Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Rua Dr. Pedro Armando Gatti 155, Rio Grande, RS, Brazil.
Cad Saude Publica. 2010 Oct;26(10):1954-62. doi: 10.1590/s0102-311x2010001000012.
The aim of this study was to assess early determinants of attention and hyperactivity problems in adolescents. In 1993, all hospital births in the city of Pelotas, Rio Grande do Sul State, Brazil, were monitored and mothers were interviewed (N = 5,249). At 11 years of age, 4,423 mothers answered the Strengths and Difficulties Questionnaire (SDQ) in order to evaluate attention and hyperactivity problems in the adolescents. Crude and adjusted prevalence ratios were calculated using Poisson regression. Prevalence of attention and hyperactivity problems was 19.9%. Factors associated with the outcome in the adjusted analysis were: male gender, low family income, smoking during pregnancy, minor psychiatric disorders in the mother, and history of child's behavioral/emotional problems at four years of age. Early life events impacted attention and hyperactivity problems in adolescence. Risk factors for attention and hyperactivity problems found in this study were similar to those reported in other cultures.
这项研究旨在评估青少年注意缺陷多动障碍的早期决定因素。1993 年，巴西南里奥格兰德州佩洛塔斯市监测了所有医院出生的婴儿，对母亲进行了访谈（N=5249）。在 11 岁时，4423 名母亲回答了长处和困难问卷（SDQ），以评估青少年的注意力和多动问题。使用泊松回归计算了粗患病率比和调整后的患病率比。注意力和多动问题的患病率为 19.9%。调整分析后与结果相关的因素有：男性、家庭收入低、孕期吸烟、母亲有轻微精神障碍，以及 4 岁时儿童行为/情绪问题的病史。生命早期的事件会影响青少年的注意力和多动问题。本研究中发现的注意缺陷多动障碍的危险因素与其他文化报道的相似。
