McLeod Jane D, Pescosolido Bernice A, Takeuchi David T, White Terry Falkenberg
Department of Sociology, Indiana University, Ballantine Hall 744, 1020 E. Kirkwood, Bloomington, Indiana 47405, USA.
J Health Soc Behav. 2004 Mar;45(1):53-67. doi: 10.1177/002214650404500104.
Psychiatric medication use for children has increased dramatically over the past three decades. Despite substantial media attention to the issue, little is known about how the lay public feels about the use of psychiatric medications for children. Drawing on theories of medicalization, we describe and analyze Americans' attitudes towards the use of psychiatric medications generally and Prozac specifically for children described as having three types of behavioral problems. Using data from the 1998 General Social Survey's Pressing Issues in Health and Medical Care Module, we find that more Americans (57%) are willing to use psychiatric medications for children who have expressed suicidal statements than for "oppositional" behaviors (34.2%) or for hyperactivity (29.5%). Across the board, respondents are less willing to give Prozac than the general class of psychiatric medications. While socio-demographics do little to identify Americans with differing positions, the strongest and most consistent correlates of willingness to give psychiatric medications to children are trust in personal physicians, general attitudes towards psychiatric medications, and the respondent's expressed willingness to take psychiatric medications herself or himself.
在过去三十年里,儿童使用精神科药物的情况急剧增加。尽管媒体对该问题给予了大量关注,但对于普通公众对儿童使用精神科药物的看法却知之甚少。基于医学化理论,我们描述并分析了美国人对一般精神科药物使用的态度,特别是对用于有三种行为问题儿童的百忧解的态度。利用1998年综合社会调查中健康与医疗保健紧迫问题模块的数据,我们发现,比起有“对立”行为(34.2%)或多动(29.5%)的儿童,更多美国人(57%)愿意给有自杀倾向的儿童使用精神科药物。总体而言,与一般精神科药物类别相比,受访者更不愿意给儿童使用百忧解。虽然社会人口统计学因素对区分持不同立场的美国人作用不大,但愿意给儿童使用精神科药物的最强烈且最一致的相关因素是对私人医生的信任、对精神科药物的总体态度,以及受访者自己表示愿意服用精神科药物。