Attention-Deficit Hyperactivity Disorder Among American Youth: A Comprehensive 20-Year Analysis of National Center for Health Statistics (NCHS) Data.

Autor:	Habdank-Kolaczkowski JS; Medical School, Poznan University of Medical Sciences, Poznan, POL.; Neurological Surgery, University of California San Francisco, San Francisco, USA.; Psychiatry and Behavioral Sciences, Avant Interventional Psychiatry, Atlanta, USA.; Psychiatry and Behavioral Sciences, ClearMinds Behavioral Health, Chesterfield, USA., Akahara PC; Mental Health, Manor Clinic, Edmonton, CAN., Ishola F; Healthcare, University of Southern Mississippi, Houston, USA., Salawu MA; Medicine and Surgery, University of Ilorin College of Health Sciences, Ilorin, NGA.; Internal Medicine and Psychiatry, Houston Health Department, Houston, USA., Augustine SW; Internal Medicine, Liaquat University of Medical and Health Sciences, Hyderabad, PAK., Ezeamii VC; Public Health, Georgia Southern University, Statesboro, USA., David AB; Medical Laboratory Sciences, Asokoro General Hospital Abuja, Abuja, NGA., Okobi E; Dentistry, Ahmadu Bello University Teaching Hospital Zaria, Abuja, NGA., Okobi OE; Family Medicine, Larkin Community Hospital Palm Springs Campus, Miami, USA.; Family Medicine, Medficient Health Systems, Laurel, USA.; Family Medicine, Lakeside Medical Center, Belle Glade, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Nov 14; Vol. 15 (11), pp. e48781. Date of Electronic Publication: 2023 Nov 14 (Print Publication: 2023).
DOI:	10.7759/cureus.48781
Abstrakt:	Background: Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition that has a significant impact on the lives of children and adolescents. This study conducts a comprehensive 20-year analysis of data from the National Center for Health Statistics (NCHS) to investigate the prevalence of ADHD among American youth, as well as its demographic patterns and socioeconomic determinants. Methods: A retrospective analysis of NCHS data spanning from 1997 to 2018 was carried out. The dataset included information on ADHD diagnoses, demographic characteristics (such as age, gender, and race/ethnicity), socioeconomic indicators (including poverty level and health insurance status), and temporal variables. A range of statistical analyses were performed, encompassing temporal trend analysis, demographic assessments, and socioeconomic examinations. Results: It was consistently observed that boys had a higher prevalence of ADHD (12.93% compared to 5.61%), aligning with established trends. Among adolescents aged 10-17, the prevalence was the highest at 11.09%, while for the 5-9 age group, it stood at 6.57%. In terms of racial and ethnic groups, individuals identifying as two or more races exhibited the highest prevalence at 12.36%, followed by white (9.83%), black or African American (10.09%), Hispanic or Latino (5.36%), and non-Hispanic or Latino (10.64%). Socioeconomic disparities were evident, with a prevalence of 11.41% among those living below the poverty line, compared to 10.6% (100%-199% of the poverty line), 8.6% (200%-399%), and 8.39% (400% or more). Medicaid beneficiaries had the highest prevalence at 12.57%, followed by those with private insurance (9.65%), insured (8.11%), and uninsured (5.83%). Conclusion: These findings underscore the intricate relationship between ADHD prevalence and demographic and socioeconomic factors. It is imperative to address these disparities to ensure equitable assessment and intervention for ADHD, taking into account cultural influences, determinants of health tied to socioeconomic status, and access to healthcare for all children. This analysis by the NCHS provides essential insights into ADHD among American youth, emphasizing the necessity for tailored interventions, equitable healthcare access, and further research to comprehensively address this complex neurodevelopmental disorder. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Habdank-Kolaczkowski et al.)
Databáze:	MEDLINE
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