Centre for Epidemiology, National Board of Health and Welfare, Stockholm, Sweden.
Acta Paediatr. 2010 Jun;99(6):920-4. doi: 10.1111/j.1651-2227.2009.01638.x. Epub 2009 Dec 11.
To test the hypothesis that psychosocial adversity in the family predicts medicated ADHD in school children.
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.
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%.
Social adversity in the family predicts a considerable proportion of ADHD-medication in school children in Sweden.
验证家庭心理社会逆境可预测学龄儿童药物治疗 ADHD 的假说。
在瑞典，通过全国出生队列（共 110 万名 6-19 岁儿童）中的处方药物登记系统，确定了 2006 年 ADHD 药物治疗情况。采用 logistic 回归模型，根据父母的精神障碍状况进行调整，以检验我们的假说。
母亲教育水平与 ADHD 药物治疗呈明显梯度分布，与最高水平相比，最低水平的调整比值比（OR）为 2.20（2.04-2.38）。单亲家庭和社会福利接收也意味着 ADHD 药物治疗的风险更高，调整 OR 分别为 1.45（1.38-1.52）和 2.06（1.92-2.21）。母亲受教育程度低可预测 33%的 ADHD 药物治疗病例，单亲家庭可预测 14%。
家庭的社会逆境可预测瑞典学龄儿童中相当一部分 ADHD 药物治疗。
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