在患有注意力缺陷/多动障碍 (ADHD) 患者中,与药物坚持相关的因素
Linh Nguyen1, Yen-Chi L Le1, Hannah Reygaerts1
1Center for Population Health Management & Quality, Department of Healthcare Transformation Initiatives, The University of Texas Health Science Center at Houston, USA.
对注意力缺陷/多动障碍 (ADHD) 的药物坚持率很低,只有27.5%的患者达到80%的门. 诸如年龄,种族,抑郁症状和医疗保健访问等因素影响了坚持,需要有针对性的干预措施.
科学领域:
- 行为健康 行为健康
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 注意缺陷/多动障碍 (ADHD) 影响全球5-8%的儿童和2.5%的成年人.
- 虽然ADHD症状可以通过药物治疗来控制,但不一致的坚持是一个重大挑战.
研究的目的:
- 为了评估ADHD患者的药物坚持率.
- 为潜在的优化策略确定与ADHD药物坚持相关的因素.
主要方法:
- 对4岁以上被诊断患有ADHD的患者进行了回顾性观察研究 (2021年5月至2023年5月).
- 评估社会人口统计因素,抑郁症状,自杀风险,卫生服务利用率和SDOH.
- 通过逻辑回归使用覆盖日数百分比 (≥80%) 分析了依从性.
主要成果:
- 7,661名ADHD患者被确定;55.4%接受了药物治疗.
- 平均依守率为56%,只有27.5%达到≥80%的门.
- 坚持与成人年龄正相关,更多的BH/PCP访问;与少数群体地位和抑郁症状负相关.
结论:
- 只有不到一半的ADHD患者服用药物,不到三分之一的患者坚持治疗.
- 年龄,种族/种族,抑郁症状和医疗保健利用是关键的坚持因素.
- 解决同时存在的疾病和SDOH对于改善ADHD药物坚持至关重要.
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