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Cu toate acestea, pacienții individuali pot prezenta efecte mai mult sau mai puțin pronunțate ", au scris ei

Majoritatea acestor vizite nu au fost la un psihiatru: 48% au fost efectuate de către medici pediatri și 12% de către medicii de familie. Doar puțin mai mult de o treime din vizite (36%) au fost cu psihiatri.

Rata a fost deosebit de ridicată în rândul băieților: 147 la 1.000 de locuitori, conform analizei datelor din Studiul Național de Asistență Medicală Ambulatorie 2012-2013, raportat într-un centru de date al Centrului Național pentru Statistici de Sănătate.

Fetele au avut mai puțin de jumătate din această rată, la 62 la 1.000, potrivit anchetatorilor conduși de Michael Albert, MD, MPH, din CDC.

Aceste disparități au persistat atunci când sunt defalcate pe grupe de vârstă: pentru copiii cu vârsta cuprinsă între 4 și 12 ani, au existat 156 de vizite la 1000 de băieți față de 59 de vizite la 1.000 de fete, iar pentru copiii cu vârste între 13 și 17 ani, au existat 130 de vizite la 1000 de băieți, comparativ cu 67 vizite la 1.000 de fete.

Jeff Epstein, dr., Director al Centrului pentru ADHD de la Spitalul de Copii Cincinnati din Ohio, care nu a fost implicat în studiu, a declarat că diferența se poate datora faptului că băieții cu ADHD tind să afișeze comportamente precum impulsivitatea, așa că "sunt mai susceptibile de a fi îndrumați pentru evaluare și tratament." În contrast, "fetele cu ADHD sunt mai susceptibile de a avea doar probleme cu neatenția."

Rata scăzută de implicare a psihiatrilor poate fi urmărită de o distribuție inegală a specialiștilor în întreaga țară, a sugerat Epstein.