Sociology, Aging Studies Institute Associate, and Lerner Center for Public Health Promotion, Syracuse University, Maxwell School of Citizenship and Public Affairs, Syracuse, New York, USA.
Biodemography Soc Biol. 2022 Jan-Mar;67(1):28-39. doi: 10.1080/19485565.2021.2020618. Epub 2022 Jan 5.
We draw upon the life-course perspective and examine whether Attention Deficit Hyperactivity Disorder (ADHD) moderates the age pattern of adult mortality using data from the 2007 and 2012 National Health Interview Survey Sample Adult File linked to National Death Index data through 2015. Overall, 7.0% of respondents died by 2015. Discrete-time hazard analysis indicates that the log odds of mortality were significantly lower among 18 and 19 year old adults ever diagnosed with ADHD and significantly higher among 46 to 64 year old adults ever diagnosed with ADHD, with a crossover occurring at age 33. Results were similar among men and women. It is not known specifically which risks drive changes in the risk of mortality documented among persons with ADHD during the transition to adulthood, the increased risk of mortality in midlife, or whether some risks operate more or less at particular ages. Additional research can lead to targeted, age- and life-course stage-focused interventions for specific risks and contribute to the reduction of ADHD-related mortality.
我们借鉴生命历程的观点，利用 2007 年和 2012 年全国健康访谈调查样本成人档案的数据，以及 2015 年全国死亡指数数据，来检验注意力缺陷多动障碍（ADHD）是否调节了成年人死亡率的年龄模式。总体而言，到 2015 年，7.0%的受访者死亡。离散时间风险分析表明，在 ADHD 确诊的 18 岁和 19 岁成年人中，死亡的对数几率显著较低，而在 ADHD 确诊的 46 岁至 64 岁成年人中，死亡的对数几率显著较高，在 33 岁时发生交叉。男性和女性的结果相似。具体来说，尚不清楚哪些风险会导致 ADHD 患者在成年过渡期内记录的死亡率变化、中年时的死亡率增加，或者某些风险在特定年龄是否或多或少地发挥作用。进一步的研究可以针对特定风险制定有针对性的、关注年龄和生命历程阶段的干预措施，有助于减少与 ADHD 相关的死亡率。
