'To ensure more equitable health care, clinicians must recognize these issues in broader society without assuming a universal African American experience exists; great care requires clinicians to probe & consider individual patients' unique experiences.”
Black individuals living in countries where they are considered a minority are underrepresented in studies evaluating ADHD. Joel Nigg, Ph.D., explains that “Mosthas studied male children of European-Caucasian ancestry in North America, Europe, and Oceana. Relatively few studies specifically examine aspects of race or cultural variation.” For the current meta-analysis, researchers reviewed 21 studies published between 1979 and 2020 that included data from 154,818 Black participants.
The meta-analysis did not directly compare risk factors facing Black patients and other patients. However, several of the studies used noted relatively higher diagnosis rates for ADHD and learning disabilities among Black children, and they noted that teacher ratings typically factor heavily into those evaluations.
Rather, they said these findings demonstrate the need for more research with the ultimate goal of creating culturally appropriate assessment and monitoring tools to. Sarah Vinson, M.D., says that “to ensure more equitable health care, clinicians must recognize these issues in broader society without assuming that a universal African American experience exists; great care requires clinicians to probe and consider each individual patient’s unique experiences.
The authors of the study concluded, “Although there is still much work to be done to better understand these data and to study the barriers associated with culturally appropriate ADHD diagnoses and care for Black individuals, the present study provides important insights for both research and clinical practice. It offers key avenues to consider the reduction of disparities associated with ADHD diagnoses among Black individuals.
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