柳州城区小学生注意缺陷多动障碍现况与危险因素分析

发布时间：2018-03-22 20:24

本文选题：注意力缺陷障碍伴多动　切入点：患病率　出处：《中国学校卫生》2017年02期 　论文类型：期刊论文

【摘要】：目的了解柳州市学龄期儿童注意缺陷多动障碍(ADHD)的流行特征及影响因素,为儿童ADHD的综合防治提供参考。方法采用分层随机整群抽样方法,抽取柳州市城区一~六年级共9 628名小学生进行注意缺陷多动障碍筛查。以美国精神障碍诊断和统计手册第四版为ADHD的诊断标准对可疑患儿及其家长进行诊断学访谈,对筛查与诊断结果进行统计。结果共确诊ADHD儿童468例,ADHD患病率为4.86%,男生患病率(8.09%)高于女生(1.47%)(χ2=228.146,P=0.000);9岁组儿童ADHD患病率最高(6.14%),不同年龄组间差异有统计学意义(χ2=12.956,P=0.024)。ADHD分型以注意缺陷为主型发生率最高(2.85%),其次是混合型(1.41%),多动/冲动为主型最少(0.60%)。非条件多因素Logistic回归分析显示,女生患ADHD的风险低于男生(OR=0.17,95%CI=0.13~0.22),母亲孕期心情不佳和父母关系不好是发生ADHD的危险因素[OR值分别为1.45(95%CI=1.17~1.79)和2.01(95%CI=1.59~2.55)]。结论柳州市城区小学生ADHD患病率处于国内中等水平,且发生与儿童性别、母亲孕期心情及父母关系有关。应对家长、老师进行相关知识宣教,提高早期识别和诊断,促进儿童身心健康发展。
[Abstract]:Objective to investigate the epidemic characteristics and influencing factors of ADHD among school-age children in Liuzhou, so as to provide a reference for the comprehensive prevention and treatment of children with ADHD. A total of 9 628 pupils in grade 1 ~ 6 of Liuzhou City were selected for attention deficit hyperactivity disorder (ADHD) screening. According to the diagnostic criteria of ADHD in the fourth edition of the American Handbook for the diagnosis and Statistics of Mental Disorder, suspected children and their parents were interviewed in diagnostics. Results the prevalence of ADHD in 468 children was 4.86 and 8.09% higher than that of girls (蠂 2 / 228.146 / 0.000). The prevalence rate of ADHD in children aged 9 years was the highest (蠂 212.956P0. 024) and there was a significant difference between different age groups (蠂 212.956P0. 024). The incidence of Italy defects was the highest (2.85%), followed by mixed type (1.41%) and hyperactivity / impulse type (0.60%). Non-conditional multivariate Logistic regression analysis showed that, The risk of ADHD in girls was lower than that in boys. The risk factors of ADHD were poor maternal mood during pregnancy and bad relationship between parents (OR = 1.45 ~ 95CI1.171.79) and 2.01 ~ 95CII 1.59 ~ 2.55 respectively. Conclusion the prevalence rate of ADHD in primary school students in Liuzhou City is at the middle level in China, and it is related to the sex of children. The mother's mood during pregnancy is related to the relationship between parents and parents. Parents and teachers should carry out relevant knowledge and education, improve early identification and diagnosis, and promote the development of children's physical and mental health.
【作者单位】：广西壮族自治区柳州市妇幼保健院儿童保健科;柳州市卫生和计划生育委员会疾病控制科;柳州市教育局;
【基金】：广西科学计划与技术开发项目研究(1598012-27) 柳州市科学计划与技术开发项目研究(2015J030516)
【分类号】：R749.94

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