Incidence and prevalence of eating disorders among U.S. military service members, 2016-2021.

Autor: Bauman V; Military Cardiovascular Outcomes Research (MiCOR) Program, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA.; The Metis Foundation, San Antonio, Texas, USA., Thompson KA; Military Cardiovascular Outcomes Research (MiCOR) Program, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA.; The Metis Foundation, San Antonio, Texas, USA., Sunderland KW; Clinical Investigation Facility, David Grant Medical Center, Travis Air Force Base, California, USA.; Ripple Effect, Rockville, Maryland, USA., Thornton JA; Clinical Investigation Facility, David Grant Medical Center, Travis Air Force Base, California, USA.; Ripple Effect, Rockville, Maryland, USA., Schvey NA; Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA., Sekyere NA; Department of Family Medicine, David Grant Medical Center, Travis Air Force Base, California, USA., Funk W; Kennell and Associates, Falls Church, Virginia, USA., Pav V; Kennell and Associates, Falls Church, Virginia, USA.; School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA., Brydum R; Kennell and Associates, Falls Church, Virginia, USA., Klein DA; Department of Family Medicine, David Grant Medical Center, Travis Air Force Base, California, USA.; Department of Family Medicine, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA.; Department of Pediatrics, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA., Tanofsky-Kraff M; Military Cardiovascular Outcomes Research (MiCOR) Program, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA.; Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA., Lavender JM; Military Cardiovascular Outcomes Research (MiCOR) Program, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA.; The Metis Foundation, San Antonio, Texas, USA.; Department of Medicine, Uniformed Services University of the Health Sciences (USU), Bethesda, Maryland, USA.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2024 Aug; Vol. 57 (8), pp. 1735-1745. Date of Electronic Publication: 2024 May 23.
DOI: 10.1002/eat.24229
Abstrakt: Objective: Despite unique experiences that may increase eating disorder risk, U.S. military service members are an understudied population. The current study examined incidence and prevalence of eating disorder diagnoses in U.S. military personnel.
Method: This retrospective cohort study utilized Military Health System Data Repository (MDR) data on eating disorder diagnoses (2016-2021). Active duty, Reserve, and National Guard U.S. military service members who received care via TRICARE Prime insurance were identified by ICD-10 eating disorder diagnostic codes.
Results: During the 6-year surveillance period, 5189 Service members received incident eating disorders diagnoses, with a crude overall incidence rate of 6.2 cases per 10,000 person-years. The most common diagnosis was other/unspecified specified eating disorders, followed by binge-eating disorder, bulimia nervosa, and anorexia nervosa. There was an 18.5% overall rise in total incident cases across the surveillance period, but this trend was not statistically significant (p = 0.09). Point prevalence significantly increased across the 6-year timeframe for total eating disorders (p < 0.001). Period prevalence for 6-year surveillance period was 0.244% for total eating disorders, 0.149% for other/unspecified eating disorder, 0.043% for bulimia nervosa, 0.038% for binge-eating disorder, and 0.013% for anorexia nervosa.
Discussion: Overall crude incidence estimates for total eating disorders were higher than reported in prior research that included only active duty Service members and required an eating disorder diagnosis code in the first or second diagnostic position of the medical record. Comprehensive and confidential studies are needed to more thoroughly characterize the nature and scope of eating disorder symptomatology within U.S. military personnel.
Public Significance: U.S. military service members are a vulnerable population with regard to eating disorder symptoms. Previously reported incidence and prevalence estimates using data from the Military Health System may have been underestimated due to overly stringent case definitions. Given personal and occupational barriers (e.g., career consequences), confidential studies of military personnel may provide more complete data on the scope of eating disorders to inform screening and clinical practice guidelines for military populations.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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