Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children

José J. Bauermeister; Glorisa Canino; Milagros Bravo; Rafael Ramírez; Peter S. Jensen; Ligia Chavez; Alfonso Martínez-Taboas; Julio Ribera; Margarita Alegría; Pedro García

doi:10.1097/01.CHI.0000046864.56865.30

Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children

José J. Bauermeister, Glorisa Canino, Milagros Bravo, Rafael Ramírez, Peter S. Jensen, Ligia Chavez, Alfonso Martínez-Taboas, Julio Ribera, Margarita Alegría, Pedro García

Psychiatry and Psychology

Research output: Contribution to journal › Article › peer-review

46 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	851-855
Number of pages	5
Journal	Journal of the American Academy of Child and Adolescent Psychiatry
Volume	42
Issue number	7
DOIs	https://doi.org/10.1097/01.CHI.0000046864.56865.30
State	Published - Jul 2003

Keywords

Attention-deficit/hyperactivity disorder
Gender
Latino/Hispanic
Treatment

ASJC Scopus subject areas

Developmental and Educational Psychology
Psychiatry and Mental health

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10.1097/01.CHI.0000046864.56865.30

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Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children. / Bauermeister, José J.; Canino, Glorisa; Bravo, Milagros; Ramírez, Rafael; Jensen, Peter S.; Chavez, Ligia; Martínez-Taboas, Alfonso; Ribera, Julio; Alegría, Margarita; García, Pedro.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 42, No. 7, 07.2003, p. 851-855.

Research output: Contribution to journal › Article › peer-review

Bauermeister, José J. ; Canino, Glorisa ; Bravo, Milagros ; Ramírez, Rafael ; Jensen, Peter S. ; Chavez, Ligia ; Martínez-Taboas, Alfonso ; Ribera, Julio ; Alegría, Margarita ; García, Pedro. / Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children. In: Journal of the American Academy of Child and Adolescent Psychiatry. 2003 ; Vol. 42, No. 7. pp. 851-855.

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abstract = "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.",

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note = "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 F{\'a}bregas, the project director of the study. ",

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AU - Chavez, Ligia

AU - Martínez-Taboas, Alfonso

AU - Ribera, Julio

AU - Alegría, Margarita

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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.

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Stimulant and psychosocial treatment of ADHD in Latino/Hispanic children

Abstract

Keywords

ASJC Scopus subject areas

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