Racial and Ethnic Disparities in Parent-Reported Diagnosis of ADHD: National Survey of Children's Health (2003, 2007, and 2011)

Racial and Ethnic Disparities in Parent-Reported Diagnosis of ADHD: National Survey of Children's Health (2003, 2007, and 2011)
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DOI:
10.4088/jcp.14m09364
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发表时间:
2016-01-01
影响因子:
5.3
通讯作者:
Cleary, Sean D.
Cleary, Sean D.
中科院分区:
医学2区
文献类型:
--
作者:
Collins, Kevin P.;Cleary, Sean D.

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目的:为了研究2003年至2011年期间,不同种族/民族的父母报告的ADHD患病率的趋势,以及社会人口因素在观察到的ADHD差异中的作用,方法:数据来自全国儿童健康调查的3波(2003年,2007年和2011年),包括190,408名5-17岁的儿童。自变量包括种族/民族(非西班牙裔的白色白人、非西班牙裔的黑人、西班牙裔、其他非西班牙裔)、性别、年龄、贫困水平、主要语言、保险状况、父母婚姻状况和邻里安全。使用x2检验比较了诊断为ADHD的人和种族/民族之间的社会皮肤因素和年份。调整后的逻辑回归模型,按种族/民族分层,适合检查确定的危险因素和ADHD之间的关联,在种族/民族群体。5-17岁儿童的ADD或ADHD诊断的父母报告是因变量。结果:在过去的十年中,父母报告的ADHD患病率总体上呈上升趋势(43%,P
Objective: To examine trends in parent-reported ADHD prevalence between 2003 and 2011 across racial/ethnic groups and the role of sociodemographic factors in observed differences in ADHD.Method: Data were from 3 waves of the National Survey of Children's Health (2003, 2007, and 2011), including 190,408 children aged 5-17 years. Independent variables included race/ethnicity (white non -Hispanic, black non -Hispanic, Hispanic, other non -Hispanic), gender, age, poverty level, primary language, insurance status, parental marital status, and neighborhood safety. Sociodernographic factors and year were compared among those diagnosed with ADHD and between racial/ethnic groups using x2 tests. Adjusted logistic regression models, stratified by race/ethnicity, were fit to examine the association between identified risk factors and ADHD across racial/ethnic groups. Parental report of an ADD or ADHD diagnosis for a child aged 5-17 years was the dependent variable. If the household included more than 1 child aged 5-17 years, 1 was selected at random.Results: Increasing trends were observed over the past decade in the prevalence of parent-reported ADHD overall (43%, P