Pineda D A, Lopera F, Henao G C, Palacio J D, Castellanos F X
Grupo de Neurociencias de Antioquia, Universidad de Antioquia, Colombia.
Rev Neurol. 2001;32(3):217-22.
Using a shortened rating scale, the prevalence of Attention Deficit Hyperactivity Disorder (ADHD) has been reported to be very higher in a Colombian population. However, these data require clinical confirmation.
To confirm clinically the prevalence of ADHD in Colombian children and adolescents.
A randomized sample of 4 to 17 year old children and adolescents--184 males and 157 females--was selected from the schools. Sample was stratified in two socioeconomic status: high (4, 5, 6) and low (1, 2, 3). Several parents' and teachers' rating scales for the diagnosis of ADHD, standardized and validated in the Colombian population, were applied to the sample. The diagnosis of ADHD was confirmed using a semi-structured psychiatric and neurological interview, and medical histories revisions.
Analysis found that prevalence of ADHD is 17.1%. Distribution for ADHD types was: combined 9.4%, inattentive 6.7% and hyperactive-impulsive 1%. Prevalence for boys was significant higher (21.8%) than for girls (10.9%) (chi 2 = 11.8, p < 0.01). In male predominate combined type and in female inattentive. Higher prevalence was found in low socioeconomic strata. Preschool children have lower prevalence (6.2%) than school 6 to 11 year old children (22.6%) and adolescents (21.6%).
A higher prevalence of ADHD was confirmed in Colombian population.
据报道，使用缩短版评定量表时，哥伦比亚人群中注意力缺陷多动障碍（ADHD）的患病率非常高。然而，这些数据需要临床证实。
从临床角度证实哥伦比亚儿童和青少年中ADHD的患病率。
从学校中随机抽取4至17岁的儿童和青少年样本——184名男性和157名女性。样本按两种社会经济地位分层：高（4、5、6）和低（1、2、3）。将几种在哥伦比亚人群中标准化并验证过的用于ADHD诊断的家长和教师评定量表应用于该样本。使用半结构化的精神科和神经科访谈以及病史复查来确诊ADHD。
分析发现ADHD的患病率为17.1%。ADHD各类型的分布为：混合型9.4%，注意力不集中型6.7%，多动冲动型1%。男孩的患病率（21.8%）显著高于女孩（10.9%）（卡方 = 11.8, p < 0.01）。男性中以混合型为主，女性中以注意力不集中型为主。社会经济地位较低阶层的患病率更高。学龄前儿童患病率（6.2%）低于6至11岁学龄儿童（22.6%）和青少年（21.6%）。
哥伦比亚人群中ADHD的患病率较高得到了证实。
