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Cultural proficiency: a Hispanic woman with ADHD--a case example
Roberta Waite1, J Russell Ramsay
1Drexel University, College of Nursing and Health Professions, Philadelphia, USA. rlw26@drexel.edu
Current ADHD diagnosis and treatment guidelines, often based on Caucasian males, overlook crucial gender and cultural factors. This highlights a gap in care for women and diverse groups, necessitating culturally sensitive approaches.
Area of Science:
- Neurodevelopmental disorders
- Clinical psychology
- Health disparities research
Background:
- ADHD diagnostic criteria are primarily derived from research on Caucasian males.
- Existing guidelines may not adequately address gender, cultural, and socio-environmental influences.
- There is a need to address health disparities in ADHD assessment and treatment.
Observation:
- This study examines the experiences of a 29-year-old Hispanic woman with ADHD.
- The case illustrates challenges in managing social, academic, interpersonal, and familial roles.
- It underscores the need for gender-sensitive and culturally proficient frameworks.
Findings:
- A significant gap exists in early diagnosis and treatment for women and ethnic minorities with ADHD.
- Underdiagnosis and delayed treatment are prevalent in diverse populations.
- Individual and socio-environmental factors impact ADHD presentation and management.
Implications:
- Culturally competent practices are essential for equitable ADHD care.
- Gender-sensitive approaches are critical for accurate diagnosis and effective treatment.
- Mitigating disparities requires inclusive research and clinical frameworks for adult ADHD in the US population.
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