TY - JOUR
T1 - Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children
AU - Bauermeister, José J.
AU - Canino, Glorisa
AU - Bravo, Milagros
AU - Ramírez, Rafael
AU - Jensen, Peter S.
AU - Chavez, Ligia
AU - Martínez-Taboas, Alfonso
AU - Ribera, Julio
AU - Alegría, Margarita
AU - García, Pedro
N1 - Funding Information:
The study was supported by NIMH grant UO1-MH 54827. This research was also supported by research grant P01-MH59876 as part of Dr. Chavez's postdoctoral minority supplement. The authors thank Lizbeth Fábregas, the project director of the study.
PY - 2003/7
Y1 - 2003/7
N2 - Objective: To examine to what extent Latino/Hispanic children with and without attention-deficit/hyperactivity disorder (ADHD) are receiving treatment and to identify variables that predict treatment with stimulant medication. Method: Primary caretakers of a probability household sample (N = 1,897) of Puerto Rican children aged 4-17 years were administered structured interviews (response rate: 90.1%) from 1999-2000 to ascertain psychiatric disorders and types of services received. Results: Only 7.0% of children with ADHD received stimulant medication during the last year; moreover, only 3.6% had actually continued this treatment at the time of the interview. One fourth or less of those with ADHD received school-based services or psychosocial treatment. The male-female ratio in stimulant medication use was 10 to 1. In addition, only 0.2% of those with no psychiatric diagnosis received this treatment. ADHD and ADHD-not otherwise specified, impairment, and being male significantly predicted stimulant treatment. Conclusions: Children with ADHD in this Latino/Hispanic population are not receiving the most efficacious treatments based on scientific findings and relevant clinical consensus. This population is undertreated rather than overtreated.
AB - Objective: To examine to what extent Latino/Hispanic children with and without attention-deficit/hyperactivity disorder (ADHD) are receiving treatment and to identify variables that predict treatment with stimulant medication. Method: Primary caretakers of a probability household sample (N = 1,897) of Puerto Rican children aged 4-17 years were administered structured interviews (response rate: 90.1%) from 1999-2000 to ascertain psychiatric disorders and types of services received. Results: Only 7.0% of children with ADHD received stimulant medication during the last year; moreover, only 3.6% had actually continued this treatment at the time of the interview. One fourth or less of those with ADHD received school-based services or psychosocial treatment. The male-female ratio in stimulant medication use was 10 to 1. In addition, only 0.2% of those with no psychiatric diagnosis received this treatment. ADHD and ADHD-not otherwise specified, impairment, and being male significantly predicted stimulant treatment. Conclusions: Children with ADHD in this Latino/Hispanic population are not receiving the most efficacious treatments based on scientific findings and relevant clinical consensus. This population is undertreated rather than overtreated.
KW - Attention-deficit/hyperactivity disorder
KW - Gender
KW - Latino/Hispanic
KW - Treatment
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U2 - 10.1097/01.CHI.0000046864.56865.30
DO - 10.1097/01.CHI.0000046864.56865.30
M3 - Article
C2 - 12819445
AN - SCOPUS:0041467574
SN - 0890-8567
VL - 42
SP - 851
EP - 855
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 7
ER -