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09 September 2020

Eating disorders cost billions in the US

Eating disorders have a devastating economic impact in the US, a country where the majority of people affected suffer alone and don't receive appropriate treatment.

  • Lost productivity due to eating disorders is costing the US economy billions every year
  • Sufferers aren't receiving the care they need due to barriers to healthcare and lack of training for healthcare providers
  • The number of eating disorder cases is expected to increase nearly 5% over the next decade


Eating disorders – such as anorexia nervosa, bulimia and binge-eating disorder – cost the US economy nearly $65 billion in one recent year, a new report shows.

About 75% of that ($48.6 billion) was due to lost productivity, according to the researchers.

"Our study lays bare the devastating economic impact that eating disorders have in the United States, a country where the majority of people affected suffer alone and never receive appropriate treatment because of barriers to healthcare and lack of training for healthcare providers," said researcher Dr S. Bryn Austin.

Critical data

Austin is director of STRIPED (Strategic Training Initiative for the Prevention of Eating Disorders) and a professor at the Harvard T.H. Chan School of Public Health and Boston Children's Hospital.

"With our study, we now have the critical data we need to begin to estimate the cost-effectiveness, improved quality of life, and, most importantly, lives to be saved by scaling up effective prevention, early detection and treatment interventions for eating disorders," Austin added in a news release from the Academy for Eating Disorders (AED).

The research team found that there were nearly 54 000 emergency department visits due to eating disorders in fiscal year 2018 to 2019, costing $29 million, and over 23 500 in-patient hospitalisations due to eating disorders, costing $209 million.

In addition, there were 10 200 deaths directly related to eating disorders during that same period.

Trouble getting treatment

The recently released report also said that 9% of the US population (28.8 million people) will have an eating disorder in their lifetime. This mental illness affects all genders and ages, but women and girls are twice as likely to have an eating disorder as males.

The number of eating disorder cases is expected to increase nearly 5% over the next decade, Austin's team noted.

During the Covid-19 pandemic, eating disorders directly related to the crisis are on the rise, and patients are having trouble getting treatment, the researchers added. Experts predict that suicides will increase during the pandemic, and people with eating disorders have a 23 times higher rate of suicide.

According to Elissa Myers, executive director and CEO of the AED, "This important study on the wide-reaching economic impacts of eating disorders hammers home the urgent need for policymakers to prioritise advancing prevention, early detection, and evidence-based treatment for those suffering from these pernicious diseases."

Image credit: iStock

 
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