D'Souza Stephanie, Bowden Nicholas, Gibb Sheree, Shackleton Nichola, Audas Richard, Hetrick Sarah, Taylor Barry, Milne Barry
A Better Start National Science Challenge; Centre of Methods and Policy Application in the Social Sciences, Auckland.
A Better Start National Science Challenge; Department of Women's and Children's Health, University of Otago, Dunedin.
N Z Med J. 2020 Sep 25;133(1522):84-95.
Global trends show an increase in medication dispensing for attention-deficit/hyperactivity disorder (ADHD) in young people over time. The current study aimed to examine whether similar trends were observed in New Zealand youth over the period of 2007/08 to 2016/17.
We estimated the prevalence in ADHD medication dispensing using national pharmaceutical data for each fiscal year from 2007/08 to 2016/17 in approximately 2.4 million New Zealand youth aged 1-24 years. We also examined whether trends varied by sociodemographic factors.
The total dispensing prevalence almost doubled from 516 per 100,000 to 996 per 100,000 over the study period. Males had a consistently higher dispensing prevalence relative to females. Young people aged 7-17 years had the highest dispensing prevalence. The most deprived quintile had a slightly lower dispensing prevalence relative to other quintiles. Ethnic differences in dispensing prevalence were apparent, with deprivation differences also existing within most ethnic groups.
Overall, our study showed an increase in ADHD medication use by young people in New Zealand, similar to international findings. Further research is needed into why disparities in dispensing prevalence occur across ethnic and socioeconomic groups.
全球趋势显示,随着时间的推移,青少年注意力缺陷多动障碍(ADHD)的药物配给量有所增加。本研究旨在调查2007/08年至2016/17年期间新西兰青少年中是否也观察到类似趋势。
我们利用2007/08年至2016/17年每个财政年度的全国药品数据,估算了约240万1 - 24岁新西兰青少年中ADHD药物配给的患病率。我们还研究了这些趋势是否因社会人口因素而异。
在研究期间,总配给患病率几乎翻了一番,从每10万人516例增至每10万人996例。男性的配给患病率始终高于女性。7 - 17岁的青少年配给患病率最高。最贫困的五分之一人群的配给患病率略低于其他五分之一人群。配给患病率存在种族差异,大多数种族群体内部也存在贫困差异。
总体而言,我们的研究表明新西兰青少年使用ADHD药物的情况有所增加,这与国际研究结果相似。需要进一步研究不同种族和社会经济群体在配给患病率上存在差异的原因。