Evidence map›Paper›PMID 26017546›Full record

ArticleSocial psychiatry and psychiatric epidemiology2015

Differences in ADHD medication usage patterns in children and adolescents from different cultural backgrounds in the Netherlands.

Els F van den Ban, Patrick C Souverein, Herman van Engeland, Hanna Swaab, Toine C G Egberts, Eibert R Heerdink

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Article in Social psychiatry and psychiatric epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

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7citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Els F van den BanYouth Division Altrecht, Institute for Mental Health, Nieuwe Houtenseweg 2, 3524 SH, Utrecht, The Netherlands, e.van.den.ban@altrecht.nl.
Patrick C Souverein
Herman van Engeland
Hanna Swaab
Toine C G Egberts
Eibert R Heerdink

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDifferences in incidence and prevalence of ADHD medication use between ethnic groups have been reported. Goal of this study was to determine whether there are also differences in usage patterns of ADHD medication among native Dutch children and adolescents and those with a Moroccan, Turkish and Surinam cultural background in the Netherlands between 1999 and 2010.

methodsIn a cohort of ADHD patients <19 years (N = 817) incident use and discontinuation of ADHD medication were measured for ethnicity and adjusted for age, gender and socio-economic status.

resultsA significant higher proportion of ADHD-diagnosed patients from Moroccan (32 %) and Turkish (42 %) cultural background never used ADHD medication compared to Dutch natives (21 %). One-fifth of native Dutch and Turkish patients already used ADHD medication before the ADHD diagnosis date. Discontinuation of ADHD medication within 5 years was significantly higher in Moroccan [HR 2.4 (95 % CI 1.8-3.1)] and Turkish [HR 1.7 (95 % CI 1.1-2.6)] patients. A sensitivity analysis with a zip code-matched comparison between Dutch natives and non-natives showed similar results, suggesting this effect is probably not explained by socio-economic status (SES).

conclusionDifferences are found in prescribing and use of ADHD medication between patients with a different cultural background. Native Dutch and Turkish patients start more frequently with ADHD medication before the ADHD diagnose date, which can be an indication of differences in either referral patterns and/or access to care. A higher percentage of patients with a Moroccan and Turkish cultural background never start using ADHD medication at all and discontinuation rate is higher compared to Dutch natives and Surinamese.

Indexed as

CultureEthnicityAdolescentAttention Deficit Disorder with HyperactivityCentral Nervous System StimulantsChildFemaleHumansMaleMoroccoNetherlandsSocial ClassSurinameTurkeyWithholding TreatmentCentral Nervous System Stimulants

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.