福建省6~12岁儿童注意缺陷多动障碍患病率调查
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福建医科大学附属协和医院儿科

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国家自然科学基金项目(面上项目),福建省自然科学基金,福建省教育科研专项财政基金


The survey of prevalence rate for attention deficit hyperactivity disorder among children aged 6 to 12 years old in Fujian province
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    摘要:

    目的 了解及分析福建省6~12岁儿童注意缺陷多动障碍(ADHD)的患病率情况。方法 采用多阶段分层整群抽样方法,以SNAP-IV评定量表父母版(中文版)和Vanderbilt父母评定量表为调查工具,依据DSM-IV ADHD诊断标准进行诊断。对福建省九大地市4130名6~12岁在读学生的ADHD情况进行筛查。采用匿名调查法,由家长独立完成问卷。结果 本研究对福建省九大地市4130名6~12岁在读学生的ADHD情况进行调研,结果显示,福建省6~12岁儿童ADHD患病率为5.98%(95%CI:5.26%~6.70%),男童患病率高于女童(7.68% vs 4.04%,P<0.01)。随着年龄的增长,ADHD患病率有差异,在8岁和11岁时各有一个小高峰;各个年级ADHD患病率有差异(P<0.05),以四年级(7.51%)患病率最高,六年级最低。各亚型分布中,以ADHD-I型最常见,其次是ADHD-C型和ADHD-HI型,各亚型构成比分别为67.61%(ADHD-I型)、8.91%(ADHD-HI型)、23.48%(ADHD-C型)。有42.11%的ADHD儿童共病ODD,男童多于女童 (47.34% vs 30.77%),ADHD对儿童的功能损害主要表现在学习方面(94.74%),其次是社交表现(22.27%),在男孩中常见。结论 福建省6~12岁儿童ADHD患病率为5.98%,需要引起更多的重视,制定针对性的干预措施。

    Abstract:

    Objective?To explore the prevalence rate of attention deficit hyperactivity disorder (ADHD) among children aged 6 to 12 years old in Fujian Province.?Methods?? A multi-stage stratified cluster sampling method was used to investigate the ADHD problems of 4130 students aged 6 to 12 in Fujian Province by using the SNAP-IV parent and teacher screening scale as the survey tool, according to the DSM-IV ADHD diagnostic criteria for diagnosis. This study adopted the anonymous survey method.The questionnaire was completed independently by the parents. Results?A total of 4130 primary school children aged 6 to 12 in Fujian Province were investigated. The results showed that the prevalence rate of ADHD among children aged 6 to 12 years old in Fujian Province was 5.98%(95%CI:5.26%~6.70%). The prevalence rate of boys was higher than that of girls(7.68% vs 4.04%,P<0.01). With the increase of age, the overall prevalence rate of ADHD fluctuates slightly, and there was a small peak at the age of 8 and 11 respectively. There was a difference in the prevalence rate of ADHD among different grades. The prevalence rate was highes in Grade 4 (7.5%), and lowest in Grade 6. There was no significant difference in the prevalence of ADHD between urban and rural areas in Fujian Province (P > 0.05). The most prevalent subtype was ADHD-I, followed by ADHD-C subtype and ADHD-HI type , the composition ratio of each subtype was 67.61% (type ADHD-I) , 8.91% (ADHD-HI type), 23.48% (ADHD-C type). 42.11% of ADHD patients comorbid ODD. The functional impairment was mainly manifested in learning (94.74%), followed by social performance (22.27%) . Conclusion?The prevalence rate of ADHD children in Fujian Province is 5.98%, which needs to be paid more attention to, and develop targeted interventions.

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陈燕惠,卢龙杰,林晓霞.福建省6~12岁儿童注意缺陷多动障碍患病率调查[J].福建医科大学学报自然版,2021,55(5):

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  • 收稿日期:2021-03-29
  • 最后修改日期:2021-11-09
  • 录用日期:2022-02-23
  • 在线发布日期: 2022-03-07
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