障碍的类型无关，那些被诊断患有抑郁或焦虑症的女性更有可能（比值比（OR）=3.05，95%置信区间（CI）1.87-4.97）接受进食障碍治疗。无论她们的进食障碍类型或是否有抑郁或焦虑症的诊断，肥胖女性接受治疗的可能性约低 85%（OR=0.13，95% CI 0.04-0.46）。
大多数符合进食障碍标准的女性并未接受治疗。患有 BED 或肥胖症的女性最不可能接受治疗。
