Social adversity predicts ADHD-medication in school children - a national cohort study
Social adversity predicts ADHD-medication in school children - a national cohort study
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DOI：
10.1111/j.1651-2227.2009.01638.x
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发表时间：
2010-06-01
期刊：
影响因子：
3.8
通讯作者：
Lindblad, F.
中科院分区：
文献类型：
--
作者：
Hjern, A.;Weitoft, G. R.;Lindblad, F.
目的：要测试的假设，在家庭中的心理逆境预测药物ADHD在schoolchild.Method：ADHD药物治疗在2006年被确定在瑞典处方药注册在全国出生队列110万6-19奥尔兹的孩子。Logistic回归模型校正父母的精神疾病被用来测试我们的hypothes.Results：有一个明显的梯度ADHD药物与母亲的教育水平，调整后的优势比为2.20（2.04-2.38）的最低水平相比，最高的水平。单亲和接受社会福利也意味着ADHD药物治疗的风险较高，调整后的OR分别为1.45（1.38-1.52）和2.06（1.92-2.21）。母亲受教育程度低预测了33%的ADHD药物治疗病例和14%.Conclusions：在瑞典，家庭中的社会逆境预测了相当大比例的学龄儿童ADHD药物治疗。
Aims:To test the hypothesis that psychosocial adversity in the family predicts medicated ADHD in school children.Method:ADHD-medication during 2006 was identified in the Swedish Prescribed Drug Register in national birth cohorts of 1.1 million 6-19 year olds. Logistic regression models adjusted for parental psychiatric disorders were used to test our hypothesis.Results:There was a clear gradient for ADHD medication with level of maternal education, with an adjusted odds ratio of 2.20 (2.04-2.38) for the lowest compared with the highest level. Lone parenthood and reception of social welfare also implied higher risks of ADHD-medication with adjusted ORs of 1.45 (1.38-1.52) and 2.06 (1.92-2.21) respectively. Low maternal education predicted 33% of cases with medicated ADHD and single parenthood 14%.Conclusions:Social adversity in the family predicts a considerable proportion of ADHD-medication in school children in Sweden.