ArticleAcademic pediatrics2019
Unmet Need and Financial Impact Disparities for US Children with ADHD.
Article in Academic pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Practitioner Review: It's time to bridge the gap - understanding the unmet needs of consumers with attention-deficit/hyperactivity disorder - a systematic review and recommendations.Journal of child psychology and psychiatry, and allied disciplines · 2023Pooled it
- Parent Perspectives on Barriers to Behavioral Health Services for Children With ADHD.Journal of attention disorders · 2026Article
- Addressing Disparities: A Pragmatic Comparative Effectiveness Trial of School-Based Executive Functioning Interventions.Evidence-based practice in child and adolescent mental health · 2026Article
- Study protocol for a hybrid type 2 effectiveness-implementation trial of two interventions for autistic and non-autistic youth in children's mental health settings: one tailored for neurodivergence and one universal.Implementation science communications · 2025Article
- "The Way the System is Working Out, It's Not Working at All": Parent Perspectives on Social Determinants of Health and ADHD Symptoms in Preschoolers.Child psychiatry and human development · 2025Article
- Changes in real-world dispensing of ADHD stimulants in youth from 2019 to 2021 in California.Frontiers in public health · 2024Article
- A Narrative Review of the Association between Prematurity and Attention-Deficit/Hyperactivity Disorder and Accompanying Inequities across the Life-Course.Children (Basel, Switzerland) · 2023Review
- 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 · 2023Article
- Environmental Exposure Disparities and Neurodevelopmental Risk: a Review.Current environmental health reports · 2023Review
- Attention deficit hyperactivity disorder: Insights into underfunding in the private healthcare sector in South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2023Article
- Preventive dental care utilization for children with special healthcare needs including the COVID-19 pandemic, national survey of children's health, 2020.PLOS global public health · 2023Article
- Academic, Interpersonal, Recreational, and Family Impairment in Children with Tourette Syndrome and Attention-Deficit/Hyperactivity Disorder.Child psychiatry and human development · 2022Article
Corrections and comments
- Erratum issuedErratum.2021
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveThe 5.1million US children with attention-deficit/hyperactivity disorder (ADHD) have pronounced needs in education, occupational and speech therapy, and medical and behavioral treatments. Given known associations of ADHD diagnosis with race/ethnicity and parent education, this study aimed to assess how measures of socioeconomic status correlate with both adverse family financial impact of ADHD and disparities in unmet treatment need for ADHD.
methodsSecondary analysis of children ages 8 to 17years whose households participated in the 2014 National Survey of the Diagnosis and Treatment of Attention-Deficit/Hyperactivity Disorder and Tourette Syndrome. Using bivariate testing, we examined associations among measures of socioeconomic status with unmet ADHD treatment need and family financial impact. Logistic regression models estimated the odds of having unmet treatment need, adjusting for demographic factors and family financial impact.
resultsAmong US school-aged children with a current ADHD diagnosis, 44.3% experienced an adverse family financial impact from ADHD, and 11.6% had unmet need for ADHD treatment. Children with younger age at first ADHD diagnosis were more likely to experience adverse family financial impact. Children from non-English-speaking households were less likely to report unmet need compared to those from primarily English-speaking households. The adjusted odds of unmet need were twice as great among those who reported adverse family financial impact.
conclusionDeeper understanding of the influence of the household language is important in ADHD needs assessments. Considering overall family financial circumstances may also be pertinent, particularly as children age, because earlier diagnosiswas associated with adverse financial outcomes. These findings could shape future clinic policies for targeting community resources.
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Registered trials
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.