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Identifying cross-cultural variations in psychostimulant use for attention deficit hyperactivity disorder using linked data

Overview of attention for article published in Child and Adolescent Psychiatry and Mental Health, March 2017
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Title
Identifying cross-cultural variations in psychostimulant use for attention deficit hyperactivity disorder using linked data
Published in
Child and Adolescent Psychiatry and Mental Health, March 2017
DOI 10.1186/s13034-017-0152-9
Pubmed ID
Authors

Manonita Ghosh, C. D’Arcy J. Holman, David B. Preen, Manonita Ghosh, C. D’Arcy J. Holman, David B. Preen

Abstract

To validate the association between country-of-birth and disparities in the stimulant use for ADHD among individuals in Western Australia. Using linked data, a population-based retrospective cohort of individuals admitted to hospital before age 25 years was followed through to identify having stimulants for ADHD in 2003-2007. Multivariate logistic and linear regressions were used to characterise associations between stimulants and country-of-birth, geographical remoteness and socioeconomic status. Of 679,645 individuals, 14,122 (2.1%) had a record of having stimulants for ADHD. Of these, 205 (1.5%) were born in Africa, Asia, Middle-East or South America, while 13,664 (96.8%) were born in Australia/New Zealand, Europe or North America. Individuals with traditionally non-Anglophonic backgrounds were around one-half as likely to have stimulants as individuals with Anglophonic backgrounds (OR = 0.53, 95% CI 0.46-0.61, p < 0.001). Non-Anglophones were an average of 2.7 years older than Anglophones at onset of having stimulants. Individuals from remote and disadvantaged backgrounds had stimulants at younger ages than individuals living in metropolitan areas and with least disadvantage. The results highlight the importance of identifying factors underlying cultural differences in stimulant treatment for ADHD. Improving awareness of cultural variations may foster trust and rapport between patients and clinicians, and so better facilitate the appropriate and effective treatment of ADHD for each patient.

Mendeley readers

The data shown below were compiled from readership statistics for 18 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 18 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 4 22%
Researcher 3 17%
Student > Ph. D. Student 3 17%
Student > Bachelor 2 11%
Lecturer 2 11%
Other 1 6%
Unknown 3 17%
Readers by discipline Count As %
Psychology 8 44%
Medicine and Dentistry 2 11%
Nursing and Health Professions 2 11%
Social Sciences 2 11%
Business, Management and Accounting 1 6%
Other 0 0%
Unknown 3 17%