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Medication dispensing among Māori and non-Māori screened for preschool ADHD

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Authors:
Summary:

Māori children living in deprived neighbourhoods or outside of major urban areas are less likely to receive attention deficit hyperactivity disorder (ADHD) medication compared with non-Māori children, according to a recent population-level study. The study identified 414,171 children from the Integrated Data Infrastructure who underwent their B4 School Check between 2011 and 2018. A total of 2.8% of Māori children and 1.6% of non-Māori children were screened as showing ADHD concerns. Of those with concerns, ADHD medication was dispensed to 10.8% of Māori children compared with 14.9% of non-Māori children, however an ethnicity difference was only significant for those living in the most deprived quintile and outside of major urban areas. Further research is needed to understand the specific barriers for Māori accessing ADHD medication in these areas, the study authors concluded.

Comment:
Some of you may have been following the recent court case about diagnosing/prescribing for ADHD in the media. This paper, and current inequities to evidence-based care, should be used to inform further discussion and planning. Going further, there appears to be an increasing need for adults too, and significant barriers to access services.
Reference: N Z Med J. 2022;135(1565):95-103.
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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