University of Colombo, Sri Lanka.
University of Sri Jayewardenepura, Gangodawila, Sri Lanka.
J Atten Disord. 2023 Aug;27(10):1081-1091. doi: 10.1177/10870547231167571. Epub 2023 Apr 13.
To evaluate potential risk-factors of ADHD among primary school-children (PSC) in state schools in Colombo district of Sri Lanka.
A case-control study was conducted with 73 cases and 264 controls selected randomly among 6 to 10-year-old PSC from Sinhala medium state schools in Colombo district. Primary care givers completed the SNAP-IV P/T-S scale to screen for ADHD and an interviewer-administered questionnaire on risk-factors. Children's diagnostic status was confirmed by a Consultant Child and Adolescent Psychiatrist based on DSM-5 criteria.
A binomial regression model identified male sex (aOR = 3.45; 95% CI [1.65, 7.18]), lower educational level of the mother (aOR = 2.99; 95% CI [1.31, 6.48]), birth weight <2,500 g (aOR = 2.83; 95% CI [1.17, 6.81]),a neonatal complications (aOR = 3.82; 95% CI [191, 7.65]) and child having witnessed verbal/emotional aggression between parents (aOR = 2.08; 95% CI [1.01, 4.27])as significant predictors of ADHD.
Primary prevention should focus on strengthening neonatal, maternal and child health services within the country.
评估斯里兰卡科伦坡地区国立学校小学生（PSC）患注意缺陷多动障碍（ADHD）的潜在风险因素。
采用病例对照研究，在科伦坡地区的僧伽罗语国立学校中，随机选择 6 至 10 岁的 PSC 中的 73 例病例和 264 例对照。初级照顾者使用 SNAP-IV P/T-S 量表筛查 ADHD，并通过访谈者管理的风险因素问卷进行评估。根据 DSM-5 标准，由儿童和青少年精神病顾问确认儿童的诊断状况。
二项回归模型确定了男性性别（aOR = 3.45；95%CI [1.65, 7.18]）、母亲较低的教育水平（aOR = 2.99；95%CI [1.31, 6.48]）、出生体重<2500 克（aOR = 2.83；95%CI [1.17, 6.81]）、新生儿并发症（aOR = 3.82；95%CI [191, 7.65]）以及目睹父母之间言语/情感攻击的儿童（aOR = 2.08；95%CI [1.01, 4.27]）是 ADHD 的显著预测因素。
初级预防应侧重于加强国内的新生儿、母婴健康服务。
