Trends in hospital admissions for eating disorders in a country undergoing a socio-cultural transition, the Czech Republic 1981–2005

  • Barbara Pavlova
  • Rudolf Uher
  • Eva Dragomirecka
  • Hana Papezova
Original Paper

DOI: 10.1007/s00127-009-0092-7

Cite this article as:
Pavlova, B., Uher, R., Dragomirecka, E. et al. Soc Psychiat Epidemiol (2010) 45: 541. doi:10.1007/s00127-009-0092-7

Abstract

Objective

To test the hypothesis that the socio-cultural transition in the 1990s in Eastern Europe was associated with an increase in admissions for eating disorders (ED).

Method

Cases of ICD-9 and ICD-10 ED in 1981, 1986 and 1992–2005 and first admissions for ICD-10 anorexia nervosa (AN) in 1994–2005 were retrieved from the Czech national register of hospital admissions. Age- and sex-adjusted admission rates (per 100,000) were calculated and time trends tested by Poisson regression.

Results

The admission rate for ED in females aged 10–39 quadrupled from 2.6 (95% CI 2.1–3.0) in 1981 to 10.6 (95% CI 9.8–11.5) in 2001, and remained elevated till 2005. The rate of first-time admissions for AN in 10- to 39-old females increased from 4.5 (95% CI 3.6–5.4) in 1994 to 7.5 (95% CI 6.3–8.6) in 1999, followed by a non-significant decrease.

Conclusion

Temporal association of an increase in admissions with socio-cultural transition suggests that risk of severe ED including AN is culture-dependent.

Keywords

Eating disorders Epidemiology Transcultural psychiatry Czech Republic 

Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Barbara Pavlova
    • 1
  • Rudolf Uher
    • 2
  • Eva Dragomirecka
    • 3
  • Hana Papezova
    • 4
  1. 1.Department of PsychologyInstitute of PsychiatryLondonUK
  2. 2.Institute of PsychiatryLondonUK
  3. 3.Prague Psychiatric CentrePragueCzech Republic
  4. 4.Department of Psychiatry, 1st Medical SchoolCharles UniversityPragueCzech Republic