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东北埃塞俄比亚地区 6-17 岁儿童注意缺陷多动障碍的患病率及相关因素。

Prevalence and Associated Factors of Attention-Deficit Hyperactivity Disorder among Children Aged 6-17 Years in North Eastern Ethiopia.

机构信息

Department of Nursing, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia.

The National Tobacco Enterprise (Ethiopia) Share Company (NTE), Northeastern, Ethiopia.

出版信息

Ethiop J Health Sci. 2022 Mar;32(2):321-330. doi: 10.4314/ejhs.v32i2.13.

Abstract

BACKGROUND

Attention-deficit hyperactivity disorder is one of the public neurodevelopmental disorders characterized by impulsivity and restlessness or hyperactivity. This study aimed to assess the prevalence of Attention-deficit hyperactivity disorder and its associated factors among children aged 6 to 17 years in Shewa Robit town, Northeastern Ethiopia, 2020.

METHODS

A community-based cross-sectional study was conducted among 365 children aged 6-17 years from Feb 1-March 30, 2020, at Shewa Robit town. Systematic random sampling was employed to select study participants. Data were collected by interview using structured and pretested questionnaires. Finally, data was entered using Epi-data 4.2 and analyzed using SPSS version 25. Bivariable and multivariable binary logistic regression analysis was conducted to identify associated factors of attention deficit hyperactivity disorder. Odds ratios with 95% CI were calculated, and variables having a p-value < 0.05 were considered statistically significant.

RESULT

The prevalence of ADHD among children aged 6 to 17 years was 13%. Financial crises [AOR 4.76(95% CI 1.51-15.05)], children a previous history of the mental problem [AOR 8.45(95% CI 1.24-57.43)], C/S delivery [AOR 6.38(95% CI 1.26-32.26)] and substance use in life [AOR 2.43(95% CI 1.09-5.43)] were significantly associated with attention deficit hyperactivity disorder.

CONCLUSION

The prevalence of ADHD in children 6 to 17 years old was high (13%). Financial crises, children's history of mental disorders, C/S delivery, and lifetime substance use were significantly associated with attention deficit hyperactivity disorder. Therefore, particular attention should be given to mothers and children with significant factors.

摘要

背景

注意力缺陷多动障碍是一种常见的神经发育障碍,其特征为冲动和不安或多动。本研究旨在评估 2020 年埃塞俄比亚东北部舍瓦罗比镇 6 至 17 岁儿童注意力缺陷多动障碍的患病率及其相关因素。

方法

2020 年 2 月 1 日至 3 月 30 日,在舍瓦罗比镇,对 365 名 6-17 岁儿童进行了一项基于社区的横断面研究。采用系统随机抽样选择研究参与者。通过访谈使用结构化和预测试问卷收集数据。最后,使用 Epi-data 4.2 输入数据并使用 SPSS 版本 25 进行分析。进行单变量和多变量二元逻辑回归分析以确定注意力缺陷多动障碍的相关因素。计算了比值比及其 95%置信区间,具有 p 值<0.05 的变量被认为具有统计学意义。

结果

6 至 17 岁儿童中 ADHD 的患病率为 13%。经济危机 [AOR 4.76(95% CI 1.51-15.05)]、儿童有精神问题的既往史 [AOR 8.45(95% CI 1.24-57.43)]、剖宫产 [AOR 6.38(95% CI 1.26-32.26)] 和一生中使用过物质 [AOR 2.43(95% CI 1.09-5.43)] 与注意力缺陷多动障碍显著相关。

结论

6 至 17 岁儿童 ADHD 的患病率较高(13%)。经济危机、儿童精神障碍史、剖宫产和一生中使用物质与注意力缺陷多动障碍显著相关。因此,应特别关注有显著因素的母亲和儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e4/9175227/064098141b73/EJHS3202-0321Fig1.jpg

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