Korean J Occup Environ Med.  2012 Sep;24(3):252-262.

Cross Sectional Study on the Prevalence of Attention Deficit Hyperactivity Disorder and Associated Factors among Elementary School Students Living nearby Shihwa-Banwol Industrial Complex

Affiliations
  • 1Department of Occupational & Environmental Medicine, Eulji University Hospital, Korea. kimsooy@gmail.com
  • 2Korea Health Industry Development Institute, Korea.
  • 3Department of Occupational and Environmental Medicine, College of Medicine, Dankook University, Korea.
  • 4Department of Occupational & Environmental Medicine, Cheongju Hana Medical Center, Korea.
  • 5Department of Occupational and Environmental Medicine, Incheon Medical Center, Korea.
  • 6Graduate School of Public Health, Seoul National University, Korea.

Abstract


OBJECTIVES
The aims of this study were to examine the prevalence of Attention Deficit Hyperactivity Disorder(ADHD) as well as the relationship between ADHD and related factors among elementary school students living nearby Shihwa-Banwol industrial complex.
METHODS
A cross-sectional survey was conducted on 573 elementary students living nearby Shihwa-Banwol industrial complex. Dupaul ADHD rating scales were used for assessment of ADHD. Information on age, gender, birth weight, family history, environmental factors including second-hand smoke, house income, house type, bring up a child, road proximity and behavioral factors including outside activity time, eating habits, and cell phone usage were based on data from self-administered questionnaires. Multiple logistic regression analysis was performed, and all odds ratios were adjusted according to age and gender.
RESULTS
The prevalence of ADHD was 9.4%, and those aged 10 years were the most affected. Male elementary school students were 3.19 times (95% CI:1.71~5.93) more likely to have ADHD than females. ADHD was significantly associated with family history of mental disease (adjusted OR 8.69; 95%CI 1.93~39.22), lack of cell phones usage (adjusted OR 2.27; 95%CI 1.21~4.26), a road adjacent to child's residence (adjusted OR 2.21; 95%CI 1.20~4.05) and lack of seafood consumption (adjusted OR 2.08; 95%CI 1.08~4.00).
CONCLUSIONS
More research effort should be focused on determining the prevalence of ADHD and relevant factors among children living nearby industrial complexes.

Keyword

Attention deficit hyperactivity disorder; ADHD; Prevalence; Related factors

MeSH Terms

Aged
Attention Deficit Disorder with Hyperactivity
Birth Weight
Cellular Phone
Child
Cross-Sectional Studies
Eating
Female
Humans
Logistic Models
Male
Odds Ratio
Prevalence
Questionnaires
Seafood
Smoke
Weights and Measures
Smoke

Figure

  • Fig. 1 Distribution of total score between normal and abnormal according to Hyperactivity, Inconcentration and ADHD by normal and abnormal.

  • Fig. 2 Distribution of total score according to Hyperactivity, Inconcentration and ADHD by grade.


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