Bussing R, Zima B T, Belin T R
Department of Psychiatry, University of Florida, Gainesville 32610-0177, USA.
Psychiatr Serv. 1998 Sep;49(9):1226-9. doi: 10.1176/ps.49.9.1226.
Access to treatment for children with attention-deficit hyperactivity disorder (ADHD) was examined in the general health, specialty mental health, and informal care sectors. Special education students in a Florida school district were screened for ADHD, and high-risk children and their parents completed diagnostic and services assessment interviews. Female gender, minority status, and rural residence lowered the probability of ADHD service use in the general health sector. Use of services in the mental health and informal sectors was predicted by a child's need for services. Further study is needed to identify barriers to service use at the parental or gatekeeper level for this common disorder among children.
在普通医疗、专科心理健康和非正式护理领域，对患有注意力缺陷多动障碍（ADHD）儿童的治疗可及性进行了调查。对佛罗里达州一个学区的特殊教育学生进行了ADHD筛查，高危儿童及其父母完成了诊断和服务评估访谈。女性、少数族裔身份以及农村居住环境降低了在普通医疗领域使用ADHD服务的可能性。心理健康和非正式护理领域的服务使用情况由儿童的服务需求预测。需要进一步研究，以确定在儿童中这种常见疾病的家长或把关人层面上服务使用的障碍。
