{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:02:48Z","timestamp":1790802168861,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,11,18]],"date-time":"2015-11-18T00:00:00Z","timestamp":1447804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the sex\u2010 and age\u2010specific incidence of healthcare\u2010register\u2010recorded anorexia nervosa (AN) and other eating disorders (OED) in a complete birth cohort, and assess whether incidence varies by diagnostic period and (sub\u2010) birth cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We used the actuarial method and Poisson models to examine the incidence of AN and OED from 1987 to 2009 (when individuals were 8\u201330 years old) for a cohort of 2.3 million individuals (48.7% female) born from 1979 to 2001 in Sweden, identified using Swedish registers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For both sexes, incidences of AN and OED increased considerably for diagnostic periods after 2000, but differed little by birth cohort. In 2009, AN incidence in the peak age category was 205.9 cases\/100,000 persons (95% CI: 178.2, 233.5) for females (14\u201315 years), versus 12.8 cases\/100,000 (95% CI: 5.6, 20.1) for males (12\u201313 years). OED incidence in the peak age category was 372.1 cases\/100,000 (95% CI: 336.4, 407.9) for females (16\u201317 years), versus 22.2 cases\/100,000 (95% CI: 13.3, 31.1) for males (14\u201315 years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Our finding of an increase in healthcare\u2010register\u2010recorded eating disorders for diagnostic periods after 2000 likely reflects improved detection and expanded register coverage in Sweden. The peak of eating disorder incidence in adolescence, which began unexpectedly early for AN in males, suggests the importance of vigilance for signs of AN in young boys and early primary prevention efforts. Waiting until later could miss critical windows for intervention that could prevent disorders from taking root. \u00a9 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:1070\u20131081).<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22467","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T20:48:38Z","timestamp":1450730918000},"page":"1070-1081","source":"Crossref","is-referenced-by-count":102,"title":["Sex\u2010 and age\u2010specific incidence of healthcare\u2010register\u2010recorded eating disorders in the complete swedish 1979\u20132001 birth cohort"],"prefix":"10.1002","volume":"48","author":[{"given":"Kristin N.","family":"Javaras","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of North Carolina Chapel Hill North Carolina"},{"name":"Division of Women's Mental Health, McLean Hospital, Belmont, Massachusetts and Department of Psychiatry, Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristin D.","family":"Runfola","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M.","family":"Thornton","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esben","family":"Agerbo","sequence":"additional","affiliation":[{"name":"National Centre for Register\u2010Based Research, Aarhus University Aarhus Denmark"},{"name":"CIRRAU\u2013Centre for Integrated Register\u2010Based Research, Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Birgeg\u00e5rd","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claes","family":"Norring","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuyang","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"R\u00e5stam","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences University of Lund Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik","family":"Larsson","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Lichtenstein","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia M.","family":"Bulik","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of North Carolina Chapel Hill North Carolina"},{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden"},{"name":"Department of Nutrition University of North Carolina Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)61611-6"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-014-0454-z"},{"key":"e_1_2_7_5_1","volume-title":"Modern Epidemiology","author":"Rothman KJ","year":"2008"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-012-0282-y"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2014.16"},{"key":"e_1_2_7_8_1","volume-title":"National Healthcare Quality Registries in Sweden 2007","author":"Swedish Association of Local Authorities and Regions.","year":"2007"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.4780060405"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-009-9350-y"},{"key":"e_1_2_7_11_1","volume-title":"Background Facts, to Measure and Monitor Internal Migration Based on National Population Register: IAOS Conference Ottawa","author":"Statistics Sweden.","year":"2006"},{"key":"e_1_2_7_12_1","unstructured":"Statistics Sweden. 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