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

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 i...

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Main Authors: Prasad, Vibhore, West, Joe, Kendrick, Denise, Sayal, Kapil
Format: Article
Language:English
English
English
English
Published: BMJ Publishing Group 2018
Online Access:https://eprints.nottingham.ac.uk/50787/
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author Prasad, Vibhore
West, Joe
Kendrick, Denise
Sayal, Kapil
author_facet Prasad, Vibhore
West, Joe
Kendrick, Denise
Sayal, Kapil
author_sort Prasad, Vibhore
building Nottingham Research Data Repository
collection Online Access
description 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.
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spelling nottingham-507872020-05-08T09:30:06Z https://eprints.nottingham.ac.uk/50787/ Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation Prasad, Vibhore West, Joe Kendrick, Denise Sayal, Kapil 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. BMJ Publishing Group 2018-03-30 Article PeerReviewed application/pdf en https://eprints.nottingham.ac.uk/50787/1/Prasad%20Arch%20Dis%20Childhood%202018.pdf application/pdf en https://eprints.nottingham.ac.uk/50787/2/ADHD%20prevalence%20edited%20supplementary%20table%20VP28FEB18.pdf image/tiff en https://eprints.nottingham.ac.uk/50787/3/Mono%20image%20Figure%201%20tiff%20format%20VP28FEB18.tif application/pdf en https://eprints.nottingham.ac.uk/50787/4/Table%201%20VP28FEB18.pdf Prasad, Vibhore, West, Joe, Kendrick, Denise and Sayal, Kapil (2018) Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation. Archives of Disease in Childhood . ISSN 1468-2044 http://adc.bmj.com/content/early/2018/03/29/archdischild-2017-314470 doi:10.1136/archdischild-2017-314470 doi:10.1136/archdischild-2017-314470
spellingShingle Prasad, Vibhore
West, Joe
Kendrick, Denise
Sayal, Kapil
Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
title Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
title_full Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
title_fullStr Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
title_full_unstemmed Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
title_short Attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
title_sort attention-deficit/hyperactivity disorder: variation by socio-economic deprivation
url https://eprints.nottingham.ac.uk/50787/
https://eprints.nottingham.ac.uk/50787/
https://eprints.nottingham.ac.uk/50787/