Elisa Nasol1, Olivia J Lindly2, Alison E Chavez3, Katharine E Zuckerman4. 1. School of Medicine (E Nasol), Oregon Health & Science University, Portland; E Nasol is now with the Department of Family Medicine, Harbor-UCLA Medical Center, Harbor City, Calif. 2. Division of General Pediatrics (OJ Lindly, AE Chavez, and KE Zuckerman), Doernbecher Children's Hospital, Oregon Health & Science University, Portland.; OJ Lindly is now with the Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, Mass. 3. Division of General Pediatrics (OJ Lindly, AE Chavez, and KE Zuckerman), Doernbecher Children's Hospital, Oregon Health & Science University, Portland.; AE Chavez is now with the Department of Psychology, University of Massachusetts Boston, Boston, Mass. 4. Division of General Pediatrics (OJ Lindly, AE Chavez, and KE Zuckerman), Doernbecher Children's Hospital, Oregon Health & Science University, Portland.. Electronic address: zuckerma@ohsu.edu.
Abstract
OBJECTIVE: The 5.1million US children with attention-deficit/hyperactivity disorder (ADHD) have pronounced needs in education, occupational and speech therapy, and medical and behavioral treatments. Given known associations of ADHD diagnosis with race/ethnicity and parent education, this study aimed to assess how measures of socioeconomic status correlate with both adverse family financial impact of ADHD and disparities in unmet treatment need for ADHD. METHODS: Secondary analysis of children ages 8 to 17years whose households participated in the 2014 National Survey of the Diagnosis and Treatment of Attention-Deficit/Hyperactivity Disorder and Tourette Syndrome. Using bivariate testing, we examined associations among measures of socioeconomic status with unmet ADHD treatment need and family financial impact. Logistic regression models estimated the odds of having unmet treatment need, adjusting for demographic factors and family financial impact. RESULTS: Among US school-aged children with a current ADHD diagnosis, 44.3% experienced an adverse family financial impact from ADHD, and 11.6% had unmet need for ADHD treatment. Children with younger age at first ADHD diagnosis were more likely to experience adverse family financial impact. Children from non-English-speaking households were less likely to report unmet need compared to those from primarily English-speaking households. The adjusted odds of unmet need were twice as great among those who reported adverse family financial impact. CONCLUSION: Deeper understanding of the influence of the household language is important in ADHD needs assessments. Considering overall family financial circumstances may also be pertinent, particularly as children age, because earlier diagnosiswas associated with adverse financial outcomes. These findings could shape future clinic policies for targeting community resources.
OBJECTIVE: The 5.1million US children with attention-deficit/hyperactivity disorder (ADHD) have pronounced needs in education, occupational and speech therapy, and medical and behavioral treatments. Given known associations of ADHD diagnosis with race/ethnicity and parent education, this study aimed to assess how measures of socioeconomic status correlate with both adverse family financial impact of ADHD and disparities in unmet treatment need for ADHD. METHODS: Secondary analysis of children ages 8 to 17years whose households participated in the 2014 National Survey of the Diagnosis and Treatment of Attention-Deficit/Hyperactivity Disorder and Tourette Syndrome. Using bivariate testing, we examined associations among measures of socioeconomic status with unmet ADHD treatment need and family financial impact. Logistic regression models estimated the odds of having unmet treatment need, adjusting for demographic factors and family financial impact. RESULTS: Among US school-aged children with a current ADHD diagnosis, 44.3% experienced an adverse family financial impact from ADHD, and 11.6% had unmet need for ADHD treatment. Children with younger age at first ADHD diagnosis were more likely to experience adverse family financial impact. Children from non-English-speaking households were less likely to report unmet need compared to those from primarily English-speaking households. The adjusted odds of unmet need were twice as great among those who reported adverse family financial impact. CONCLUSION: Deeper understanding of the influence of the household language is important in ADHD needs assessments. Considering overall family financial circumstances may also be pertinent, particularly as children age, because earlier diagnosiswas associated with adverse financial outcomes. These findings could shape future clinic policies for targeting community resources.
Authors: Elizabeth H Bradley; Sarah A McGraw; Leslie Curry; Alison Buckser; Kinda L King; Stanislav V Kasl; Ronald Andersen Journal: Health Serv Res Date: 2002-10 Impact factor: 3.402
Authors: Mark Wolraich; Lawrence Brown; Ronald T Brown; George DuPaul; Marian Earls; Heidi M Feldman; Theodore G Ganiats; Beth Kaplanek; Bruce Meyer; James Perrin; Karen Pierce; Michael Reiff; Martin T Stein; Susanna Visser Journal: Pediatrics Date: 2011-10-16 Impact factor: 7.124
Authors: Esther K Chung; Benjamin S Siegel; Arvin Garg; Kathleen Conroy; Rachel S Gross; Dayna A Long; Gena Lewis; Cynthia J Osman; Mary Jo Messito; Roy Wade; H Shonna Yin; Joanne Cox; Arthur H Fierman Journal: Curr Probl Pediatr Adolesc Health Care Date: 2016-04-18
Authors: Susanna N Visser; Benjamin Zablotsky; Joseph R Holbrook; Melissa L Danielson; Rebecca H Bitsko Journal: Natl Health Stat Report Date: 2015-09-03
Authors: Susanna N Visser; Melissa L Danielson; Rebecca H Bitsko; Joseph R Holbrook; Michael D Kogan; Reem M Ghandour; Ruth Perou; Stephen J Blumberg Journal: J Am Acad Child Adolesc Psychiatry Date: 2013-11-21 Impact factor: 8.829
Authors: Tanjala T Gipson; Eboni I Lance; Rebecca A Albury; Maura B Gentner; Mary L Leppert Journal: Clin Pediatr (Phila) Date: 2014-10-10 Impact factor: 1.168
Authors: Emily J Ricketts; Sara Beth Wolicki; Melissa L Danielson; Michelle Rozenman; Joseph F McGuire; John Piacentini; Jonathan W Mink; John T Walkup; Douglas W Woods; Rebecca H Bitsko Journal: Child Psychiatry Hum Dev Date: 2021-01-01