The purpose of this study was to determine the extent of medication use for attention deficit-hyperactivity disorder (ADHD) in southeastern Virginia.
Students enrolled in grades 2 through 5 in school districts in city A (n=5767 students) and city B (n=23 967 students) were included.
Nurses recorded students who received ADHD medication in school.
The proportion of students receiving ADHD medication was similar in both cities (8% and 10%) and was 2 to 3 times as high as the expected rate of ADHD.
Receipt of drug therapy was associated with social and educational characteristics.
Medication was used by 3 times as many boys as girls and by twice as many Whites as Blacks.
Medication use increased with years in school, and by fifth grade 18% to 20% of White boys were receiving ADHD medication.
Being young for one's grade was positively associated with medication use (P<. 01).
The prevalence of ADHD was 12% ub district A, 63% in district B. Conclusions.
These findings suggest that criteria for diagnosis of ADHD vary substantially across US populations, with potential overdiagnosis and overtreatment of ADHD in some groups of children.
Mots-clés Pascal : Virginie, Etats Unis, Amérique du Nord, Amérique, Chimiothérapie, Traitement, Trouble attention, Etude critique, Hyperactivité, Secteur public, Ecole, Méthylphénidate, Psychotrope, Milieu scolaire, Stimulant SNC, Prévalence, Prescription médicale
Mots-clés Pascal anglais : Virginia, United States, North America, America, Chemotherapy, Treatment, Attentional disorder, Critical study, Hyperactivity, Public sector, School, Methylphenidate, Psychotropic, School environment, CNS stimulant, Prevalence, Medical prescription
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0518450
Code Inist : 002B02B02. Création : 18/05/2000.