在商业保险分娩妇女中,围产期注意力缺陷/多动症诊断率2008-2020年
Stephanie V Hall1, Andrea Pangori2, Anca Tilea2
1Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, United States of America.
Journal of affective disorders
|August 15, 2024
概括
从2008年到2020年,孕妇的ADHD诊断显著增加,种族差异持续存在. 改进的检测可能解释了上升的比率,但对于围产期多动症需要公平的支持策略.
科学领域:
- 围产期心理健康问题
- 神经发育障碍 神经发育障碍
- 医疗服务研究 医疗服务研究
背景情况:
- 注意力缺陷/多动症 (ADHD) 和执行功能缺陷在怀孕期间很常见.
- 了解围产期ADHD的时间趋势和差异对于母亲和儿童的福祉至关重要.
研究的目的:
- 检查围产期 (分娩前一年和分娩后一年) 中ADHD诊断率的趋势.
- 调查孕妇在ADHD诊断中的种族和种族差异.
主要方法:
- 使用2008年至2020年期间的行政索赔数据进行系列横截面研究.
- 包括有商业保险的妇女与活产.
- 后勤回归分析了ADHD诊断概率,调整了人口统计和并发症.
主要成果:
- 分析了超过73.6万次分娩;2.28%的人被诊断患有多动症.
- 从2008年到2020年,ADHD诊断增加了290%.
- 白人女性的诊断率最高,其次是黑人,西班牙裔和亚洲女性,这表明持续存在的差异.
结论:
- 围产期ADHD诊断率大幅增加,可能是由于更好的检测.
- 在ADHD诊断方面仍然存在显著的种族和民族差异.
- 需要进一步的研究来制定公平的战略来支持患有围产期多动症的妇女.
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