Social gradient in use of health services and health-related quality of life of children with attention-deficit/hyperactivity disorder: A systematic review

JCPP advances Pub Date : 2023-05-25 DOI:10.1002/jcv2.12170

Abraham Sevastidis, Sithara Wanni Arachchige Dona, Lisa Gold, Emma Sciberra, David Coghill, Ha Nguyet Dao Le

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引用次数: 2

Abstract

Aims

ADHD (attention-deficit/hyperactivity disorder) affects 5% of children on average. Despite the high need to access services for ADHD treatment, not all children with ADHD utilise healthcare services equally. This study aims to systematically synthesise evidence of equity and equality in health service use/costs and health-related quality of life (HRQoL)/wellbeing of children with ADHD across socioeconomic (SES) classes.

Methods

The literature search was conducted across seven databases (Academic Search complete, MEDLINE Complete, PsycINFO, ERIC, Global Health, CINAHL and EconLit). The search was limited to peer-reviewed articles published to 23^rd January 2023 in English and focused on children. Study quality was assessed using the Critical Appraisal Skills Program (CASP), Joanna Briggs Institute (JBI) and Mixed Methods Appraisal Tool (MMAT) checklists.

Results

25 out of 1207 articles were eligible for inclusion. The results showed that SES was associated with different types of healthcare utilisation. Only three studies were found on HRQoL/well-being. Children with ADHD from low SES families had lower HRQoL than children from high SES families.

Conclusion

This study found that a social gradient exists in both healthcare service use and children's HRQoL among those with ADHD.

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注意力缺陷/多动障碍儿童健康服务使用的社会梯度和健康相关生活质量：一项系统综述。

目的：ADHD（注意力缺陷/多动障碍）平均影响5%的儿童。尽管人们非常需要获得多动症治疗服务，但并非所有患有多动症的儿童都能平等地利用医疗服务。本研究旨在系统地综合社会经济地位（SES）各阶层ADHD儿童在医疗服务使用/成本和健康相关生活质量（HRQoL）/幸福感方面的公平和平等证据。方法：文献检索在七个数据库（Academic search complete、MEDLINE complete、PsycINFO、ERIC、Global Health、CINAHL和EconLit）中进行。搜索仅限于截至2023年1月23日发表的以儿童为主题的同行评审文章。使用关键评估技能计划（CASP）、乔安娜·布里格斯研究所（JBI）和混合方法评估工具（MMAT）检查表评估研究质量。结果：1207篇文章中有25篇符合入选条件。结果表明，SES与不同类型的医疗保健利用有关。只有三项关于HRQoL/幸福感的研究被发现。低社会经济地位家庭的ADHD儿童的HRQoL低于高社会经济地位家族的儿童。结论：本研究发现，ADHD患者在医疗服务使用和儿童HRQoL方面存在社会梯度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JCPP advances

自引率

0.00%

发文量

审稿时长

13 weeks