PDF(Pubmed)
Abstract：
Attention-deficit/hyperactivity disorder (ADHD) is a common childhood disorder often characterized by long-term impairments in family, academic, and social settings. Measuring the prevalence of ADHD is important as treatment options increase around the U.S. Prevalence data helps inform decisions by care providers, policymakers, and public health officials about allocating resources for ADHD. In addition, measuring geographic variation in prevalence estimates can facilitate hypothesis generation for future analytic work. Most U.S. studies of ADHD prevalence among children focus on national or demographic group rates.
Using a small area estimation approach and data from the 2016 to 2018 National Survey of Children\'s Health, we estimated childhood ADHD prevalence estimates at the census regional division, state, and county levels. The sample included approximately 70,000 children aged 5-17 years.
The national ADHD rate was estimated to be 12.9% (95% Confidence Interval: 11.5%, 14.4%). Counties in the West South Central, East South Central, New England, and South Atlantic divisions had higher estimated rates of childhood ADHD (55.1%, 53.6%, 49.3%, and 46.2% of the counties had rates of 16% or greater, respectively) compared to counties in the Mountain, Mid Atlantic, West North Central, Pacific, and East North Central divisions (2.1%, 4%, 5.8%, 6.9%, and 11.7% of the counties had rates of 16% or greater, respectively).
These local-level rates are useful for decision-makers to target programs and direct sufficient ADHD resources based on communities\' needs.
Using a small area estimation approach and data from the 2016 to 2018 National Survey of Children\'s Health, we estimated childhood ADHD prevalence estimates at the census regional division, state, and county levels. The sample included approximately 70,000 children aged 5-17 years.
The national ADHD rate was estimated to be 12.9% (95% Confidence Interval: 11.5%, 14.4%). Counties in the West South Central, East South Central, New England, and South Atlantic divisions had higher estimated rates of childhood ADHD (55.1%, 53.6%, 49.3%, and 46.2% of the counties had rates of 16% or greater, respectively) compared to counties in the Mountain, Mid Atlantic, West North Central, Pacific, and East North Central divisions (2.1%, 4%, 5.8%, 6.9%, and 11.7% of the counties had rates of 16% or greater, respectively).
These local-level rates are useful for decision-makers to target programs and direct sufficient ADHD resources based on communities\' needs.
摘要：
背景：注意缺陷/多动障碍（ADHD）是一种常见的儿童疾病，通常以家庭长期受损为特征，学术,和社会环境。随着美国各地治疗方案的增加，测量ADHD的患病率很重要。患病率数据有助于告知护理提供者的决策，政策制定者,和公共卫生官员关于为多动症分配资源。此外,测量患病率估计值的地理差异可以促进未来分析工作的假设生成。美国大多数关于儿童ADHD患病率的研究都集中在国家或人口群体的发病率上。
方法：使用小区域估计方法和2016-2018年全国儿童健康调查的数据，我们在人口普查地区部门估计了儿童多动症患病率，state,和县级。样本包括大约70,000名5-17岁的儿童。
结果：全国ADHD发生率估计为12.9%（95%置信区间：11.5%，14.4%）。中南部西部的县，中南部东部,新英格兰,南大西洋分区的儿童多动症估计发生率较高(55.1%，53.6%,49.3%,46.2%的县有16%或更高的比率，分别)与山区的县相比，大西洋中部,中北部西部,太平洋,和中北部东部分区(2.1%,4.0%，5.8%,6.9%，11.7%的县的比率为16%或更高，分别)。
结论：这些地方水平的比率对于决策者有帮助，可以根据社区的需求来确定计划和指导足够的ADHD资源。
方法：使用小区域估计方法和2016-2018年全国儿童健康调查的数据，我们在人口普查地区部门估计了儿童多动症患病率，state,和县级。样本包括大约70,000名5-17岁的儿童。
结果：全国ADHD发生率估计为12.9%（95%置信区间：11.5%，14.4%）。中南部西部的县，中南部东部,新英格兰,南大西洋分区的儿童多动症估计发生率较高(55.1%，53.6%,49.3%,46.2%的县有16%或更高的比率，分别)与山区的县相比，大西洋中部,中北部西部,太平洋,和中北部东部分区(2.1%,4.0%，5.8%,6.9%，11.7%的县的比率为16%或更高，分别)。
结论：这些地方水平的比率对于决策者有帮助，可以根据社区的需求来确定计划和指导足够的ADHD资源。
