在非美国出生的父母的孩子中诊断ADHD:一个横截面分析
Duy Pham1, Allison Lin1, Hannah Rosenthal1
1Steven and Alexandra Cohen Children's Medical Center of New York, Lake Success, USA.
Journal of attention disorders
|September 11, 2023
概括
带有非美国出生的护理人员的儿童患注意力缺陷多动症 (ADHD) 诊断的可能性较低. 在美国的时间增加与这些孩子更高的诊断概率相关.
科学领域:
- 儿科健康 儿科健康
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
背景情况:
- 注意缺陷多动症 (ADHD) 是儿童常见的一种神经发育障碍.
- 了解不同人群中ADHD诊断的差异对于公平的医疗保健至关重要.
- 照顾者出生的国家可能会影响孩子获得ADHD诊断的机会和可能性.
研究的目的:
- 调查护理人员非美国出生与儿童多动症诊断的可能性之间的联系.
- 为了比较美国出生的儿童与非美国出生的照顾者的ADHD诊断率.
- 探索影响移民家庭儿童ADHD诊断和治疗的因素.
主要方法:
- 全国儿童健康调查 (2016-2019) 数据集的横截面分析.
- 纳入了109,881名儿童,以检查护理人员的出生来源和孩子的ADHD诊断之间的关联.
- 使用了后勤回归模型,调整了社会人口统计学混因素.
主要成果:
- 有一个或两个非美国出生的照顾者的儿童患ADHD诊断的可能性显著降低 (aOR=0.58和0.59,分别).
- 非美国出生的护理人员在美国逗留时间较长与ADHD诊断的可能性增加有关.
- 两个非美国出生的照顾者的孩子在诊断后不太可能接受药物治疗.
结论:
- 在非美国出生的照顾者的孩子中,ADHD诊断率较低,这可能表明需要加强公共卫生教育和文化敏感的诊断方法.
- 需要进一步的研究,以了解在移民家庭中对ADHD诊断和护理的具体障碍和促进因素.
- 具有文化能力的医疗保健策略对于确保所有儿童得到公平的诊断和治疗至关重要.
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