Social and economic cost of eating disorders in the United States: Evidence to inform policy action
| Autor: | Lynne Pezzullo, Josiah Hickson, Ruth Striegel Weissman, Katrina Velasquez, Rebecca Hutcheson, Tracy K. Richmond, Mihail Samnaliev, Jillian G Lampert, S. Bryn Austin, Elissa M Myers, Jared Streatfeild, Johanna S Kandel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty Anorexia nervosa Fiscal year 03 medical and health sciences 0302 clinical medicine Cost of Illness Binge-eating disorder Environmental health Economic cost Prevalence medicine Humans 0501 psychology and cognitive sciences Productivity health care economics and organizations Preventive healthcare Bulimia nervosa business.industry 05 social sciences Health Care Costs medicine.disease United States 030227 psychiatry Psychiatry and Mental health Eating disorders Policy Quality-Adjusted Life Years business Binge-Eating Disorder |
| Zdroj: | International Journal of Eating Disorders. 54:851-868 |
| ISSN: | 1098-108X 0276-3478 |
| DOI: | 10.1002/eat.23486 |
| Popis: | Objective To estimate one-year costs of eating disorders in the United States (U.S.) from a societal perspective, including the costs to the U.S. health system, individual and family productivity costs, lost wellbeing, and other societal economic costs, by setting and payer. Findings will inform needed policy action to mitigate the impact of eating disorders in the U.S. Method Costs of eating disorders were estimated using a bottom-up cost-of-illness methodology, based on the estimated one-year prevalence of eating disorders. Intangible costs of reduced wellbeing were also estimated using disability-adjusted life years. Results Total economic costs associated with eating disorders were estimated to be $64.7 billion (95% CI: $63.5-$66.0 billion) in fiscal year 2018-2019, equivalent to $11,808 per affected person (95% CI: $11,754-$11,863 per affected person). Otherwise Specified Feeding or Eating Disorder accounted for 35% of total economic costs, followed by Binge Eating Disorder (30%), Bulimia Nervosa (18%) and Anorexia Nervosa (17%). The substantial reduction in wellbeing associated with eating disorders was further valued at $326.5 billion (95% CI: $316.8-$336.2 billion). Discussion The impact of eating disorders in the U.S. is substantial when considering both economic costs and reduced wellbeing (nearly $400 billion in fiscal year 2018-2019). Study findings underscore the urgency of identifying effective policy actions to reduce the impact of eating disorders, such as through primary prevention and screening to identify people with emerging or early eating disorders in primary care, schools, and workplaces and ensuring access to early evidence-based treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|