Evidence map›Paper›PMID 35959536›Full record

ArticlePsychiatric services (Washington, D.C.)2022

Racial and Ethnic Disparities in Childhood ADHD Treatment Access and Utilization: Results From a National Study.

Kelly Guanhua Yang, Michael William Flores, Nicholas J Carson, Benjamin Lê Cook

Open access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Article
  3. Gut Microbiome and ADHD: A Narrative Review of Clinical Evidence and Practice Implications.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
  4. Review
  5. Article
  6. Racial and Ethnic Disparities in Treatment of Youth With Bipolar Disorders.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. ADHD help-seeking attitudes of Asian Americans.Frontiers in child and adolescent psychiatry · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Kelly Guanhua YangPrime Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York City (Yang); Health Equity Research Lab, Cambridge Health Alliance, Harvard Medical School, Boston (Flores, Carson, Cook); Department of Psychiatry, Harvard Medical School, Boston (Flores, Cook).
Michael William FloresPrime Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York City (Yang); Health Equity Research Lab, Cambridge Health Alliance, Harvard Medical School, Boston (Flores, Carson, Cook); Department of Psychiatry, Harvard Medical School, Boston (Flores, Cook).
Nicholas J CarsonPrime Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York City (Yang); Health Equity Research Lab, Cambridge Health Alliance, Harvard Medical School, Boston (Flores, Carson, Cook); Department of Psychiatry, Harvard Medical School, Boston (Flores, Cook).
Benjamin Lê CookPrime Center for Health Equity, Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx, New York City (Yang); Health Equity Research Lab, Cambridge Health Alliance, Harvard Medical School, Boston (Flores, Carson, Cook); Department of Psychiatry, Harvard Medical School, Boston (Flores, Cook).
Cambridge Health Alliance · US

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
Understanding the Role of Trauma Over the Lifecourse in Order to Improve Trauma-informed TreatmentP50MH126283 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI WEISS, MARGARET · 2021 to 2024
$6.6M
AHRQ HHS R01 HS021486NCATS NIH HHS UL1 TR002556NIMH NIH HHS P50 MH126283
6 · The paper itself

Abstract

objectiveThe study examined racial-ethnic disparities in access to and utilization of treatment for attention-deficit hyperactivity disorder (ADHD) and other psychiatric diagnoses among children with ADHD.

methodsNationally representative, cross-sectional data from the Household Component of the Medical Expenditure Panel Survey 2011-2019 were used to examine racial-ethnic disparities in access to and utilization of treatment by children ages 5-17 with ADHD (N=5,838). Logistic regression models were estimated for access outcomes, and generalized linear models were estimated for utilization outcomes. Multivariable regression models adjusted for race-ethnicity, age, sex, and treatment need in accordance with the Institute of Medicine definition of health care disparities.

resultsIn adjusted analyses, compared with White children with ADHD, Black, Hispanic, and Asian children with ADHD had significantly lower rates of any past-year treatment visit for ADHD or for other psychiatric diagnoses. They also had lower rates of having accessed ADHD medication. Compared with White children, Black and Asian children with ADHD used fewer ADHD medications, and Black and Hispanic children with ADHD had lower overall mental health treatment expenditures.

conclusionsDisparities in ADHD treatment among children from racial-ethnic minority populations may be driven primarily by disparities in access rather than in utilization. Once treatment had been accessed, disparities in utilization were largely accounted for by differences in socioeconomic status. These findings suggest that interventions targeting access to treatment among children from racial-ethnic minority populations may help close existing care gaps.

Indexed as

Attention Deficit Disorder with HyperactivityEthnicityAdolescentChildChild, PreschoolCross-Sectional StudiesHealthcare DisparitiesHumansMinority GroupsUnited StatesAttention deficit disordersChild psychiatry/generalRacial-ethnic disparities

Identifiers

PMID35959536
PMCPMC11212017
OpenAlexW4297272118

What OpenQuestion holds

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Registered trials

None linked

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.