Background: Significant pharmacotherapy disparities exist among children from ethnic minorities with ADHD. Objective: The purpose of this review is to synthesize existing evidence on African American caregiver medication decision making (MDM) for children with ADHD. Method: Databases queried for this review included the Cumulative Index of Nursing and Allied Health Literature (CINAHL), PsychINFO, PubMed, and Education Resources Information Center (ERIC). Information regarding the unique culturally specific barriers and supports to MDM were examined through the relevant literature search. Results: Fourteen articles were included in this review (seven observational studies, four qualitative studies, three mixed methods studies). Three main themes were identified which include (a) fundamental perspectives of ADHD, and cultural norms for child behavior; (b) the impact of fundamental perspectives on MDM in ADHD; and (c) ADHD diagnosis and treatment as forms of social control. Conclusion: Evidence-based recommendations for clinicians are provided, along with direction for future research.

背景：患有多动症的少数民族儿童之间存在显着的药物治疗差异。目的：本综述的目的是综合关于非裔美国人照顾者对 ADHD 儿童用药决策 (MDM) 的现有证据。方法：本次审查查询的数据库包括护理和相关健康文献累积索引 (CINAHL)、PsychINFO、PubMed 和教育资源信息中心 (ERIC)。通过相关文献搜索检查了有关 MDM 的独特文化特定障碍和支持的信息。结果：本综述包括 14 篇文章（七项观察性研究、四项定性研究、三项混合方法研究）。确定了三个主要主题，其中包括 (a) 多动症的基本观点和儿童行为的文化规范；(b) 基本观点对 ADHD 中 MDM 的影响；(c) 作为社会控制形式的 ADHD 诊断和治疗。结论：为临床医生提供了循证建议，以及未来研究的方向。