Race/Ethnicity and Insurance Status as Factors Associated with ADHD Treatment Patterns
- 1 February 2005
- journal article
- research article
- Published by Mary Ann Liebert Inc in Journal of Child and Adolescent Psychopharmacology
- Vol. 15 (1), 88-96
- https://doi.org/10.1089/cap.2005.15.88
Abstract
Using data from the 1997-2000 Medical Expenditure Panel Survey (MEPS), disparities in different stages of attention-deficit/hyperactivity disorder (ADHD) health care were investigated, from initial detection to follow-up physician visits and psychotherapy appointments. Differences in ADHD diagnoses, stimulant usage, and health-care visits were examined by age, race/ethnicity, region, and type of insurance. Major significant findings were: (1) children without insurance had lower levels of care in all stages relative to children with insurance, (2) Hispanic-American and African-American children were less likely to be diagnosed with ADHD by parent report than were white American children, and (3) African-American youths with ADHD were less likely to initiate stimulant medication relative to white American children. Implications for expanding childhood health insurance coverage, and for future work on minority mental health care in regard to ADHD, are discussed.Keywords
This publication has 19 references indexed in Scilit:
- Stimulant and Psychosocial Treatment of ADHD in Latino/Hispanic ChildrenJournal of the American Academy of Child & Adolescent Psychiatry, 2003
- National Trends in the Treatment of Attention Deficit Hyperactivity DisorderAmerican Journal of Psychiatry, 2003
- Children's use of mental health services in different Medicaid insurance plansThe Journal of Behavioral Health Services & Research, 2003
- Barriers to detection, help-seeking, and service use for children with ADHD symptomsThe Journal of Behavioral Health Services & Research, 2003
- Latino Cultural Differences in Maternal Assessments of Attention Deficit/Hyperactivity Symptoms in ChildrenHispanic Journal of Behavioral Sciences, 2003
- Mental Health Care for Latinos: Inequalities in Use of Specialty Mental Health Services Among Latinos, African Americans, and Non-Latino WhitesPsychiatric Services, 2002
- Health Care Use and Costs for Children With Attention-Deficit/Hyperactivity DisorderArchives of Pediatrics & Adolescent Medicine, 2002
- Medication Management of Stimulants in Pediatric Practice SettingsJournal of Developmental & Behavioral Pediatrics, 2000
- A 14-Month Randomized Clinical Trial of Treatment Strategies for Attention-Deficit/Hyperactivity DisorderArchives of General Psychiatry, 1999
- Health Insurance and Utilization of Medical Care for Children with Special Health Care NeedsMedical Care, 1993