首页|青岛市崂山区儿童注意缺陷多动障碍调查及影响因素研究

青岛市崂山区儿童注意缺陷多动障碍调查及影响因素研究

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针对儿童注意缺陷多动障碍(Attention Deficit Hyperactivity Disorder,ADHD)发病率逐渐增高,采用横断面调查研究方法,收集青岛市崂山区托幼机构 7769 名 3~6 岁在园儿童的Conners父母症状问卷和一般情况表信息,通过多因素 logistic 回归分析 3~6 岁儿童ADHD发生情况及相关影响因素的关系.初步筛查发现 334 例疑似 ADHD 儿童,通过诊断疑似儿童,确诊 255 例 ADHD 儿童,ADHD 发病率为 3.2%,男童 ADHD 发病率(4.1%)高于女童(2.3%)(χ2=15.86,P<0.001).多因素 Logistic 回归分析结果显示,男孩、挑食、不能自主穿衣、入睡时间不固定、3 岁前和母亲长期分离、母亲情绪不稳定、父亲情绪不稳定和父母有精神疾病史是 ADHD 的危险因素(OR=1.423,1.664,1.479,1.621,1.328,1.527,1.545,3.258,P<0.05 或P<0.01),出生胎次为头胎或二胎、3 岁前由母亲或父亲照顾是 ADHD 的保护因素(OR=0.427,0.211,0.681,0.802,P<0.05 或 P<0.01).
Investigation and Influencing Factors of Children Attention Deficit Hyperactivity Disorder in Laoshan District of Qingdao
A cross-sectional investigation and research method was adopted to study the increasing incidence of Children Attention Deficit Hyperactivity Disorder(ADHD).Conners parents symptom questionnaire(PSQ)and a general information questionnaire were collected from 7769 children aged 3~6 years in kin-dergartens in Laoshan district of Qingdao.Multivariate logistic regression study was used to analyze the relationship between the ADHD incidence in children aged 3~6 years and related influencing factors.A to-tal of 334 suspected ADHD children are found in preliminary screening,and 255 suspected children are fur-ther diagnosed,with an incidence of 3.2%.The ADHD incidence in boys(4.1%)is higher than that in girls(2.3%)(χ2 =15.86,P<0.001).Multivariate logistic regression analysis result shows that boys,picky eaters,inability to dress on their own,irregular sleep time,long-term separation from mother be-fore the age of 3,mother's emotional instability,father's emotional instability,and parental history of mental illness are risk factors for ADHD(OR=1.423,1.664,1.479,1.621,1.328,1.527,1.545,3.258,P<0.05 or P<0.01).Being the first or second child at birth,and being cared for by a mother or father before the age of 3 are protective factors for ADHD(OR=0.427,0.211,0.681,0.802,P<0.05 or P<0.01).

attention deficit hyperactivity disorderchildren aged 3~6 yearsinfluence factors

唐爱萍、冀永娟、杜继鹏

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青岛市崂山区妇幼保健计划生育服务中心,青岛 266061

青岛市妇女儿童医院,青岛 266034

注意缺陷多动障碍 3~6岁儿童 影响因素

青岛市科技惠民示范专项

22-3-7-smjk-21-nsh

2024

青岛大学学报(自然科学版)
青岛大学

青岛大学学报(自然科学版)

影响因子:0.248
ISSN:1006-1037
年,卷(期):2024.37(1)
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