Community Perspectives of Childhood Behavioral Problems and ADHD Among African American Parents

Omolara Olaniyan, Susan dosReis, Victoria Garriett, Matthew P. Mychailyszyn, Julia Anixt, Peter C. Rowe, Tina L. Cheng

Research output: Contribution to journalArticlepeer-review

58 Scopus citations


Objective: To explore parents' perceptions of childhood behavior problems and attention-deficit/hyperactivity disorder (ADHD) among a sample of African American (AA) parents. Methods: Five focus groups were conducted in inner-city Baltimore and the Washington, DC, metropolitan region with 5 to 7 AA parents per group. Adults with children under the age of 17 years were recruited from pediatric practices. One investigator moderated each focus group, and a second took notes. Sessions averaged 1.5 hours long, were recorded on audiotape, and were transcribed verbatim. The narrative data were coded for recurring themes. Results: Five major themes emerged from the analysis: causes of behavioral problems in children, the legitimacy of ADHD as a diagnosis, attitudes about doctors, opinions of medication, and perceptions of the school environment. Many participants felt that behavior issues, including those accompanying ADHD, were caused by inappropriate parenting and disciplinary practices. Some viewed the diagnosis as a label applied with racial inequality to exert social control over AAs. Several expressed distrust in physicians who were quick to make a diagnosis of ADHD and recommend medications. Others worried that medication would lead to drug addiction in adulthood. Some perceived that children were labeled with ADHD because of poor educational environments that were unresponsive to the needs of AA children. Conclusions: These focus groups identified important community perceptions about ADHD and its medical treatment. Understanding how these perceptions contribute to racial disparities in ADHD diagnosis and treatment can help inform culturally sensitive interventions to improve the management of ADHD among AA children.

Original languageEnglish (US)
Pages (from-to)226-231
Number of pages6
JournalAmbulatory Pediatrics
Issue number3
StatePublished - May 2007


  • ADHD
  • focus groups
  • parental perceptions
  • racial disparity
  • social networks

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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