Pre- and Postnatal Risk Factors for ADHD in a Nonclinical Pediatric Population

Objective:The authors characterized pre- and postnatal risk factors for ADHD among a population-based sample of 8-year-old children followed since birth (N = 604). Method: Parents and teachers rated ADHD symptoms, including inattention and impulsivity/hyperactivity. The authors reviewed pediatric me...

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Bibliographic Details
Published in:Journal of attention disorders 2013-01, Vol.17 (1), p.47-57
Main Authors: Sagiv, Sharon K., Epstein, Jeff N., Bellinger, David C., Korrick, Susan A.
Format: Article
Language:English
Subjects:
Attention
Attention Deficit Disorder with Hyperactivity - etiology
Attention deficit hyperactivity disorder
Birth
Child
Children
Depression
Depression - complications
Drug abuse
Drugs
Education
Educational Status
Female
Historical account
Humans
Hyperactivity
impulsive behavior
Male
medical records
Pediatrics
Pregnancy
Prenatal experience
Prenatal Exposure Delayed Effects - psychology
Psychiatric Status Rating Scales
Psychology
Regression analysis
Reviews
Risk Factors
Sex Factors
Smoking
Smoking - adverse effects
Socio-economic aspects
Socioeconomic Factors
Socioeconomics
Substance-Related Disorders - complications
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Summary:Objective:The authors characterized pre- and postnatal risk factors for ADHD among a population-based sample of 8-year-old children followed since birth (N = 604). Method: Parents and teachers rated ADHD symptoms, including inattention and impulsivity/hyperactivity. The authors reviewed pediatric medical records for history of an ADHD diagnosis, and parents reported ADHD medication use. The authors analyzed risk factors in relationship to outcomes using multivariable regression models. Results: Low paternal education, prenatal smoking, prenatal illicit drug use, maternal depression, and low Home Observation for Measurement of the Environment score were associated with greater risk for ADHD behaviors assessed via rating scale. Low income and being male were associated with ADHD diagnosis in medical records and ADHD medication use. Conclusion: The authors found associations between socioeconomic, psychosocial, and prenatal exposures and ADHD-related behavior. Selection bias due to access to care and recall bias from inaccurate report of past exposures is minimized in this large, nonclinical, prospective cohort study.
ISSN:1087-0547
1557-1246
DOI:10.1177/1087054711427563