Social Gradient in Use of Health Services and Health-related Quality of Life of Children with Attention-deficit/hyperactivity Disorder: A Systematic Review

Overview

Journal JCPP Adv

Date 2023 Sep 18

PMID 37720590

Authors

Abraham Sevastidis

Sithara Wanni Arachchige Dona

Lisa Gold

Emma Sciberra

David Coghill

Ha Nguyet Dao Le

Affiliations

Soon will be listed here.

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 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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References

Bussing R, Zima B, Gary F, Garvan C . Barriers to detection, help-seeking, and service use for children with ADHD symptoms. J Behav Health Serv Res. 2003; 30(2):176-89. DOI: 10.1007/BF02289806. View

Nasol E, Lindly O, Chavez A, Zuckerman K . Unmet Need and Financial Impact Disparities for US Children with ADHD. Acad Pediatr. 2018; 19(3):315-324. PMC: 7440657. DOI: 10.1016/j.acap.2018.09.001. View

Enns J, Randall J, Smith M, Chateau D, Taylor C, Brownell M . A Multimodal Intervention for Children with ADHD Reduces Inequity in Health and Education Outcomes. Can J Psychiatry. 2017; 62(6):403-412. PMC: 5455871. DOI: 10.1177/0706743717692301. View

van der Kolk A, Bouwmans C, Schawo S, Buitelaar J, van Agthoven M, Roijen L . Association between quality of life and treatment response in children with attention Deficit Hyperactivity Disorder and their parents. J Ment Health Policy Econ. 2014; 17(3):119-29. View

Laugesen B, Lauritsen M, Jorgensen R, Sorensen E, Rasmussen P, Gronkjaer M . The Complexities of Everyday Life and Healthcare Utilization in Danish Children With ADHD: A Mixed Methods Study. J Pediatr Nurs. 2020; 52:e33-e41. DOI: 10.1016/j.pedn.2020.01.003. View

Ghosh M, Holman C, Preen D . Identifying cross-cultural variations in psychostimulant use for attention deficit hyperactivity disorder using linked data. Child Adolesc Psychiatry Ment Health. 2017; 11:16. PMC: 5359967. DOI: 10.1186/s13034-017-0152-9. View

Adamo N, Seth S, Coghill D . Pharmacological treatment of attention-deficit/hyperactivity disorder: assessing outcomes. Expert Rev Clin Pharmacol. 2015; 8(4):383-97. DOI: 10.1586/17512433.2015.1050379. View

Green C, Langberg J . A Review of Predictors of Psychosocial Service Utilization in Youth with Attention-Deficit/Hyperactivity Disorder. Clin Child Fam Psychol Rev. 2021; 25(2):356-375. DOI: 10.1007/s10567-021-00368-y. View

Leslie L, Wolraich M . ADHD service use patterns in youth. J Pediatr Psychol. 2007; 32(6):695-710. DOI: 10.1093/jpepsy/jsm023. View

10.

Owens J . Social Class, Diagnoses of Attention-Deficit/Hyperactivity Disorder, and Child Well-Being. J Health Soc Behav. 2020; 61(2):134-152. DOI: 10.1177/0022146520924810. View

11.

Azazy S, Nour-Eldein H, Salama H, Ismail M . Quality of life and family function of parents of children with attention deficit hyperactivity disorder. East Mediterr Health J. 2018; 24(6):579-587. DOI: 10.26719/2018.24.6.579. View

12.

Stevens J, Harman J, Kelleher K . Sociodemographic and economic comparisons of children prescribed longer-acting versus short-acting stimulant medications for attention deficit hyperactivity disorder. J Behav Health Serv Res. 2005; 32(4):430-7. DOI: 10.1007/BF02384202. View

13.

Page M, McKenzie J, Bossuyt P, Boutron I, Hoffmann T, Mulrow C . The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Int J Surg. 2021; 88:105906. DOI: 10.1016/j.ijsu.2021.105906. View

14.

Jensen P, Hoagwood K, Roper M, Eugene Arnold L, Odbert C, Crowe M . The services for children and adolescents-parent interview: development and performance characteristics. J Am Acad Child Adolesc Psychiatry. 2004; 43(11):1334-44. DOI: 10.1097/01.chi.0000139557.16830.4e. View

15.

Jablonska B, Kosidou K, de Leon A, Wettermark B, Magnusson C, Dal H . Neighborhood Socioeconomic Characteristics and Utilization of ADHD Medication in Schoolchildren: A Population Multilevel Study in Stockholm County. J Atten Disord. 2016; 24(2):265-276. DOI: 10.1177/1087054716643257. View

16.

DuPaul G, Evans S, Mautone J, Owens J, Power T . Future Directions for Psychosocial Interventions for Children and Adolescents with ADHD. J Clin Child Adolesc Psychol. 2019; 49(1):134-145. DOI: 10.1080/15374416.2019.1689825. View

17.

Toomey S, Sox C, Rusinak D, Finkelstein J . Why do children with ADHD discontinue their medication?. Clin Pediatr (Phila). 2012; 51(8):763-9. DOI: 10.1177/0009922812446744. View

18.

Zendarski N, Sciberras E, Mensah F, Hiscock H . Factors Associated With Educational Support in Young Adolescents With ADHD. J Atten Disord. 2018; 24(5):750-757. DOI: 10.1177/1087054718804351. View

19.

Shaw M, Hodgkins P, Caci H, Young S, Kahle J, Woods A . A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: effects of treatment and non-treatment. BMC Med. 2012; 10:99. PMC: 3520745. DOI: 10.1186/1741-7015-10-99. View

20.

Sevastidis A, Dona S, Gold L, Sciberra E, Coghill D, Le H . Social gradient in use of health services and health-related quality of life of children with attention-deficit/hyperactivity disorder: A systematic review. JCPP Adv. 2023; 3(3):e12170. PMC: 10501702. DOI: 10.1002/jcv2.12170. View