{"id":"https://openalex.org/W3047056824","doi":"https://doi.org/10.1017/s0033291720002706","title":"Secular trends in the incidence of eating disorders in China from 1990 to 2017: a joinpoint and age\u2013period\u2013cohort analysis","display_name":"Secular trends in the incidence of eating disorders in China from 1990 to 2017: a joinpoint and age\u2013period\u2013cohort analysis","publication_year":2020,"publication_date":"2020-08-03","ids":{"openalex":"https://openalex.org/W3047056824","doi":"https://doi.org/10.1017/s0033291720002706","mag":"3047056824","pmid":"https://pubmed.ncbi.nlm.nih.gov/32744194"},"language":"en","primary_location":{"id":"doi:10.1017/s0033291720002706","doi":"https://doi.org/10.1017/s0033291720002706","is_oa":false,"landing_page_url":"https://doi.org/10.1017/s0033291720002706","pdf_url":null,"source":{"id":"https://openalex.org/S71144982","display_name":"Psychological Medicine","issn_l":"0033-2917","issn":["0033-2917","1469-8978"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychological Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Jiayuan Wu","orcid":"https://orcid.org/0000-0002-4626-2773","observed_orcids":["https://orcid.org/0000-0002-4626-2773"]},"institutions":[{"id":"https://openalex.org/I176834541","display_name":"Guangdong Medical College","ror":"https://ror.org/04k5rxe29","country_code":"CN","type":"education","lineage":["https://openalex.org/I176834541"]},{"id":"https://openalex.org/I87445476","display_name":"Xi'an Jiaotong University","ror":"https://ror.org/017zhmm22","country_code":"CN","type":"education","lineage":["https://openalex.org/I87445476"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jiayuan Wu","raw_affiliation_strings":["Department of Clinical Research, The Affiliated Hospital of Guangdong Medical University, Zhanjiang524001, Guangdong, China","School of Public Health, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China"],"raw_orcid":"https://orcid.org/0000-0002-4626-2773","affiliations":[{"raw_affiliation_string":"Department of Clinical Research, The Affiliated Hospital of Guangdong Medical University, Zhanjiang524001, Guangdong, China","institution_ids":["https://openalex.org/I176834541"]},{"raw_affiliation_string":"School of Public Health, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China","institution_ids":["https://openalex.org/I87445476"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Zhixiong Lin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I176834541","display_name":"Guangdong Medical College","ror":"https://ror.org/04k5rxe29","country_code":"CN","type":"education","lineage":["https://openalex.org/I176834541"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhixiong Lin","raw_affiliation_strings":["Department of Psychiatry, The Affiliated Hospital of Guangdong Medical University, Zhanjiang524001, Guangdong, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, The Affiliated Hospital of Guangdong Medical University, Zhanjiang524001, Guangdong, China","institution_ids":["https://openalex.org/I176834541"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Zhou Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I176834541","display_name":"Guangdong Medical College","ror":"https://ror.org/04k5rxe29","country_code":"CN","type":"education","lineage":["https://openalex.org/I176834541"]},{"id":"https://openalex.org/I4210158865","display_name":"Affiliated Hospital of Guangdong Medical College Hospital","ror":"https://ror.org/057p7h461","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210158865"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhou Liu","raw_affiliation_strings":["Department of Neurology, The Affiliated Hospital of Guangdong Medical University, Zhanjiang524001, Guangdong, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Neurology, The Affiliated Hospital of Guangdong Medical University, Zhanjiang524001, Guangdong, China","institution_ids":["https://openalex.org/I176834541","https://openalex.org/I4210158865"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Hairong He","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210121771","display_name":"First Affiliated Hospital of Xi'an Jiaotong University","ror":"https://ror.org/02tbvhh96","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121771"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hairong He","raw_affiliation_strings":["Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China","institution_ids":["https://openalex.org/I4210121771"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Ling Bai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210121771","display_name":"First Affiliated Hospital of Xi'an Jiaotong University","ror":"https://ror.org/02tbvhh96","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210121771"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ling Bai","raw_affiliation_strings":["Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical Research Center, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China","institution_ids":["https://openalex.org/I4210121771"]}]},{"author_position":"last","author":{"id":null,"display_name":"Jun Lyu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210162753","display_name":"First Affiliated Hospital of Jinan University","ror":"https://ror.org/05d5vvz89","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210162753"]},{"id":"https://openalex.org/I87445476","display_name":"Xi'an Jiaotong University","ror":"https://ror.org/017zhmm22","country_code":"CN","type":"education","lineage":["https://openalex.org/I87445476"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jun Lyu","raw_affiliation_strings":["Department of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, 510632, Guangdong, China","School of Public Health, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Clinical Research, The First Affiliated Hospital of Jinan University, Guangzhou, 510632, Guangdong, China","institution_ids":["https://openalex.org/I4210162753"]},{"raw_affiliation_string":"School of Public Health, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China","institution_ids":["https://openalex.org/I87445476"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210162753","https://openalex.org/I87445476"],"apc_list":{"value":3160,"currency":"USD","value_usd":3160},"apc_paid":null,"fwci":3.5961,"has_fulltext":false,"cited_by_count":81,"citation_normalized_percentile":{"value":0.95424392,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":100},"biblio":{"volume":"52","issue":"5","first_page":"946","last_page":"956"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10263","display_name":"Eating Disorders and Behaviors","score":1.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12873","display_name":"Nutrition, Health and Food Behavior","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2916","display_name":"Nutrition and Dietetics"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10010","display_name":"Obesity, Physical Activity, Diet","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/eating-disorders","display_name":"eating disorders","score":0.9990000128746033},{"id":"https://openalex.org/keywords/anorexia-nervosa","display_name":"anorexia nervosa","score":0.9160000085830688},{"id":"https://openalex.org/keywords/bulimia-nervosa","display_name":"bulimia nervosa","score":1.0},{"id":"https://openalex.org/keywords/incidence-trends","display_name":"incidence trends","score":0.921999990940094},{"id":"https://openalex.org/keywords/temporal-trends","display_name":"temporal trends","score":0.7160000205039978},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.6240000128746033},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.9980000257492065},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.7329999804496765},{"id":"https://openalex.org/keywords/birth-cohort-effects","display_name":"birth cohort effects","score":0.7570000290870667},{"id":"https://openalex.org/keywords/china","display_name":"China","score":0.47200000286102295}],"concepts":[{"id":"https://openalex.org/C112197492","wikidata":"https://www.wikidata.org/wiki/Q1763933","display_name":"Secular variation","level":2,"score":0.8646000027656555},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.7897999882698059},{"id":"https://openalex.org/C191935318","wikidata":"https://www.wikidata.org/wiki/Q148","display_name":"China","level":2,"score":0.7473000288009644},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.6545000076293945},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.6097999811172485},{"id":"https://openalex.org/C2776394216","wikidata":"https://www.wikidata.org/wiki/Q373822","display_name":"Eating disorders","level":2,"score":0.6090999841690063},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4593999981880188},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.42829999327659607},{"id":"https://openalex.org/C116834253","wikidata":"https://www.wikidata.org/wiki/Q2039217","display_name":"Identification (biology)","level":2,"score":0.39739999175071716},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.364300012588501},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.357699990272522},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3452000021934509},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.2953999936580658},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.2930999994277954},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.2915000021457672},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2842000126838684},{"id":"https://openalex.org/C160050368","wikidata":"https://www.wikidata.org/wiki/Q132453","display_name":"Developed country","level":3,"score":0.26420000195503235},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.250900000333786}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000856","descriptor_name":"Anorexia Nervosa","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D001068","descriptor_name":"Feeding and Eating Disorders","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D052018","descriptor_name":"Bulimia Nervosa","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1017/s0033291720002706","doi":"https://doi.org/10.1017/s0033291720002706","is_oa":false,"landing_page_url":"https://doi.org/10.1017/s0033291720002706","pdf_url":null,"source":{"id":"https://openalex.org/S71144982","display_name":"Psychological Medicine","issn_l":"0033-2917","issn":["0033-2917","1469-8978"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311721","host_organization_name":"Cambridge University Press","host_organization_lineage":["https://openalex.org/P4310311721","https://openalex.org/P4310311702"],"host_organization_lineage_names":["Cambridge University Press","University of Cambridge"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychological Medicine","raw_type":"journal-article"},{"id":"pmid:32744194","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32744194","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Psychological medicine","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":51,"referenced_works":["https://openalex.org/W808601510","https://openalex.org/W1481177254","https://openalex.org/W1519366600","https://openalex.org/W1588003880","https://openalex.org/W1845068875","https://openalex.org/W1878272172","https://openalex.org/W1966896222","https://openalex.org/W1971267690","https://openalex.org/W1984615306","https://openalex.org/W1985360536","https://openalex.org/W2006303017","https://openalex.org/W2008255947","https://openalex.org/W2016805017","https://openalex.org/W2039268375","https://openalex.org/W2058455262","https://openalex.org/W2061664714","https://openalex.org/W2062697198","https://openalex.org/W2064468466","https://openalex.org/W2072633261","https://openalex.org/W2077618811","https://openalex.org/W2087717346","https://openalex.org/W2089480318","https://openalex.org/W2104358719","https://openalex.org/W2154690258","https://openalex.org/W2160335605","https://openalex.org/W2160709659","https://openalex.org/W2172137144","https://openalex.org/W2460845912","https://openalex.org/W2514662066","https://openalex.org/W2521672452","https://openalex.org/W2529662426","https://openalex.org/W2538721990","https://openalex.org/W2585596723","https://openalex.org/W2740254683","https://openalex.org/W2751792491","https://openalex.org/W2793090842","https://openalex.org/W2808675239","https://openalex.org/W2899736836","https://openalex.org/W2899742633","https://openalex.org/W2901274474","https://openalex.org/W2901546104","https://openalex.org/W2910807644","https://openalex.org/W2912654919","https://openalex.org/W2916226351","https://openalex.org/W2916311357","https://openalex.org/W2940909888","https://openalex.org/W2952124022","https://openalex.org/W2953282350","https://openalex.org/W2990774178","https://openalex.org/W4210956615","https://openalex.org/W6773041028"],"related_works":["https://openalex.org/W3164948209","https://openalex.org/W4398248217","https://openalex.org/W4413486369","https://openalex.org/W2138649441","https://openalex.org/W7165176860","https://openalex.org/W4205129850","https://openalex.org/W2902397006","https://openalex.org/W4404731319","https://openalex.org/W2892472260","https://openalex.org/W4405646151"],"abstract_inverted_index":{"BACKGROUND:":[0],"Eating":[1],"disorders":[2],"(ED)":[3],"have":[4],"increasingly":[5],"become":[6],"a":[7,22,193,201],"global":[8],"topic":[9],"of":[10,18,33,45,57,105,142,166,196,204,242],"concern":[11],"for":[12,25,157],"public":[13],"health.":[14],"A":[15],"better":[16],"understanding":[17],"ED":[19,34,46,106,158,168,180,213],"incidence":[20,35,43,103,130,214],"is":[21,38],"basic":[23],"requirement":[24],"improving":[26],"its":[27],"management.":[28],"However,":[29],"the":[30,54,64,93,129,139,152,164,184,190,209,239],"temporal":[31],"trend":[32,117],"in":[36,110,120,133,175,179,219],"China":[37],"still":[39],"unknown.":[40],"METHODS:":[41],"The":[42,79],"rates":[44,104,131,215],"from":[47,53],"1990":[48,99],"to":[49,63,100,108,208,217,232,237],"2017":[50,60],"were":[51,87,151],"collected":[52],"Global":[55],"Burden":[56],"Disease":[58],"Study":[59],"database":[61],"according":[62],"following:":[65],"subtype,":[66],"i.e.":[67],"anorexia":[68],"nervosa":[69,73],"(AN)":[70],"and":[71,76,84,92,112,114,122,181,224,236],"bulimia":[72],"(BN);":[74],"sex;":[75],"age":[77,135],"group.":[78],"average":[80],"annual":[81],"percent":[82],"changes":[83],"relative":[85],"risks":[86],"calculated":[88],"using":[89],"joinpoint":[90],"regression":[91,125],"age-period-cohort":[94],"model,":[95],"respectively.":[96],"RESULTS:":[97],"From":[98],"2017,":[101],"age-standardized":[102],"continued":[107],"increase":[109,218],"males":[111],"females,":[113],"this":[115],"variation":[116],"was":[118],"observed":[119],"AN":[121],"BN.":[123],"Joinpoint":[124],"analysis":[126],"showed":[127,162],"that":[128,163],"increased":[132,170],"all":[134],"groups.":[136],"Adolescents":[137],"had":[138],"highest":[140],"risk":[141,155,165,195,203],"developing":[143,167],"ED,":[144,197],"followed":[145],"by":[146],"young":[147,225],"adults.":[148,226],"Age":[149],"effects":[150,161],"most":[153],"influential":[154],"factor":[156],"incidence.":[159],"Period":[160],"continuously":[169],"with":[171],"increasing":[172],"time":[173],"periods":[174],"BN,":[176],"but":[177],"not":[178],"AN.":[182],"Concerning":[183],"cohort":[185],"effects,":[186],"people":[187],"born":[188],"after":[189],"1990s":[191],"presented":[192,200],"higher":[194],"though":[198],"they":[199],"lower":[202],"BN":[205],"as":[206],"compared":[207],"whole":[210],"cohort.":[211],"CONCLUSIONS:":[212],"continue":[216],"China,":[220],"particularly":[221],"among":[222],"adolescents":[223],"Further":[227],"etiological":[228],"studies":[229],"are":[230],"needed":[231],"explain":[233],"these":[234],"increases":[235],"facilitate":[238],"early":[240],"identification":[241],"high-risk":[243],"individuals.":[244]},"counts_by_year":[{"year":2026,"cited_by_count":8},{"year":2025,"cited_by_count":17},{"year":2024,"cited_by_count":20},{"year":2023,"cited_by_count":17},{"year":2022,"cited_by_count":13},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-08-10T00:00:00"}