注意缺陷多动障碍：社会经济剥夺的差异。
Attention-deficit/hyperactivity disorder: variation by socioeconomic deprivation.
机构信息
School of Population Health & Environmental Sciences, King's College London, London, UK.
School of Medicine, Nottingham City Hospital, University of Nottingham, Nottingham, UK.
出版信息
Arch Dis Child. 2019 Aug;104(8):802-805. doi: 10.1136/archdischild-2017-314470. Epub 2018 Mar 30.
BACKGROUND
In England, there is a discrepancy between the prevalence of attention-deficit/hyperactivity disorder (ADHD) ascertained from medical records and community surveys. There is also a lack of data on variation in recorded prevalence by deprivation and geographical region; information that is important for service development and commissioning.
METHODS
Cohort study using data from the Clinical Practice Research Datalink comprising 5196 children and young people aged 3-17 years with ADHD and 490 016 without, in 2012.
RESULTS
In 2012, the recorded prevalence of ADHD was 1.06% (95% CI 1.03 to 1.09). Prevalence in the most deprived areas was double that of the least deprived areas (prevalence rate ratio 2.58 (95% CI 2.36 to 2.83)), with a linear trend from least to most deprived areas across all regions in England.
CONCLUSIONS
The low prevalence of ADHD in medical records may indicate considerable underdiagnosis. Higher rates in more disadvantaged areas indicate greater need for services in those areas.
背景
在英国，从医疗记录和社区调查中确定的注意力缺陷/多动障碍（ADHD）患病率存在差异。此外，关于按贫困程度和地理位置记录的患病率变化的数据也很缺乏；这些信息对于服务的开发和委托非常重要。
方法
使用 2012 年临床实践研究数据链接中的数据进行队列研究，该数据包括 5196 名年龄在 3-17 岁的患有 ADHD 的儿童和青少年，以及 490016 名没有 ADHD 的儿童和青少年。
结果
2012 年，ADHD 的记录患病率为 1.06%（95%CI 1.03 至 1.09）。最贫困地区的患病率是最不贫困地区的两倍（患病率比 2.58（95%CI 2.36 至 2.83）），英格兰所有地区的情况都是从最不贫困到最贫困。
结论
医疗记录中 ADHD 的低患病率可能表明存在相当大的漏诊。在较贫困地区的较高发病率表明这些地区对服务的需求更大。
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