OBJECTIVE: Attention-Deficit/Hyperactivity Disorder (ADHD) disproportionately affects socioeconomically disadvantaged children, but for unclear reasons. We examined the association between social determinants of health (SDH) and ADHD symptoms in a national sample of preschool-age children. METHODS: We conducted exploratory factor analysis (EFA) and exploratory structural equation modeling (ESEM) with a sample of 7,565 preschool-age children from the 2016 National Survey of Children's Health, to examine the association between ADHD symptoms and SDH. RESULTS: EFA indicated a one-factor structure for ADHD symptoms, and three factors for SDH (socioeconomic status, access to basic needs, and caregiver well-being). Independently, all three SDH were significantly associated with higher ADHD symptoms. However, in the ESEM model, only worse caregiver well-being (β = .39, p < .01) was significantly associated with ADHD symptoms, and fully mediated the relationship between SDH and ADHD symptoms. CONCLUSION: Addressing caregiver well-being in preschoolers with ADHD symptoms could be an early intervention strategy.
OBJECTIVE: Attention-Deficit/Hyperactivity Disorder (ADHD) disproportionately affects socioeconomically disadvantaged children, but for unclear reasons. We examined the association between social determinants of health (SDH) and ADHD symptoms in a national sample of preschool-age children. METHODS: We conducted exploratory factor analysis (EFA) and exploratory structural equation modeling (ESEM) with a sample of 7,565 preschool-age children from the 2016 National Survey of Children's Health, to examine the association between ADHD symptoms and SDH. RESULTS: EFA indicated a one-factor structure for ADHD symptoms, and three factors for SDH (socioeconomic status, access to basic needs, and caregiver well-being). Independently, all three SDH were significantly associated with higher ADHD symptoms. However, in the ESEM model, only worse caregiver well-being (β = .39, p < .01) was significantly associated with ADHD symptoms, and fully mediated the relationship between SDH and ADHD symptoms. CONCLUSION: Addressing caregiver well-being in preschoolers with ADHD symptoms could be an early intervention strategy.
Authors: Arunima Roy; Lily Hechtman; L Eugene Arnold; James M Swanson; Brooke S G Molina; Margaret H Sibley; Andrea L Howard Journal: J Am Acad Child Adolesc Psychiatry Date: 2017-06-08 Impact factor: 8.829
Authors: Lianne van der Veen-Mulders; Barbara J van den Hoofdakker; Maaike H Nauta; Paul Emmelkamp; Pieter J Hoekstra Journal: J Child Adolesc Psychopharmacol Date: 2017-11-13 Impact factor: 2.576
Authors: Nicole M Brown; Suzette N Brown; Rahil D Briggs; Miguelina Germán; Peter F Belamarich; Suzette O Oyeku Journal: Acad Pediatr Date: 2017 May - Jun Impact factor: 3.107
Authors: Reem M Ghandour; Jessica R Jones; Lydie A Lebrun-Harris; Jessica Minnaert; Stephen J Blumberg; Jason Fields; Christina Bethell; Michael D Kogan Journal: Matern Child Health J Date: 2018-08
Authors: Mats Nylén-Eriksen; Ann Kristin Bjørnnes; Hege Hafstad; Irene Lie; Ellen Karine Grov; Mariela Loreto Lara-Cabrera Journal: Int J Environ Res Public Health Date: 2022-09-13 Impact factor: 4.614