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Titolo:
Attention-deficit hyperactivity disorder in Manitoba children: Medical diagnosis and psychostimulant treatment rates
Autore:
Brownell, MD; Yogendran, MS;
Indirizzi:
Univ Manitoba, Manitoba Ctr Hlth Policy & Evaluat, Winnipeg, MB, Canada Univ Manitoba Winnipeg MB Canada Policy & Evaluat, Winnipeg, MB, Canada Univ Manitoba, Fac Med, Dept Community Hlth Sci, Winnipeg, MB, Canada UnivManitoba Winnipeg MB Canada ommunity Hlth Sci, Winnipeg, MB, Canada
Titolo Testata:
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE
fascicolo: 3, volume: 46, anno: 2001,
pagine: 264 - 272
SICI:
0706-7437(200104)46:3<264:AHDIMC>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADMINISTRATIVE DATA; PRIMARY CARE; PSYCHOTROPIC MEDICATION; STIMULANT MEDICATION; HEALTH; PREVALENCE; METHYLPHENIDATE; RECOGNITION;
Keywords:
attention-deficit hyperactivity disorder psychostimulants; regional variations; socioeconomic status; population-based rates;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Brownell, MD Univ Manitoba, St Boniface Gen Hosp,Res Ctr, Dept Community Hlth Sci,Fac Med, Manitoba Ctr Hlth Policy & Evaluat, Room 2008,351 Tache Ave, Winnipeg, MB R2H 2A6, Canada Univ Manitoba Room 2008,351 Tache Ave Winnipeg MB Canada R2H 2A6
Citazione:
M.D. Brownell e M.S. Yogendran, "Attention-deficit hyperactivity disorder in Manitoba children: Medical diagnosis and psychostimulant treatment rates", CAN J PSY, 46(3), 2001, pp. 264-272

Abstract

Objective: To describe physicians' diagnosis rates for attention-deficit hyperactivity disorder (ADHD) for children in the province of Manitoba and to describe the rate of psychostimulant medication use by these children. Methods: This descriptive study reviewed the computerized administrative records of physician visits and prescriptions dispensed to examine a population-based, cross-sectional cohort of children diagnosed with ADHD or prescribed stimulant medication, or both. We found 4787 children with a diagnosisof ADHD over a 24-month period or a prescription for stimulant medication over a 12-month period or both. Rates were calculated by age, sex, region of residence, neighbourhood income level, and physician specialty. Results: Among Manitoba children, 2.52% received a medical a diagnosis of ADHD and 0.89% received stimulant medication. Regionally, diagnosis rates for ADHD varied almost 4-fold and over 8-fold for medications prescribed Urban al-eas had higher rates than did rural areas, regardless of physician specialty. Diagnosis and prescription rates varied according to physician specialty, with the highest rates found among pediatricians. An income gradient was evident in rural areas, with rates of ADHD diagnosis and medication prescribed increasing with increased neighbourhood income levelConclusions: The pattern of regional variation found in this study suggests that the diagnosis and treatment of ADHD in Manitoba are influenced strongly by the practice styles of local physicians.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/09/20 alle ore 05:45:10