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越南永隆省小学生注意力缺陷多动障碍的患病率。

Prevalence of ADHD in primary school children in Vinh Long, Vietnam.

作者信息

Pham Hoai Danh, Nguyen Huu Bao Han, Tran Diep Tuan

机构信息

Vinh Long General Hospital, Vinh Long, Vietnam.

University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.

出版信息

Pediatr Int. 2015 Oct;57(5):856-9. doi: 10.1111/ped.12656. Epub 2015 Aug 19.

Abstract

BACKGROUND

Attention-deficit hyperactivity disorder (ADHD) is the most common behavioral disorder in children. It affects not only the subjects but also their families and society. The purpose of this study was to determine the prevalence of ADHD in primary school children in South Vietnam, especially Vinh Long province.

METHOD

Children were chosen randomly from primary schools in Vinh Long from February to March in 2009 in a cross-sectional study to determine the prevalence of ADHD using the ADHD Rating Scale-IV for parents/caregivers and teachers. ADHD Rating Scale-IV was based on DSM-IV for diagnosis of ADHD.

RESULTS

A total of 600 children were chosen and 1200 reports were collected from parents/caregivers and teachers. The prevalence rate of ADHD was 7.7%. The rates of the predominantly inattentive type, predominantly hyperactive type and combined type were 1.7%, 5% and 1%, respectively. The difference in sex was not significant across all subtypes. The prevalence of ADHD in urban children was 2.2-fold that in rural children.

CONCLUSION

The prevalence of ADHD in primary school children in Vinh Long, southern Vietnam, is in the same range as other regions in the world. Therefore, awareness of ADHD needs to be raised, to ensure suitable psychiatric care for children.

摘要

背景

注意力缺陷多动障碍(ADHD)是儿童中最常见的行为障碍。它不仅影响患者本人,还会对其家庭和社会产生影响。本研究的目的是确定越南南部,特别是永隆省小学生中ADHD的患病率。

方法

2009年2月至3月,在永隆省的小学中随机选取儿童进行横断面研究,使用针对父母/照料者和教师的ADHD评定量表第四版来确定ADHD的患病率。ADHD评定量表第四版基于《精神疾病诊断与统计手册》第四版(DSM-IV)来诊断ADHD。

结果

共选取了600名儿童,并从父母/照料者和教师那里收集了1200份报告。ADHD的患病率为7.7%。以注意力不集中为主型、以多动为主型和混合型的患病率分别为1.7%、5%和1%。所有亚型在性别上的差异均不显著。城市儿童中ADHD的患病率是农村儿童的2.2倍。

结论

越南南部永隆省小学生中ADHD的患病率与世界其他地区处于同一范围。因此,需要提高对ADHD的认识,以确保为儿童提供适当的精神科护理。

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