Occurrence of hyperactivity behavior and its relationship with neuropsychological development in children aged 3-6 in Yunnan Province
Objective To investigate the prevalence of hyperactivity behavior in children aged 3-6 in Yunnan Province,to ex-plore its relationship with neuropsychological development,so as to provide clues for early prevention and intervention of attention deficit hyperactivity disorder(ADHD)in children.Methods A total of 1 321 children aged 3 to 6 from 10 kindergartens in 5 pre-fectures(cities)of Yunnan Province were selected by stratified random sampling method from October 2022 to May 2023.Teacher Rating Scale(TRS)was used to investigate children's hyperactive behavior and co-existent behavior.A qualified evaluator applied the Developmental Scale for Children Aged 0-6 Years to assess the development of 5 ability areas of gross motor movement,fine movement,adaptive ability,language and social behavior.Statistical analysis was performed using Wilcoxon rank sum test and X2 test.Binary Logistic regression was applied to analyze the score of their hyperactivity behavior and its relationship with other behav-ior problems and neuropsychological development.Results The detection rate of hyperactivity behavior was 8.6％in children aged 3 to 6 years,12.8％in boys and 4.1％in girls(x2=31.53,P＜0.01).The detection rate of hyperactivity in 3-year-old children was 13.9％,which was higher than that in 4-year-old(9.2％)and 5-year-old children(7.0％)(x2=8.73,P＜0.05).The detection rate of inattention-passivity of rural children(14.6％)was higher than that of urban children(5.9％)(x2=22.23,P＜0.01).Binary Lo-gistic regression analysis showed that the higher the level of adaptive development,the lower the risk of hyperactivity(OR=0.58,95％CI=0.39-0.86),the higher the risk of hyperactivity(OR=0.57,95％CI=0.35-0.91),the higher the risk of conduct prob-lems(OR=0.57,95％CI=0.37-0.87),inattention-passivity(OR=0.49,95％CI=0.33-0.74)were also at lower risk(P＜0.05).Children with higher levels of fine motor development had a lower risk of inattention-passivity(OR=0.59,95％CI=0.37-0.93,P＜0.05).Conclusions Hyperactivity in boys and inattention-passivity in rural children requires more attention.It is necessary to strengthen children's early adaptive ability and fine motor training to prevent hyperactive behavior and inattention.
Attention dificit disorder with hyperactivityMental healthRegression analysisChild,preschool
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