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Published on: August 25, 2014
Prevalence of neurodevelopmental disorders among low-income African Americans at a clinic on Chicago's south side
1Dr. Bell is with the Jackson Park Hospital Family Medicine Clinic, Chicago (e-mail: bell-carl@att.net ). Ms. Chimata is with Spartan Health Sciences University, Vieux Fort, St. Lucia.
Objective:
This study examined the point prevalence of neurodevelopmental disorders among predominantly low-income, African-American psychiatric patients at Jackson Park Hospital's Family Medicine Clinic on Chicago's South Side.
Methods:
Using active case ascertainment methodology, the authors assessed the records of 611 psychiatric patients visiting the clinic between May 23, 2013, and January 14, 2014, to identify those with DSM-5 neurodevelopmental disorders.
Results:
A total of 297 patients (49%) met criteria for a neurodevelopmental disorder during childhood. Moreover, 237 (39%) had clinical profiles consistent with neurobehavioral disorder associated with prenatal alcohol exposure, and 53 (9%) had other neurodevelopmental disorders. The authors disagreed on the specific type of neurodevelopmental disorder of seven (1% of 611) of the 297 patients with neurodevelopmental disorders.
Conclusions:
A high prevalence of neurodevelopmental disorders was found among low-income predominantly African-American psychiatric patients on Chicago's South Side. If replicated, these findings should bring about substantial changes in medical practice with African-American patients.
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