Katzman Debra K, Dimitropoulos Gina, Vyver Ellie, Singh Manya, Austin Amelia, Marcoux-Louie Gisele, Patten Scott B
Division of Adolescent Medicine, Department of Pediatrics, The Hospital for Sick Children and University of Toronto, Research Institute, Hospital for Sick Children, Toronto, Ontario, Canada.
Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada.
J Adolesc Health. 2025 Mar;76(3):513-516. doi: 10.1016/j.jadohealth.2024.09.027. Epub 2024 Dec 15.
We assessed hospital admission rates for anorexia nervosa (AN)/atypical AN (AAN) relative to other mental, behavioral, and neurodevelopmental disorders across age groups before and 1-year postpandemic onset.
Using the Canadian Discharge Abstracts Database, we analyzed admissions for AN/AAN and mental, behavioral, and neurodevelopmental disorders in ages 10-84-year-olds, grouped into 10-24, 25-44, and 45+ year olds. Data spanned fiscal years (FY) 2006-2021.
AN/AAN admissions increased in the 10-24-year-old group, while remaining stable in older age groups. In FY2019, AN/AAN constituted 2.6% (95% confidence interval 2.4-2.8) of psychiatric admissions, increasing to 4.1% (95% confidence interval 3.9-4.3) in FY2020. Odds ratio for FY2019-FY2020 hospitalizations in 10-24 group was 1.61 (p < .0001), 25-44 was 1.15 (p = .31), and 45+ was 0.61 (p = .03).
AN/AAN admissions surged among 10-24 year-olds during the pandemic's onset, underscoring the need for early interventions and preparedness to support adolescents and young adults with AN/AAN.
我们评估了在大流行开始前及开始后1年，与其他精神、行为和神经发育障碍相比，神经性厌食症（AN）/非典型神经性厌食症（AAN）的住院率在各年龄组中的情况。
利用加拿大出院摘要数据库，我们分析了10 - 84岁人群中AN/AAN以及精神、行为和神经发育障碍的住院情况，将其分为10 - 24岁、25 - 44岁和45岁及以上年龄组。数据涵盖2006 - 2021财政年度。
10 - 24岁年龄组的AN/AAN住院率有所上升，而在年龄较大的组中保持稳定。在2019财年，AN/AAN占精神科住院人数的2.6%（95%置信区间2.4 - 2.8），在2020财年增至4.1%（95%置信区间3.9 - 4.3）。2019 - 2020财年10 - 24岁组住院的优势比为1.61（p < .0001），25 - 44岁组为1.15（p = .31），45岁及以上组为0.61（p = .03）。
在大流行开始期间，10 - 24岁人群中AN/AAN的住院率激增，这凸显了对患有AN/AAN的青少年和年轻人进行早期干预和准备支持的必要性。
