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.
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。