儿科注意力缺陷多动障碍诊断和处方使用趋势:2016年至2019年
Christina Kazarov1, Samuel K Peasah2, Erin McConnell3
1School of Pharmacy, University of Pittsburgh, Pittsburgh, PA.
概括
儿童多动症诊断和药物使用从2016-2019年增加. 中枢神经系统刺激剂是患有注意力缺陷多动障碍的儿童的主要治疗方法.
科学领域:
- 儿科精神病学 儿科精神病学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 注意缺陷多动症 (ADHD) 是一种普遍存在的儿童精神疾病.
- 全球流行率估计在7%至15%之间.
研究的目的:
- 分析最近在ADHD诊断,人口统计和儿童药物使用方面的趋势.
- 更新儿童群体对ADHD治疗模式的理解.
主要方法:
- 利用了2016-2019年医疗支出小组调查 (MEPS) 数据.
- 分析了ADHD诊断,人口统计和17岁及以下儿童的药物处方趋势.
- 将ADHD药物的使用分为兴奋剂和非兴奋剂类别.
主要成果:
- 从2016年到2019年,ADHD诊断增加了1.6%,ADHD药物处方增加了4.7%.
- 大多数受影响的儿童是男性,非西班牙裔,并有公共保险.
- 仅使用刺激剂的药物最常见 (60%-67%),其次是组合疗法.
- 在高收入和近贫困群体中,ADHD的患病率增加了4%.
结论:
- 在美国的儿童中,ADHD的诊断正在增加.
- 中枢神经系统兴奋剂,特别是甲基,是儿童多动症最常被处方的药物.
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