ADHD and Health Services Utilization in the National Health Interview Survey
ADHD and Health Services Utilization in the National Health Interview Survey
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DOI：
10.1177/1087054708323248
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发表时间：
2009-01-01
影响因子：
3
通讯作者：
McKeown, Robert
中科院分区：
文献类型：
--
作者：
Cuffe, Steven P.;Moore, Charity G.;McKeown, Robert
目的：描述美国居民的一般健康状况、合并症和卫生服务利用情况。S. ADHD儿童方法：2001年全国健康访谈调查（NHIS）包含优势和困难问卷（SDQ;用于确定可能的ADHD），医疗问题，整体健康和医疗保健利用的数据。结果：在SDQ ADHD儿童中，哮喘是2倍，头痛是3倍，总体健康状况显着降低。在患有SDQ ADHD的儿童中，45%的人在过去一年中看过心理健康专业人员，超过一半的人没有定期服用药物。城市居住、年龄（9-13岁）、家庭教育程度高、有健康保险和有共病的情绪问题与SDQ AD/HD儿童的心理卫生保健利用有关，而种族、性别和家庭收入无关。结论：SDQ AD/HD儿童有更多的医疗问题，更有可能去急诊室。治疗数据表明，在美国ADHD治疗不足的问题。干预措施应针对农村地区以及教育程度低和没有健康保险的家庭。(J.的AT。Dis. 2009; 12（4）330-340）
Objective: Describe the general health, comorbidities and health service use among U. S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma was two and headaches were three times more prevalent, and overall health was significantly lower, among children with SDQ ADHD. Of children with SDQ ADHD, 45% saw a mental health professional in the past year and over half were not taking medication regularly. Urban residence, age (9-13), higher family education, having health insurance, and having comorbid emotional problems were associated with mental health care utilization in children with SDQ AD/HD, while race, gender and family income were not associated. Conclusions: Children with SDQ AD/HD had more medical problems and were more likely to visit the emergency room. Treatment data suggest a problem with under-treatment of ADHD in the United States. Interventions should be targeted in rural areas, and among families with low education and without health insurance. (J. of Att. Dis. 2009; 12(4) 330-340)