County-Level Prevalence Estimates of ADHD in Children in the United States

Details

• Alternative Title:
  Ann Epidemiol
• Personal Author:
  Zgodic, Anja ; McLain, Alexander C. ; Eberth, Jan M. ; Federico, Alexis ; Bradshaw, Jessica ; Flory, Kate
• Description:
  Background:
  
  Attention-deficit/hyperactivity disorder (ADHD) is a common childhood disorder often characterized by long-term impairments in family, academic, and social settings. Measuring the prevalence of ADHD is important as treatment options increase around the U.S. Prevalence data helps inform decisions by care providers, policy makers, and public health officials about allocating resources for ADHD. In addition, measuring geographic variation in prevalence estimates can facilitate hypothesis generation for future analytic work. Most U.S. studies of ADHD prevalence among children focus on national or demographic group rates.
  
  Methods:
  
  Using a small area estimation approach and data from the 2016–2018 National Survey of Children’s Health, we estimated childhood ADHD prevalence estimates at the census regional division, state, and county levels. The sample included approximately 70,000 children aged 5–17 years.
  
  Results:
  
  The national ADHD rate was estimated to be 12.9% (95% Confidence Interval: 11.5%, 14.4%). Counties in the West South Central, East South Central, New England, and South Atlantic divisions had higher estimated rates of childhood ADHD (55.1%, 53.6%, 49.3%, and 46.2% of the counties had rates of 16% or greater, respectively) compared to counties in the Mountain, Mid Atlantic, West North Central, Pacific, and East North Central divisions (2.1%, 4.0%, 5.8%, 6.9%, and 11.7% of the counties had rates of 16% or greater, respectively).
  
  Conclusions:
  
  These local-level rates are useful for decision-makers to target programs and direct sufficient ADHD resources based upon communities’ needs.
  
  
• Subjects:
  Attention Deficit Disorder With Hyperactivity Child Child Health Humans Prevalence Public Health United States
• Keywords:
  Childhood Attention-Deficit/Hyperactivity Disorder County-Level National Survey Of Children’s Health Policy Small Area Estimation
• Source:
  Ann Epidemiol. 79:56-64
• Pubmed ID:
  36657694
• Pubmed Central ID:
  PMC10099151
• Document Type:
  Journal Article
• Funding:
  P20 GM130420/GM/NIGMS NIH HHSUnited States/ ; U19 DD001218/DD/NCBDD CDC HHSUnited States/ ; U19DD001218/ACL/ACL HHSUnited States/ ; R21 DC017252/DC/NIDCD NIH HHSUnited States/ ; T32 GM081740/GM/NIGMS NIH HHSUnited States/ ; K23 MH120476/MH/NIMH NIH HHSUnited States/
• Volume:
  79
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:64113a948c5fc9fe3300ce7d85b881f6581c0b9cce25b5b6a0e60a2082df4ec8a2426096d17f505e316e914adcac7b95e020854ef66b1dfab46e92742c213606
• Download URL:
  https://stacks.cdc.gov/view/cdc/127177/cdc_127177_DS1.pdf
• File Type:
  [PDF - 546.69 KB ]