기사
Racial and Ethnic Differences in ADHD and LD in Young School-Age Children : Parental Reports in the National Health Interview Survey /
- 개인저자
- Pastor, Patricia N. ;, Reuben, Cynthia A.
- 수록페이지
- 383-392 p.
- 발행일자
- 2005.07.25
- 출판사
- Association of Schools of Public Health. ;Supt. of Docs., U.S. G.P.O., distributor
초록
[영문]Objectives. Racial and ethnic disparities have been documented for many physicalhealth outcomes in children. Less is known, however, about disparities in behavioraland learning disorders in children. This study uses data from a national healthsurvey to examine racial and ethnic differences in identified attention deficithyperactivity disorder (ADHD) and learning disability (LD).Methods. The 1997?2001 National Health Interview Surveys obtained informationfrom parents about the health and sociodemographic characteristics of children.Using these data, prevalence rates of identified ADHD and/or LD were estimatedfor Hispanic, African American, and white children 6?11 years of age. Racial andethnic differences in health conditions, income, and insurance coverage wereexamined as possible explanations for disparities in parental reports of ADHD andLD, as well as the use of any prescription medication among children with ADHD.Results. Hispanic and African American children, compared to white children, hadparental reports of identified ADHD without LD less often, and adjustments for theconfounding variables?birthweight, income, and insurance coverage?did noteliminate these differences. Hispanic and African American children, compared towhite children, also had parental reports of ADHD with LD less often after adjustmentsfor the effects of confounding variables. By contrast, after adjustments forconfounding variables, Hispanic and African American children were as likely aswhite children to have LD without ADHD. Among children with ADHD, use of anyprescription medication was reported less often for Hispanic and African Americanchildren than white children. These disparities in medication use persisted afteradjustments for confounding variables.Conclusions. The prevalence of ADHD and the use of any prescription medicationamong children with ADHD differed among Hispanic, African American, and whitechildren. These disparities could not be explained by racial and ethnic differencesin other health conditions and sociodemographic variables.