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泰国也梭通府注意缺陷多动障碍(ADHD)的患病率及家长参与ADHD儿童护理的相关因素

Prevalence of ADHD and factors for parent's participation in the care of children with ADHD, Yasothon, Thailand.

作者信息

Arrirak Narisara, Sombuteyotha Kemika, Bourneow Chaiwut, Namwong Thanom, Glangkarn Sumattana

机构信息

Faculty of Public Health, Mahasarakham University, Mahasarakham, Thailand.

出版信息

J Educ Health Promot. 2024 Jan 22;12:423. doi: 10.4103/jehp.jehp_475_23. eCollection 2023.

Abstract

BACKGROUND

Attention deficit hyperactivity disorder (ADHD) is a mental health disorder commonly observed in children. Parents' participation in the care (PPC) of children with ADHD (C-ADHD) is especially important to promote support care and treatment. We estimated the prevalence of C-ADHD and identified the factors for the PPC of C-ADHD.

METHODS AND MATERIALS

A cross-sectional analytic study was conducted on parents and grade-one students in five primary schools, Muang district, Yasothon, Thailand. The study was conducted from March to June 2022. Data were collected using the screening test of SNAP-IV Thai version and by interviewing child psychiatrists and parents. Descriptive statistics were used to summarize the demographic data and prevalence of C-ADHD. Unconditional multiple logistic regression was used to identify predictive statistical model for the PPC of C-ADHD.

RESULTS

Four hundred sixty-four students were screened by SNAP-IV, of which 30 students were confirmed as ADHD (6.5% [95% confidence interval [CI]: 4.4-9.1]), with 9.1% boys and 3.6% girls. Four factors associated with the PPC of C-ADHD significantly including male (ORadj: 2.5, 95% CI: 1.4-4.4), single divorce status (ORadj: 2.1, 95% CI: 1.1-4.2), income more than 15,000 baht (ORadj: 3.1, 95% CI: 1.8-5.1), and attitude level during middle-high (ORadj: 8.4, 95% CI: 5.0-14.2). Predictive factors of four variables can be used to implement the policy to improve the healthcare system, prevention, and PPC of C-ADHD.

摘要

背景

注意力缺陷多动障碍(ADHD)是一种常见于儿童的心理健康障碍。父母参与多动症患儿(C-ADHD)的护理(PPC)对于促进支持性护理和治疗尤为重要。我们估计了C-ADHD的患病率,并确定了C-ADHD患者父母参与护理的相关因素。

方法与材料

对泰国耶梭通府孟区五所小学的家长和一年级学生进行了一项横断面分析研究。该研究于2022年3月至6月进行。通过使用SNAP-IV泰语版筛查测试以及采访儿童精神科医生和家长来收集数据。描述性统计用于总结人口统计学数据和C-ADHD的患病率。无条件多元逻辑回归用于确定C-ADHD患者父母参与护理的预测统计模型。

结果

通过SNAP-IV对464名学生进行了筛查,其中30名学生被确诊为ADHD(6.5%[95%置信区间[CI]:4.4-9.1]),男孩患病率为9.1%,女孩为3.6%。与C-ADHD患者父母参与护理显著相关的四个因素包括男性(调整后比值比[ORadj]:2.5,95%CI:1.4-4.4)、单亲或离异状态(ORadj:2.1,95%CI:1.1-4.2)、收入超过15,000泰铢(ORadj:3.1,95%CI:1.8-5.1)以及中高态度水平(ORadj:8.4,95%CI:5.0-14.2)。这四个变量的预测因素可用于实施改善医疗保健系统、预防和C-ADHD患者父母参与护理情况的政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f02/10920662/28200756ef7d/JEHP-12-423-g001.jpg

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