论文部分内容阅读
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 investigate the influencing factors of attention deficit hyperactivity disorder in children aged 4 ~ 16 years. Methods: Stratified stratified random cluster sampling method was used to evaluate ADHD in children aged 4 ~ 16 years by means of a combination of questionnaire survey and specialist interview. Results: The overall prevalence of ADHD in children aged 4-16 years was 6.3%, prevalence of boys (8.1%) was higher than that of girls (4.4%), P <0.001. The prevalence rate of children aged 6 to 11 years (7.7%) was higher than that of girls 4 to 5 years old (6.1%) and 12 to 16 years old (5.3%), P = 0.005. ADHD-I was the main type, accounting for 63.7%. Multivariate logistic regression analysis showed that the father had a low level of literacy, that non-parents were self-care children before admission, had more twins, father had bad habits, father frequently used violence against children, mother often used violence against children, had close relationship with mother and abnormal mother Pregnancy history, abnormal gestational age and poor health status before the age of 3 were the influencing 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 in children is closely related to family factors. This study provides a theoretical basis for ADHD intervention.