Medical service utilization status and its influence factors in children with attention deficit hyperactivity
Feiyong Jia1, Yiwen Zhang2, Caihui Cha3
1Department of Developmental and Behavioral Pediatrics, First Hospital of Jilin University, Changchun, 130021, China.
Insights
Many children with attention deficit hyperactivity disorder (ADHD) symptoms do not receive clinical visits. Factors like gender, parental education, and awareness influence seeking treatment for ADHD in China.
Area of Science:
- Pediatric Health
- Neurodevelopmental Disorders
- Public Health
Background:
- Attention Deficit Hyperactivity Disorder (ADHD) significantly impacts children, necessitating consistent access to medical care.
- Understanding knowledge, clinic visit preferences, and treatment seeking behaviors for ADHD in China is crucial.
Purpose of the Study:
- To evaluate the current state of knowledge regarding ADHD in children within China.
- To assess parental preferences for clinic visits and treatment options for children exhibiting ADHD symptoms.
- To identify factors influencing healthcare-seeking behavior for childhood ADHD in China.
Main Methods:
- A multicenter, cross-sectional study involving 12,376 children aged 6-12.
- Parents and head-teachers completed the Swanson, Nolan, and Pelham scale version IV and self-compiled questionnaires.
- Data analysis identified predictors for clinical service utilization among children with ADHD symptoms.
Main Results:
- ADHD-related symptoms were reported in 42.2% of participating children.
- Only 23.6% of children with positive ADHD screening results visited a hospital.
- Parental factors (education, knowledge) and child's characteristics (gender, region) significantly influenced clinical service use.
Conclusions:
- A significant gap exists, with over 70% of children with suspected ADHD not receiving clinical attention.
- Parental education level, ADHD awareness, child's gender, and geographic location are key determinants in seeking ADHD treatment.
- Targeted interventions are needed to improve access to care for children with ADHD in China.
Background:
Children with attention deficit hyperactivity disorder (ADHD) need constant access to medical resources. This study aimed to evaluate the knowledge about attention deficit hyperactivity disorder (ADHD), preference for clinic visits, and treatment in China.
Methods:
This multicenter cross-sectional study included children aged 6-12 along with their parents and head-teachers who filled in the Swanson, Nolan, and Pelham scale version IV-Parent/Teacher scales and self-compiled questionnaires.
Results:
In 12,376 children, 42.2% reported ADHD-related symptoms. A total of 23.6% of children with positive screening results visited a hospital. Parents chose to enhance discipline (68.8%), and seek assistance from doctors (55.7%), psychological consultants (55.3%), or teachers (33.4%). If their children had symptoms, 1732 parents would visit a clinic. Parents' low education level, sufficient knowledge, and choice to consult doctors, boys, and children in areas other than Northwest and Southwest China predicted more clinical service (all P < 0.05).
Conclusions:
Over 70% of children with suspected ADHD had no clinical visit, and gender, parents' education level, disease awareness, and geographic region are influencing factors.
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