A Hjern1, G R Weitoft, F Lindblad. 1. Centre for Epidemiology, National Board of Health and Welfare, Stockholm, Sweden. anders.hjern@socialstyrelsen.se
Abstract
AIMS: To test the hypothesis that psychosocial adversity in the family predicts medicated ADHD in school children. METHOD: ADHD-medication during 2006 was identified in the Swedish Prescribed Drug Register in national birth cohorts of 1.1 million 6-19 year olds. Logistic regression models adjusted for parental psychiatric disorders were used to test our hypothesis. RESULTS: There was a clear gradient for ADHD medication with level of maternal education, with an adjusted odds ratio of 2.20 (2.04-2.38) for the lowest compared with the highest level. Lone parenthood and reception of social welfare also implied higher risks of ADHD-medication with adjusted ORs of 1.45 (1.38-1.52) and 2.06 (1.92-2.21) respectively. Low maternal education predicted 33% of cases with medicated ADHD and single parenthood 14%. CONCLUSIONS: Social adversity in the family predicts a considerable proportion of ADHD-medication in school children in Sweden.
AIMS: To test the hypothesis that psychosocial adversity in the family predicts medicated ADHD in school children. METHOD:ADHD-medication during 2006 was identified in the Swedish Prescribed Drug Register in national birth cohorts of 1.1 million 6-19 year olds. Logistic regression models adjusted for parental psychiatric disorders were used to test our hypothesis. RESULTS: There was a clear gradient for ADHD medication with level of maternal education, with an adjusted odds ratio of 2.20 (2.04-2.38) for the lowest compared with the highest level. Lone parenthood and reception of social welfare also implied higher risks of ADHD-medication with adjusted ORs of 1.45 (1.38-1.52) and 2.06 (1.92-2.21) respectively. Low maternal education predicted 33% of cases with medicated ADHD and single parenthood 14%. CONCLUSIONS: Social adversity in the family predicts a considerable proportion of ADHD-medication in school children in Sweden.
Authors: Petteri Joelsson; Roshan Chudal; David Gyllenberg; Anna-Kaisa Kesti; Susanna Hinkka-Yli-Salomäki; Juha-Pekka Virtanen; Jukka Huttunen; Terja Ristkari; Kai Parkkola; Mika Gissler; Andre Sourander Journal: Child Psychiatry Hum Dev Date: 2016-08