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注意缺陷多动障碍、共病及父母压力方面的种族和民族差异。

Racial and ethnic variation in ADHD, comorbid illnesses, and parental strain.

作者信息

Hinojosa Melanie Sberna, Hinojosa Ramon, Fernandez-Baca Daniel, Knapp Caprice, Thompson Lindsay A, Christou Alana

机构信息

University of Florida in Gainesville, Gainesville, FL 32610, USA.

出版信息

J Health Care Poor Underserved. 2012 Feb;23(1):273-89. doi: 10.1353/hpu.2012.0001.

DOI:10.1353/hpu.2012.0001
PMID:22643476
Abstract

Our objective was to understand the racial and ethnic variation in parental strain for non-Latino White, African American, and Latino parents of children with ADHD and other comorbid diagnoses. We selected 5,397 children with a current diagnosis of ADHD from the 2007 National Survey of Child Health (NSCH) and identified comorbid conditions that could cause additional parental strain. Multivariate regression analyses of parental strain, from ADHD plus comorbid physical and mental health conditions, varied by race and ethnicity in our sample. Additionally we found variables such as mother's mental health, family structure and social support to play significant roles in parental strain. These findings indicate a need for greater understanding of the family mechanisms in place that affect parental strain for these varying populations of families. Interventions to reduce parental strain also need to be tailored to the specific needs of racially and ethnically diverse parents of children with ADHD.

摘要

我们的目标是了解患有注意力缺陷多动障碍(ADHD)及其他共病诊断的非拉丁裔白人、非裔美国人和拉丁裔儿童的父母所承受压力的种族和族裔差异。我们从2007年全国儿童健康调查(NSCH)中选取了5397名目前被诊断患有ADHD的儿童,并确定了可能导致父母额外压力的共病情况。在我们的样本中,ADHD加上共病的身心健康状况所导致的父母压力的多元回归分析因种族和族裔而异。此外,我们发现诸如母亲的心理健康、家庭结构和社会支持等变量在父母压力中发挥着重要作用。这些发现表明,需要更深入地了解影响这些不同家庭群体父母压力的家庭机制。减少父母压力的干预措施也需要根据患有ADHD儿童的不同种族和族裔父母的具体需求进行调整。

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