ADHD medication in offspring of immigrants - does the income level of the country of parental origin matter?
ADHD medication in offspring of immigrants - does the income level of the country of parental origin matter?
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DOI：
10.1186/s12888-017-1572-z
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发表时间：
2018-01-08
期刊：
影响因子：
4.4
通讯作者：
Hjern A
中科院分区：
文献类型：
--
作者：
Arat A;Östberg V;Burström B;Hjern A
儿童精神病治疗设施在世界各地差异很大，在许多低收入国家几乎不存在。儿童期最常见的精神疾病之一是ADHD，估计在瑞典的患病率为3-5%。先前的研究表明，在瑞典和英国，少数民族和多数民族儿童的ADHD患病率相似。然而，临床研究表明，生活在瑞典的移民家庭的儿童得到的精神病护理比土生土长的父母少。我们检验了这一假设，即在移民家庭中儿童精神病护理的消费将取决于父母原籍国提供这种治疗的情况。注意力缺陷多动障碍（ADHD）的药物治疗模式作为儿童精神病护理的代表进行了研究。这是一项在1995-2009年瑞典国家出生队列中进行的2013-2014年期间分发的兴奋剂药物的登记研究。研究人群包括近140万儿童，按父母原籍国的国民收入划分，以及父母是瑞典本地人、欧洲移民、非欧洲移民还是混合移民。Logistic回归用于计算2013年期间至少分配一种ADHD药物的比值比，并对性别，家庭状况进行调整，表明孩子是否与父母双方生活在一起，家庭收入和居住地区。父母出生在低收入家庭（OR [95%置信区间] 0.27 [0.24-0.29]）或中等收入（欧洲：OR 0.23 [0.20-0.26]，非欧洲：OR 0.39 [0.34-0.41]）国家的ADHD治疗水平低于父母出生在高收入国家的儿童（欧洲人：OR 0.60 [0.54-0.66]，非欧洲人：OR 0.68 [0.59-0.79]），与父母在瑞典出生的儿童相比。在低收入或中等收入国家背景的家庭中，家庭收入和ADHD药物之间没有显着关联，而在瑞典和混合背景的儿童中，高水平的可支配收入与较低水平的ADHD药物相关。在瑞典，移民家庭对儿童精神病护理的使用在很大程度上与原籍国的收入水平有关。本文的在线版本（10.1186/s12888-017-1572-z）包含补充材料，可供授权用户使用。
Child psychiatric treatment facilities vary greatly worldwide and are virtually non-existent in many low-income countries. One of the most common psychiatric disorders in childhood is ADHD, with an estimated prevalence of 3–5% in Sweden. Previous studies have shown a similar prevalence of ADHD in minority and majority children in Sweden and the UK. However, clinical studies demonstrated that children from immigrant families living in Sweden received less psychiatric care than those of native-born parents. We tested the hypothesis that the consumption of child psychiatric care in immigrant families would be determined by the availability of such treatment in the parents’ country of origin. Patterns of medication for attention-deficit hyperactivity disorder (ADHD) were studied as a proxy for child psychiatric care. This was a register study of dispensed stimulant medication during 2013–2014 in Swedish national birth cohorts from 1995–2009. The study population, consisting of nearly 1.4 million children, was divided by national income of the parental country of origin and whether the parents were native Swedes, European immigrants, non-European immigrants or a mixture. Logistic regression was used to calculate the odds ratios of having been dispensed at least one ADHD drug during 2013, with adjustments for gender, family status indicating whether the child is living with both parents, household income and area of residence. Having parents born in low-income (OR [95% confidence interval] 0.27 [0.24–0.29]) or middle-income (European: OR 0.23 [0.20–0.26], non-European: OR 0.39 [0.34–0.41]) countries was associated with lower ADHD treatment levels than having parents born in high-income countries (European: OR 0.60 [0.54–0.66], non-European: OR 0.68 [0.59–0.79]), when compared to children of parents born in Sweden. In families with a background in low or middle income countries, there was no significant association between household income and ADHD medication, while in children with Swedish and mixed backgrounds high level of disposable income was associated with lower levels of ADHD medication. The use of child psychiatric care by immigrant families in Sweden was largely associated with the income level of the country of origin. The online version of this article (10.1186/s12888-017-1572-z) contains supplementary material, which is available to authorized users.
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影响因子：
3.8
作者：
Hjern, A.;Weitoft, G. R.;Lindblad, F.
通讯作者：
Lindblad, F.
影响因子：
4.4
作者：
Ivert, Anna-Karin;Merlo, Juan;Levander, Marie Torstensson
通讯作者：
Levander, Marie Torstensson
影响因子：
8
作者：
Morgan, Paul L.;Staff, Jeremy;Maczuga, Steven
通讯作者：
Maczuga, Steven
DOI：
10.1016/j.ambp.2007.02.002
发表时间：
2007-05-01
期刊：
AMBULATORY PEDIATRICS
影响因子：
--
作者：
Olaniyan, Omolara;dosReis, Susan;Cheng, Tina L.
通讯作者：
Cheng, Tina L.
影响因子：
6.1
作者：
Stein, Samuel M;Christie, Deborah;Wolpert, Miranda
通讯作者：
Wolpert, Miranda