摘要
目的:探讨4～16岁儿童注意缺陷多动障碍的影响因素。方法:应用分层随机整群抽样的方式,采用问卷调查和专科访谈相结合的方法完成4～16岁儿童ADHD的评估。结果:4～16岁儿童ADHD总患病率为6.3%,男童患病率(8.1%)高于女童(4.4%),P<0.001,6～11岁患病率(7.7%)高于4～5岁(6.1%)和12～16岁(5.3%),P=0.005,ADHD-I为其主要类型,占63.7%。多因素Logistic回归分析显示父亲文化水平低、儿童入学前非父母亲亲自照料、胎次多、父亲有不良嗜好、父亲对儿童经常使用暴力、母亲对儿童经常使用暴力、与母亲关系亲密、母亲异常妊娠史、胎龄不正常及3岁前身体健康状况差是儿童ADHD的影响因素(OR=0.786、1.490、1.387、0.684、0.515、1.548、2.002、1.945、0.614、0.686)。结论:儿童ADHD与家庭因素密切相关。该研究为ADHD干预提供了一定的理论依据。
Objective：To explore the effect factors of attention deficit hyperactivity disorder （ADHD） in children aged 4~16 years old.Methods：The children were selected by stratified random sampling, then evaluation of ADHD in children aged 4~16 years old was conducted by questionnaires and special interviews.Results：The total incidence of ADHD in children aged 4~16 years old was 6.3%,the incidences of ADHD in boys and girls were 8.1% and 4.4%, respectively, there was significant difference （P0.001）, the incidence of ADHD in children aged 6~11 years old （7.7%） was significantly higher than those in children aged 4~5 years old （6.1%） and 12~16 years old （5.3%） （P=0.005）; ADHD-I was the main type, accounting for 63.7%; logistic regression analysis indicated that low education level of fathers, non-personal care for preschool children, many parity, bad habits of fathers, frequent violence from fathers and mothers, intimating with mothers, abnormal pregnant history of mothers, abnormal fetal age and poor health of children below 3 years old were effect factors of ADHD in children （OR=0.786, 1.490, 1.387, 0.684, 0.515, 1.548, 2.002, 1.945, 0.614,0.686）.Conclusion：ADHD of children is related to family factors closely, the study provides theoretical basis for intervention of ADHD.
出处
《中国妇幼保健》
CAS
北大核心
2010年第19期2705-2707,共3页
Maternal and Child Health Care of China
基金
山东省教育厅科技计划项目〔J09LF62〕
