Spremljanje prvih obiskov zaradi anoreksije nervoze in bulimije nervoze na primarni ravni v Sloveniji

Hafner, Alenka; Lesjak, Katra

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Title:	Spremljanje prvih obiskov zaradi anoreksije nervoze in bulimije nervoze na primarni ravni v Sloveniji
Authors:	ID Hafner, Alenka (Author) ID Lesjak, Katra (Author)
Files:	http://www.ivz.si/
Language:	Slovenian
Work type:	Not categorized
Typology:	1.01 - Original Scientific Article
Organization:	UPR - University of Primorska
Abstract:	Izhodišča: Epidemiološke študije kažejo, da se je incidenca motenj hranjenja, predvsem anoreksije nervoze in bulimije nervoze, v zadnjih 50 letih pri adolescentih povečala. V Veliki Britaniji so za oceno incidence v zgodnjih 90.letih uporabili kar podatke iz študije registra splošnih zdravnikov. Cilj prispevka je predstaviti nekaj osnovnih podatkov o prvih obiskih zaradi anoreksije nervoze in bulimije nervoze na primarni ravni pri prebivalcih Slovenije za obdobje od 1997 do 2005. Metode: Uporabili smo podatke obstoječega poročevalskega sistema. Podatke o prvih obiskih zaradi anoreksije nervoze in bulimije nervoze na primarni ravni smo poiskali v podatkovni zbirki ZUBSTAT (Zbirka podatkov o obiskih in napotitvah v zunajbolnišničnem zdravstvenem varstvu, Inštitut za varovanje zdravja RS). V raziskavo smo vključili vse osebe v starosti od 7 do 49 let, ki so zaradi anoreksije nervozein bulimije nervoze obiskale zdravnike na primarni ravni (splošne/družinske zdravnike, pediatre, šolske zdravnike, ginekologe). Podatkeo prvih obiskih smo obdelali za devetletno obdobje in izračunali stopnje po času, spolu, starostnih skupinah in diagnozah. Rezultati: Med številnimi ugotovitvami so bile najpomembnejše: Stopnja prvih obiskov zaradi anoreksije nervoze in bulimije nervoze se je v opazovanem obdobju rahlo povečevala, vendar trend ni bil statistično značilen. Prvi obiski zaradi obeh duševnih motenj so bili mnogo pogostejši pri ženskah in najpogostejši v starostni skupini od 15 do 19 let. Stopnja prvih obiskov zaradi anoreksije nervoze se ni statistično pomembno spreminjala, povečala pa se stopnja prvih obiskov zaradi bulimije nervoze. Z boleznijo so se na primarni ravni srečevali predvsem šolski zdravniki in zdravniki v splošni/družinski medicini.Zaključki: Anoreksija nervoza in bulimija nervoza je pri nas pomemben javnozdravstveni problem. Rezultati raziskave nam bodo služili za pripravo merljivih zdravstvenih ciljev in sprejem ustreznih strategij na področju krepitve zdravja in preprečevanja najpogostejših motenj hranjenja.
Keywords:	motnje hranjanja, anoreksija nervoza, bulimija nervoza, prvi obiski, primarna raven, Slovenija
Year of publishing:	2008
Number of pages:	str. 163-172
Numbering:	Letn. 47, št. 4
PID:	20.500.12556/RUP-1564
ISSN:	0351-0026
UDC:	616.89
COBISS.SI-ID:	1024019540
Publication date in RUP:	15.10.2013
Views:	5243
Downloads:	85
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Secondary language

Language:	Slovenian
Abstract:	Background: Epidemiological studies indicate that the incidence of eating disorders, particularly of adolescent anorexia nervosa and bulimia nervosa, has increased over the past fifty years. In the United Kingdom, the estimate of the incidence of eating disorders was based on the data retrieved from the general practitioner register study in early 1990s. The aim of the article was to present some basic data on first attendances for anorexia nervosa and bulimia nervosa in primary health care in Slovenia for the period 1997-2005. Methods: Data collected by the current reporting system were used. First attendances for anorexia nervosa and bulimia nervosa in primary health care setting were provided by the electronic data set ZUBSTAT (data set of all first visits in primary care, Institute of Public Health of the Republic Slovenia). The study included all individuals aged 7 to 49 years who visited aprimary health care provider (general practitioner/family doctor, paediatrician, school doctor, gynaecologist)because of anorexia nervosa and bulimia nervosa. Data on first visits were processed for a 9-year period, and the rates were calculated by time, gender, age group and diagnosis. Results: The most important findings were as follows: during the observation period, the rate of first attendances for anorexia nervosa and bulimia nervosa increased, but the upward trend was not statistically significant. Women outnumbered men and the rate of visits was highest for the age group of 15 to 19 years. The rate of first visits because of anorexia nervosa did not change considerably, while the rate of attendances for bulimia nervosa increased steadily. School doctors and general practitioners/family doctors were the most frequently visited primary health care providers. Conclusions: Anorexia nervosa and bulimia nervosa constitute an important public health issue in Slovenia. The results of the study will be used to set measurable health targets and to formulate appropriate strategies to improve health and prevent eating disorders in the population.
Keywords:	eating disorders, anorexia nervosa, bulimia nervosa, first visits, Slovenia

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