Mothers of children diagnosed with attention-deficit/hyperactivity disorder: health conditions and medical care utilization in periods before and after birth of the child.
Mothers of children diagnosed with attention-deficit/hyperactivity disorder: health conditions and medical care utilization in periods before and after birth of the child.
复制标题
被诊断患有注意力缺陷/多动障碍的儿童的母亲：孩子出生前后的健康状况和医疗保健利用情况。
DOI：
10.1097/mlr.0b013e31817e18c0
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发表时间：
2009
期刊：
影响因子：
3
通讯作者：
Habel,LaurelA
中科院分区：
文献类型：
--
作者：
Ray,GThomas;Croen,LisaA;Habel,LaurelA
背景：分析注意力缺陷多动障碍（ADHD）儿童的母亲的健康状况和医疗利用率可以揭示与ADHD有关的生物，环境和心理社会因素。目的：研究ADHD儿童的母亲在儿童被诊断之前的健康状况，医疗保健利用率和费用。方法：使用来自北方加州Kaiser Permanente的自动数据，我们确定了ADHD儿童的母亲，没有ADHD的儿童的母亲和哮喘儿童的母亲。母亲的诊断集群，卫生保健利用和成本进行了比较。ADHD儿童的母亲进行了比较，没有ADHD的儿童的母亲，单独，哮喘儿童的母亲。结果：与没有ADHD的儿童的母亲相比，ADHD儿童的母亲更容易被诊断为许多医疗和心理健康问题，在2年后，他们的孩子，包括抑郁症[比值比（OR）：1.88]，焦虑症（OR：1.64），肥胖（OR：1.70），和肌肉骨骼症状（OR：1.51）。分娩前一年的结果相似。患有ADHD儿童的母亲在孩子出生前一年（1003美元）和出生后2年（953美元）的人均医疗保健总费用也较高。ADHD儿童的母亲也被诊断出有更多的健康状况，并有较高的医疗保健费用比母亲的儿童asthene.Conclusions：我们的研究结果表明，被诊断患有ADHD的可能性与母亲的条件和使用的卫生服务之前，儿童的诊断。未来的研究需要澄清这是否是由于生物，心理社会或环境因素，或组合。
Background:Analyzing health conditions and medical utilization of mothers of children with attention-deficit/hyperactivity disorder (ADHD) can shed light on biologic, environmental, and psychosocial factors relating to ADHD.Objective:To examine health conditions, health care utilization, and costs of mothers of children with ADHD in periods before the child was diagnosed.Methods:Using automated data from Northern California Kaiser Permanente we identified mothers of children with ADHD, mothers of children without ADHD, and mothers of children with asthma. Mothers' diagnostic clusters, health care utilization, and costs were compared. Mothers of children with ADHD were compared with mothers of children without ADHD and, separately, to mothers of children with asthma.Results:Compared with mothers of children without ADHD, mothers of children with ADHD were more likely to be diagnosed with numerous medical and mental health problems in the 2 years after birth of their child, including depression [odds ratio (OR): 1.88], anxiety neuroses (OR: 1.64), obesity (OR: 1.70), and musculoskeletal symptoms (OR: 1.51). Results were similar for the year before delivery. Mothers of children with ADHD also had higher total health care costs per person in the year before ($1003) and the 2 years after ($953) the birth of their child. Mothers of children with ADHD also were diagnosed with more health conditions and had higher health care costs than mothers of children with asthma.Conclusions:Our findings suggest that the likelihood of being diagnosed with ADHD is related to maternal conditions and use of health services that precede the child's diagnosis. Future studies are needed to clarify whether this is due to biologic, psychosocial, or environmental factors, or a combination.