Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation

Prasad, Vibhore and West, Joe and Kendrick, Denise and Sayal, Kapil (2018) Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation. Archives of Disease in Childhood . ISSN 1468-2044

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Abstract

Background: In England, there is a discrepancy between the prevalence of Attention-deficit/hyperactivity disorder (ADHD) ascertained from medical records and community surveys. There is also a lack of data on variation in recorded prevalence by deprivation and geographical region; information that is important for service development and commissioning.

Methods: Cohort study using data from the Clinical Practice Research Datalink comprising 5,196 children and young people aged 3-17 years with ADHD and 490,016 without, in 2012.

Results: In 2012, the recorded prevalence (95%CI) of ADHD was 1.06 (1.03-1.09) %. Prevalence in the most deprived areas was double that of the least deprived areas (prevalence rate ratio (PRR) 2.58 (2.36-2.83)), with a linear trend from least to most deprived areas across all regions in England.

Conclusions: The low prevalence of ADHD in medical records may indicate considerable under-diagnosis. Higher rates in more disadvantaged areas indicates greater need for services in those areas.

Item Type: Article
Schools/Departments: University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Psychiatry and Applied Psychology
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Primary Care
University of Nottingham, UK > Faculty of Medicine and Health Sciences > School of Medicine > Division of Epidemiology and Public Health
Identification Number: 10.1136/archdischild-2017-314470
Depositing User: McCambridge, Mrs April
Date Deposited: 05 Apr 2018 12:24
Last Modified: 25 Apr 2018 17:03
URI: http://eprints.nottingham.ac.uk/id/eprint/50787

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