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沙赫鲁德地区小学生注意力缺陷多动障碍的患病率及其相关危险因素

The prevalence of attention-deficit hyperactivity disorder and its related risk factors among children at elementary school in Shahroud.

作者信息

Hamidzadeh Azam, Kharatha Mehrnaz, Bazghaleh Milad, Basirinejad Hassan, Aghdam Nasrin Fadae, Ebrahimi Hossein

机构信息

Department of Nursing, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

Department of Epidemiology, School of Epidemiology and Biostatics, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Educ Health Promot. 2021 Sep 30;10:341. doi: 10.4103/jehp.jehp_46_21. eCollection 2021.

Abstract

BACKGROUND

Attention-deficit hyperactivity disorder (ADHD) is one of the most common reasons for visiting psychiatrists and psychologists. This study aimed to investigate the prevalence of ADHD and its related risk factors among children at elementary schools.

MATERIALS AND METHODS

This cross-sectional study focused on teachers and parents of 779 elementary students who were selected through stratified cluster random sampling; Conners Parent and Teacher Questionnaires were used to collecting data. The data were analyzed by the use of descriptive statistics (frequency and percentage), independent samples -test, Chi-square, one-way ANOVA, and linear regression. The significant level was set at 0.05.

RESULTS

According to teachers' responses, the prevalence of ADHD among students in elementary schools was 4.4%, whereas parents reported a prevalence of 0.5%. There was a significant relationship between childhood ADHD and marital status of parents, fathers' smoking habits, previous experience of living in rural areas, children's previous history of having diseases and using the medicine, previous history of ADHD, and psychological problems in the family.

CONCLUSIONS

According to the study, teachers and parents suffer from a lack of knowledge about ADHD. Thus, the educational workshops and programs should be held for teachers, parents, and counselors to inform them about the procedures for timely diagnosis and treatment of ADHD.

摘要

背景

注意缺陷多动障碍(ADHD)是儿童就诊于精神科医生和心理医生的最常见原因之一。本研究旨在调查小学儿童中ADHD的患病率及其相关危险因素。

材料与方法

这项横断面研究聚焦于通过分层整群随机抽样选取的779名小学生的教师和家长;使用康纳斯父母与教师问卷收集数据。采用描述性统计(频数和百分比)、独立样本t检验、卡方检验、单因素方差分析和线性回归对数据进行分析。显著性水平设定为0.05。

结果

根据教师的反馈,小学学生中ADHD的患病率为4.4%,而家长报告的患病率为0.5%。儿童ADHD与父母婚姻状况、父亲吸烟习惯、既往农村生活经历、儿童既往患病及用药史、既往ADHD史以及家庭心理问题之间存在显著关联。

结论

根据该研究,教师和家长对ADHD缺乏了解。因此,应为教师、家长和咨询顾问举办教育讲习班和项目,告知他们ADHD及时诊断和治疗的程序。

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