Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021

Abstract Background Eating disorders (ED) have been on the rise in both high-income and middle-income countries. The objective of this study is to analyze the burden of eating disorders (ED) due anorexia nervosa (AN) and bulimia nervosa (BN) in Mexico at the national and subnational levels between 1...

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Main Authors: Jesús Alberto Pérez-Hernández, Itzel Alejandra Téllez-Castillo, Liliana Giraldo-Rodríguez, Marcela Agudelo-Botero
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Journal of Eating Disorders
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Online Access:https://doi.org/10.1186/s40337-025-01288-w
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author Jesús Alberto Pérez-Hernández
Itzel Alejandra Téllez-Castillo
Liliana Giraldo-Rodríguez
Marcela Agudelo-Botero
author_facet Jesús Alberto Pérez-Hernández
Itzel Alejandra Téllez-Castillo
Liliana Giraldo-Rodríguez
Marcela Agudelo-Botero
author_sort Jesús Alberto Pérez-Hernández
collection DOAJ
description Abstract Background Eating disorders (ED) have been on the rise in both high-income and middle-income countries. The objective of this study is to analyze the burden of eating disorders (ED) due anorexia nervosa (AN) and bulimia nervosa (BN) in Mexico at the national and subnational levels between 1990 and 2021 and to measure the correlation between disability-adjusted life years (DALY) with the socio-demographic index (SDI) and with the healthcare access and quality index (HAQI) for both 1990 and 2021. Methods This was a secondary analysis of the GBD 2021. The DALY number and age-standardized rate (ASR) were analyzed for 1990, 2005, 2019, and 2021. The data were disaggregated by sex, age groups, and subcauses (AN and BN) at national and subnational levels. Results In Mexico, the ASR DALY due to ED increased by 50.2% and 49.6% between 1990 and 2021. In all states and for all years, women had higher ASR DALY due to ED than men. The ASR DALY was also higher for BN than for AN. A positive and significant correlation existed between ASR DALY due to ED and the SDI and HAQI. Conclusions ED due AN and BN represents a significant burden for individuals under 50 years old in Mexico. There are wide disparities between states and heterogeneous patterns by sex, age groups, and subcauses. Prioritizing this issue on the country’s public policy agenda is crucial.
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spelling doaj-art-85930bec5eec4a7aba85433ec9ce7b532025-08-20T02:00:08ZengBMCJournal of Eating Disorders2050-29742025-05-0113111210.1186/s40337-025-01288-wExploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021Jesús Alberto Pérez-Hernández0Itzel Alejandra Téllez-Castillo1Liliana Giraldo-Rodríguez2Marcela Agudelo-Botero3Centro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoInstituto Nacional de GeriatríaCentro de Investigación en Políticas, Población y Salud, Facultad de Medicina, Universidad Nacional Autónoma de MéxicoAbstract Background Eating disorders (ED) have been on the rise in both high-income and middle-income countries. The objective of this study is to analyze the burden of eating disorders (ED) due anorexia nervosa (AN) and bulimia nervosa (BN) in Mexico at the national and subnational levels between 1990 and 2021 and to measure the correlation between disability-adjusted life years (DALY) with the socio-demographic index (SDI) and with the healthcare access and quality index (HAQI) for both 1990 and 2021. Methods This was a secondary analysis of the GBD 2021. The DALY number and age-standardized rate (ASR) were analyzed for 1990, 2005, 2019, and 2021. The data were disaggregated by sex, age groups, and subcauses (AN and BN) at national and subnational levels. Results In Mexico, the ASR DALY due to ED increased by 50.2% and 49.6% between 1990 and 2021. In all states and for all years, women had higher ASR DALY due to ED than men. The ASR DALY was also higher for BN than for AN. A positive and significant correlation existed between ASR DALY due to ED and the SDI and HAQI. Conclusions ED due AN and BN represents a significant burden for individuals under 50 years old in Mexico. There are wide disparities between states and heterogeneous patterns by sex, age groups, and subcauses. Prioritizing this issue on the country’s public policy agenda is crucial.https://doi.org/10.1186/s40337-025-01288-wEating disordersAnorexia nervosaBulimia nervosaBurden of diseaseDisability-adjusted life yearsAge-standardized rate
spellingShingle Jesús Alberto Pérez-Hernández
Itzel Alejandra Téllez-Castillo
Liliana Giraldo-Rodríguez
Marcela Agudelo-Botero
Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021
Journal of Eating Disorders
Eating disorders
Anorexia nervosa
Bulimia nervosa
Burden of disease
Disability-adjusted life years
Age-standardized rate
title Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021
title_full Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021
title_fullStr Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021
title_full_unstemmed Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021
title_short Exploring the burden of anorexia nervosa and bulimia nervosa in Mexico, 1990–2021
title_sort exploring the burden of anorexia nervosa and bulimia nervosa in mexico 1990 2021
topic Eating disorders
Anorexia nervosa
Bulimia nervosa
Burden of disease
Disability-adjusted life years
Age-standardized rate
url https://doi.org/10.1186/s40337-025-01288-w
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