Community perspectives of childhood behavioral problems and ADHD among African American parents
Community perspectives of childhood behavioral problems and ADHD among African American parents
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DOI：
10.1016/j.ambp.2007.02.002
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发表时间：
2007-05-01
期刊：
影响因子：
--
通讯作者：
Cheng, Tina L.
中科院分区：
文献类型：
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作者：
Olaniyan, Omolara;dosReis, Susan;Cheng, Tina L.
目标。-探讨非裔美国人（AA）父母对儿童行为问题和注意力缺陷/多动障碍（ADHD）的看法。-在巴尔的摩市中心和华盛顿特区大都会区进行了五个焦点小组，每个小组有5至7名AA家长。有17岁以下儿童的成人从儿科诊所招募。一名调查人员主持每个焦点小组，另一名做笔记。会议平均时长1.5小时，被录在录音带上，并逐字抄录。叙事数据被编码为重复出现的主题。分析中出现了五个主要主题：儿童行为问题的原因，ADHD诊断的合法性，对医生的态度，对药物的看法，以及对学校环境的看法。许多参与者认为，行为问题，包括伴随的多动症，是由不当的养育和纪律做法造成的。一些人认为这种诊断是种族不平等的标签，目的是对AAs施加社会控制。一些人对医生迅速做出ADHD诊断并推荐药物表示不信任。其他人则担心药物会导致成年后吸毒成瘾。一些人认为儿童被贴上多动症的标签是因为不良的教育环境对AA儿童的需求没有反应。-这些焦点小组确定了社区对ADHD及其医疗的重要看法。了解这些观念是如何导致ADHD诊断和治疗中的种族差异的，有助于提供文化敏感的干预措施，以改善对AA儿童ADHD的管理。
Objective. - To explore parents' perceptions of childhood behavior problems and attention-deficit/hyperactivity disorder (ADHD) among a sample of African American (AA) parents.Methods. - Five focus groups were conducted in inner-city Baltimore and the Washington, DC, metropolitan region with 5 to 7 AA parents per group. Adults with children under the age of 17 years were recruited from pediatric practices. One investigator moderated each focus group, and a second took notes. Sessions averaged 1.5 hours long, were recorded on audiotape, and were transcribed verbatim. The narrative data were coded for recurring themes.Results. - Five major themes emerged from the analysis: causes of behavioral problems in children, the legitimacy of ADHD as a diagnosis, attitudes about doctors, opinions of medication, and perceptions of the school environment. Many participants felt that behavior issues, including those accompanying ADHD, were caused by inappropriate parenting and disciplinary practices. Some viewed the diagnosis as a label applied with racial inequality to exert social control over AAs. Several expressed distrust in physicians who were quick to make a diagnosis of ADHD and recommend medications. Others worried that medication would lead to drug addiction in adulthood. Some perceived that children were labeled with ADHD because of poor educational environments that were unresponsive to the needs of AA children.Conclusions. - These focus groups identified important community perceptions about ADHD and its medical treatment. Understanding how these perceptions contribute to racial disparities in ADHD diagnosis and treatment can help inform culturally sensitive interventions to improve the management of ADHD among AA children.