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注意缺陷多动障碍患儿父母创伤性损伤风险增加:一项全国性基于人群的研究。

Increased Risk of Traumatic Injuries Among Parents of Children with Attention Deficit/Hyperactivity Disorder: A Nationwide Population-Based Study.

机构信息

Department of Addiction Science, Kaohsiung Municipal Kai-Syuan Psychiatric Hospital, Kaohsiung 80276, Taiwan.

Department of Nursing, Meiho University, Pingtung 91200, Taiwan.

出版信息

Int J Environ Res Public Health. 2021 Mar 30;18(7):3586. doi: 10.3390/ijerph18073586.

Abstract

Children with attention deficit/hyperactivity disorder (ADHD) are vulnerable to traumatic injuries. Parents of children with ADHD experience undesirable impacts more frequently than parents of children without ADHD. The aim of this study was to evaluate whether traumatic injuries are more prevalent in parents of children with ADHD than in parents of children without ADHD. We compared the prevalence of traumatic injuries between parents of children with and without ADHD by using data from the Taiwan Maternal and Child Health Database from 2004 to 2017. The Cox proportional-hazards regression model was used to examine differences in burn injury, fracture, and traumatic brain injury between parents of children with and without ADHD after adjustment for age, urbanicity, and income level. In total, 81,401 fathers and 87,549 mothers who had at least one offspring with ADHD and 1,646,100 fathers and 1,730,941 mothers with no offspring with ADHD were included in the analysis. The results indicated that both fathers and mothers of children with ADHD had higher risks of burn injury, fracture, and traumatic brain injury than fathers and mothers of children without ADHD. Mothers of children with ADHD had higher risks for all kinds of traumatic events than fathers of children with ADHD.

摘要

患有注意缺陷多动障碍(ADHD)的儿童易受创伤性损伤。与没有 ADHD 儿童的父母相比,患有 ADHD 儿童的父母更频繁地经历不良影响。本研究旨在评估 ADHD 儿童的父母是否比没有 ADHD 儿童的父母更容易发生创伤性损伤。我们使用了 2004 年至 2017 年台湾母婴健康数据库的数据,比较了 ADHD 儿童和非 ADHD 儿童父母之间创伤性损伤的发生率。使用 Cox 比例风险回归模型,在调整年龄、城市和收入水平后,比较了 ADHD 儿童和非 ADHD 儿童父母之间烧伤、骨折和创伤性脑损伤的差异。共有 81401 名患有 ADHD 的儿童的父亲和 87549 名患有 ADHD 的儿童的母亲,以及 1646100 名没有 ADHD 儿童的儿童的父亲和 1730941 名没有 ADHD 儿童的母亲纳入分析。结果表明,患有 ADHD 儿童的父母,无论是父亲还是母亲,发生烧伤、骨折和创伤性脑损伤的风险都高于没有 ADHD 儿童的父母。患有 ADHD 儿童的母亲发生各种创伤性事件的风险都高于患有 ADHD 儿童的父亲。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d11/8036660/5a69fe3d1189/ijerph-18-03586-g001.jpg

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