Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic review

Abstract Aims ADHD (attention‐deficit/hyperactivity disorder) affects 5% of children on average. Despite the high need to access services for ADHD treatment, not all children with ADHD utilise healthcare services equally. This study aims to systematically synthesise evidence of equity and equality i...

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Main Authors: Abraham Sevastidis, Sithara Wanni Arachchige Dona, Lisa Gold, Emma Sciberra, David Coghill, Ha Nguyet Dao Le
Format: Article
Language:English
Published: Wiley 2023-09-01
Series:JCPP Advances
Subjects:
Online Access:https://doi.org/10.1002/jcv2.12170
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author Abraham Sevastidis
Sithara Wanni Arachchige Dona
Lisa Gold
Emma Sciberra
David Coghill
Ha Nguyet Dao Le
author_facet Abraham Sevastidis
Sithara Wanni Arachchige Dona
Lisa Gold
Emma Sciberra
David Coghill
Ha Nguyet Dao Le
author_sort Abraham Sevastidis
collection DOAJ
description Abstract Aims ADHD (attention‐deficit/hyperactivity disorder) affects 5% of children on average. Despite the high need to access services for ADHD treatment, not all children with ADHD utilise healthcare services equally. This study aims to systematically synthesise evidence of equity and equality in health service use/costs and health‐related quality of life (HRQoL)/wellbeing of children with ADHD across socioeconomic (SES) classes. Methods The literature search was conducted across seven databases (Academic Search complete, MEDLINE Complete, PsycINFO, ERIC, Global Health, CINAHL and EconLit). The search was limited to peer‐reviewed articles published to 23rd January 2023 in English and focused on children. Study quality was assessed using the Critical Appraisal Skills Program (CASP), Joanna Briggs Institute (JBI) and Mixed Methods Appraisal Tool (MMAT) checklists. Results 25 out of 1207 articles were eligible for inclusion. The results showed that SES was associated with different types of healthcare utilisation. Only three studies were found on HRQoL/well‐being. Children with ADHD from low SES families had lower HRQoL than children from high SES families. Conclusion This study found that a social gradient exists in both healthcare service use and children's HRQoL among those with ADHD.
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spelling doaj.art-37d588147fc54187b13d2484b0bb2e0d2023-09-14T18:26:40ZengWileyJCPP Advances2692-93842023-09-0133n/an/a10.1002/jcv2.12170Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic reviewAbraham Sevastidis0Sithara Wanni Arachchige Dona1Lisa Gold2Emma Sciberra3David Coghill4Ha Nguyet Dao Le5Deakin Health Economics School of Health and Social Development Faculty of Health Deakin University Burwood Victoria AustraliaDeakin Health Economics School of Health and Social Development Faculty of Health Deakin University Burwood Victoria AustraliaDeakin Health Economics School of Health and Social Development Faculty of Health Deakin University Burwood Victoria AustraliaMurdoch Children's Research Institute Royal Children's Hospital Burwood Victoria AustraliaMurdoch Children's Research Institute Royal Children's Hospital Burwood Victoria AustraliaDeakin Health Economics School of Health and Social Development Faculty of Health Deakin University Burwood Victoria AustraliaAbstract Aims ADHD (attention‐deficit/hyperactivity disorder) affects 5% of children on average. Despite the high need to access services for ADHD treatment, not all children with ADHD utilise healthcare services equally. This study aims to systematically synthesise evidence of equity and equality in health service use/costs and health‐related quality of life (HRQoL)/wellbeing of children with ADHD across socioeconomic (SES) classes. Methods The literature search was conducted across seven databases (Academic Search complete, MEDLINE Complete, PsycINFO, ERIC, Global Health, CINAHL and EconLit). The search was limited to peer‐reviewed articles published to 23rd January 2023 in English and focused on children. Study quality was assessed using the Critical Appraisal Skills Program (CASP), Joanna Briggs Institute (JBI) and Mixed Methods Appraisal Tool (MMAT) checklists. Results 25 out of 1207 articles were eligible for inclusion. The results showed that SES was associated with different types of healthcare utilisation. Only three studies were found on HRQoL/well‐being. Children with ADHD from low SES families had lower HRQoL than children from high SES families. Conclusion This study found that a social gradient exists in both healthcare service use and children's HRQoL among those with ADHD.https://doi.org/10.1002/jcv2.12170ADHDchildrenequalityequityHRQoLpediatric
spellingShingle Abraham Sevastidis
Sithara Wanni Arachchige Dona
Lisa Gold
Emma Sciberra
David Coghill
Ha Nguyet Dao Le
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
ADHD
children
equality
equity
HRQoL
pediatric
title Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic review
title_full Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic review
title_fullStr Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic review
title_full_unstemmed Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic review
title_short Social gradient in use of health services and health‐related quality of life of children with attention‐deficit/hyperactivity disorder: A systematic review
title_sort social gradient in use of health services and health related quality of life of children with attention deficit hyperactivity disorder a systematic review
topic ADHD
children
equality
equity
HRQoL
pediatric
url https://doi.org/10.1002/jcv2.12170
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