The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey

Background: Very little is known about the economic burden of eating disorders (ED) and related mental health comorbidities. Methods: Using 5 years of data from the U.S. Medical Expenditures Panel Survey, we estimated the difference in annual health care costs, employment status, and earned income (...

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Main Authors: Mihail Samnaliev, H. LeAnn Noh, Kendrin R. Sonneville, S. Bryn Austin
Format: Article
Language:English
Published: Elsevier 2015-01-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335514000230
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author Mihail Samnaliev
H. LeAnn Noh
Kendrin R. Sonneville
S. Bryn Austin
author_facet Mihail Samnaliev
H. LeAnn Noh
Kendrin R. Sonneville
S. Bryn Austin
author_sort Mihail Samnaliev
collection DOAJ
description Background: Very little is known about the economic burden of eating disorders (ED) and related mental health comorbidities. Methods: Using 5 years of data from the U.S. Medical Expenditures Panel Survey, we estimated the difference in annual health care costs, employment status, and earned income (2011 US$) between individuals with current ED compared to those without ED. We further estimated the contribution of mental health comorbidities to these disparities in health care costs, employment and earnings. Results: Individuals with ED had greater annual health care costs ($1869, p = 0.012), lower but borderline significant employment rates (OR = 0.67, 95% CIs [0.41, 1.09]), and lower but not statistically significant earnings among those who were employed ($2093, p = 0.48), compared to individuals without ED. Among individuals with ED, the presence of mental health comorbidities was associated with higher but not statistically significant health care costs ($1993, p = 0.17), lower borderline significant odds of employment (OR = 0.41, 95% CIs [0.14, 1.20]), and significantly lower earnings ($19,374, p < 0.01). Conclusions: Treatment and prevention of ED may have broader economic benefits in terms of heath care savings and gains in work productivity than previously recognized. This exploratory study justifies large scale evaluations of the societal economic impact of eating disorders and comorbidities.
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spelling doaj.art-7fa920b76d9540089c95e12d80047fd22022-12-21T18:23:46ZengElsevierPreventive Medicine Reports2211-33552015-01-012C323410.1016/j.pmedr.2014.12.002The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel SurveyMihail Samnaliev0H. LeAnn Noh1Kendrin R. Sonneville2S. Bryn Austin3Clinical Research Center, Boston Children's Hospital, United StatesAnalysis Group, United StatesBoston Children's Hospital, Division of Adolescent Medicine, Boston, MA, United StatesBoston Children's Hospital, Division of Adolescent Medicine, Boston, MA, United StatesBackground: Very little is known about the economic burden of eating disorders (ED) and related mental health comorbidities. Methods: Using 5 years of data from the U.S. Medical Expenditures Panel Survey, we estimated the difference in annual health care costs, employment status, and earned income (2011 US$) between individuals with current ED compared to those without ED. We further estimated the contribution of mental health comorbidities to these disparities in health care costs, employment and earnings. Results: Individuals with ED had greater annual health care costs ($1869, p = 0.012), lower but borderline significant employment rates (OR = 0.67, 95% CIs [0.41, 1.09]), and lower but not statistically significant earnings among those who were employed ($2093, p = 0.48), compared to individuals without ED. Among individuals with ED, the presence of mental health comorbidities was associated with higher but not statistically significant health care costs ($1993, p = 0.17), lower borderline significant odds of employment (OR = 0.41, 95% CIs [0.14, 1.20]), and significantly lower earnings ($19,374, p < 0.01). Conclusions: Treatment and prevention of ED may have broader economic benefits in terms of heath care savings and gains in work productivity than previously recognized. This exploratory study justifies large scale evaluations of the societal economic impact of eating disorders and comorbidities.http://www.sciencedirect.com/science/article/pii/S2211335514000230Eating disordersMental health comorbiditiesLost productivityEconomic burden
spellingShingle Mihail Samnaliev
H. LeAnn Noh
Kendrin R. Sonneville
S. Bryn Austin
The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey
Preventive Medicine Reports
Eating disorders
Mental health comorbidities
Lost productivity
Economic burden
title The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey
title_full The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey
title_fullStr The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey
title_full_unstemmed The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey
title_short The economic burden of eating disorders and related mental health comorbidities: An exploratory analysis using the U.S. Medical Expenditures Panel Survey
title_sort economic burden of eating disorders and related mental health comorbidities an exploratory analysis using the u s medical expenditures panel survey
topic Eating disorders
Mental health comorbidities
Lost productivity
Economic burden
url http://www.sciencedirect.com/science/article/pii/S2211335514000230
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