Neighborhood Socioeconomic Characteristics and Utilization of ADHD Medication in Schoolchildren: A Population Multilevel Study in Stockholm County

被引：14
作者：
Jablonska, Beata [1 ,3 ]
Kosidou, Kyriaki [1 ,4 ]
Ponce de Leon, Antonio [1 ,5 ]
Wettermark, Bjorn [6 ]
Magnusson, Cecilia [1 ,7 ]
Dal, Henrik [1 ,8 ]
Dalman, Christina [2 ,9 ]
机构：
[1] Stockholm Cty Council, Ctr Epidemiol & Community Med, S-17177 Stockholm, Sweden
[2] Stockholm Cty Council, Ctr Epidemiol & Community Med, Unit Mental Hlth, Stockholm, Sweden
[3] Karolinska Inst, Med Sci, Stockholm, Sweden
[4] Karolinska Inst, Dept Publ Hlth Sci, Stockholm, Sweden
[5] Karolinska Inst, Div Social Med, Stockholm, Sweden
[6] Karolinska Inst, Ctr Pharmacoepidemiol, Stockholm, Sweden
[7] Karolinska Inst, Dept Publ Hlth Sci, Epidemiol, Stockholm, Sweden
[8] Karolinska Inst, Stockholm, Sweden
[9] Karolinska Inst, Psychiat, Dept Publ Hlth Sci, Stockholm, Sweden
来源：
JOURNAL OF ATTENTION DISORDERS | 2020年 / 24卷 / 02期
关键词：
ADHD; school-age children; SES; ethnic minorities; epidemiology; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; MENTAL-HEALTH; STIMULANT MEDICATION; RISK-FACTORS; CHILDHOOD; CHILDREN; DISADVANTAGE; DEPRIVATION; ENVIRONMENT;
D O I：
10.1177/1087054716643257
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
Objective: To examine the effects of neighborhood socioeconomic disadvantage and ethnic composition on the utilization of ADHD medication in schoolchildren after accounting for individual- and family-level characteristics. Method: A cohort of all schoolchildren living in Stockholm County was prospectively followed for new prescriptions of ADHD medication (N = 276,955). Three-level logistic regression models were used with individual/family characteristics (e.g., immigrant background) at the first level and small area market statistics (SAMS) and municipality characteristics (i.e., socioeconomic disadvantage and ethnic composition) at the second and third level. Results: SAMS socioeconomic disadvantage was associated with increased utilization of ADHD medication. The utilization of ADHD medication was lower among immigrant children as compared with natives, and their odds of not utilizing medication increased as the degree of concentration of foreign-born increased. Conclusion: These results suggest that interventions at the neighborhood level may offer an additional route for the prevention of the disorder and/or alleviation of its consequences.
引用
收藏
页码：265 / 276
页数：12
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