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促进注意力缺陷/多动障碍护理中的公平参与。

Promoting Equitable Engagement in Attention-Deficit/Hyperactivity Disorder Care.

作者信息

Alleyne Kim, Fogler Jason, Simon Kevin M, Spinks-Franklin Adiaha, Spencer Andrea E

出版信息

Pediatr Ann. 2025 Jan;54(1):e12-e17. doi: 10.3928/19382359-20241007-01. Epub 2025 Jan 1.

DOI:10.3928/19382359-20241007-01
PMID:39760344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11829811/
Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a treatable pediatric condition, but children with racial-ethnic minority backgrounds often do not receive timely or consistent treatment. Understanding how systemic racism impacts care and learning from families of color about their experiences can provide critical insights for improving clinical practice and engaging patients equitably in ADHD care. We interweave a mother's experience navigating ADHD care for her son with commentary from an interprofessional team about what clinicians can do for families to reduce the impact of systemic racism on care. .

摘要

注意力缺陷多动障碍（ADHD）是一种可治疗的儿科疾病，但具有种族少数背景的儿童往往无法获得及时或持续的治疗。了解系统性种族主义如何影响护理，并从有色人种家庭的经历中学习，可以为改善临床实践以及让患者公平地参与ADHD护理提供关键见解。我们将一位母亲为儿子寻求ADHD护理的经历与一个跨专业团队的评论交织在一起，该评论讲述了临床医生可以为家庭做些什么，以减少系统性种族主义对护理的影响。

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本文引用的文献

1
Attention-Deficit/Hyperactivity Disorder in Children Ages 5-17 Years: United States, 2020-2022.儿童注意缺陷多动障碍：2020-2022 年美国 5-17 岁儿童患病情况。
NCHS Data Brief. 2024 Mar(499):1-9.
2
Building Trust and Partnership with Black Pediatric Patients and their Caregivers.与黑人儿科患者及其照顾者建立信任与伙伴关系。
Acad Pediatr. 2024 Mar;24(2):216-227. doi: 10.1016/j.acap.2023.08.016. Epub 2023 Aug 31.
3
Association Between Stimulant Treatment and Substance Use Through Adolescence Into Early Adulthood.兴奋剂治疗与物质使用的关联：从青少年到成年早期。
JAMA Psychiatry. 2023 Sep 1;80(9):933-941. doi: 10.1001/jamapsychiatry.2023.2157.
4
Medication Decision Making in Low-Income Families of Black Children With ADHD: A Mixed Methods Study.低收入家庭中非裔 ADHD 儿童药物治疗决策的混合方法研究。
J Atten Disord. 2023 Jun;27(8):847-858. doi: 10.1177/10870547231158382. Epub 2023 Mar 6.
5
Attention-deficit hyperactivity disorder stigma: The silent barrier to care.注意缺陷多动障碍污名：医疗护理的无形障碍。
S Afr J Psychiatr. 2022 Dec 8;28:1865. doi: 10.4102/sajpsychiatry.v28i0.1865. eCollection 2022.
6
"If he doesn't buy in, it's a waste of time": Perspectives from diverse parents and adolescents on engaging children in ADHD treatment.“如果他不接受，那就是浪费时间”：来自不同家长和青少年的观点，探讨如何让孩子参与 ADHD 治疗。
Child Psychiatry Hum Dev. 2024 Oct;55(5):1190-1200. doi: 10.1007/s10578-022-01473-x. Epub 2022 Dec 19.
7
Linguistic Inequities in ADHD Diagnosis among School-age Children Screened for Attention Problems in Primary Care.在小学保健中筛查注意力问题的学龄儿童中，注意缺陷多动障碍（ADHD）诊断中的语言不平等。
J Health Care Poor Underserved. 2022;33(3):1632-1649. doi: 10.1353/hpu.2022.0089.
8
Time Spent at Well-Child Care Visits for English- and Spanish-Speaking Parents.家长英语和西班牙语就诊时间用于儿童保健。
Acad Pediatr. 2023 Mar;23(2):359-362. doi: 10.1016/j.acap.2022.06.009. Epub 2022 Jun 26.
9
Daughters' Keeper - The Care and Treatment of Black Girls in America.《女儿的守护者——美国黑人女孩的照料与治疗》
N Engl J Med. 2022 Jun 2;386(22):2067-2069. doi: 10.1056/NEJMp2201955. Epub 2022 May 28.
10
Review of barriers and interventions to promote treatment engagement for pediatric attention deficit hyperactivity disorder care.促进儿童注意力缺陷多动障碍护理中治疗参与度的障碍及干预措施综述。
World J Psychiatry. 2021 Dec 19;11(12):1206-1227. doi: 10.5498/wjp.v11.i12.1206.