ADHD as a Risk Factor for Infection With Covid-19
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Published on: December 7, 2018
Eugene Merzon1,2, Iris Manor2,3, Ann Rotem3
1Leumit HMO, Tel-Aviv, Israel.
Insights
Attention-Deficit/Hyperactivity Disorder (ADHD) is linked to increased COVID-19 risk. ADHD medication may reduce this risk, suggesting treatment is crucial for managing infection susceptibility in affected individuals.
Area of Science:
- Medical research
- Epidemiology
- Pharmacology
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) can impair adherence to public health guidelines, including COVID-19 prevention measures.
- The study investigated the potential of ADHD as a risk factor for SARS-CoV-2 infection.
- The role of pharmacotherapy in mitigating COVID-19 risk among individuals with ADHD was explored.
Purpose of the Study:
- To determine if ADHD is an independent risk factor for COVID-19 infection.
- To assess the impact of ADHD pharmacotherapy on COVID-19 infection rates.
- To analyze the association between treated and untreated ADHD and SARS-CoV-2 positivity.
Main Methods:
- A retrospective cohort study analyzed 14,022 individuals tested for COVID-19 between February and April 2020.
- Data were extracted from electronic health records, including ADHD diagnosis and medication prescriptions.
- ADHD pharmacotherapy was defined as purchasing at least three consecutive ADHD medication prescriptions within the past year.
Main Results:
- COVID-19 positive subjects had higher rates of ADHD compared to negative subjects (adjOR 1.58).
- Untreated ADHD was associated with a significantly higher risk of COVID-19 infection (crudeOR 1.61).
- ADHD pharmacotherapy was not associated with an increased risk of COVID-19 infection (crudeOR 1.07).
Conclusions:
- Untreated ADHD appears to be a significant risk factor for contracting COVID-19.
- ADHD pharmacotherapy may mitigate the increased risk of COVID-19 infection associated with the disorder.
- These findings highlight the importance of consistent ADHD treatment for managing infection risks.
Abstract:
Background: ADHD limits the ability to comply with Covid-19 prevention recommendations. We hypothesized that ADHD constitutes a risk factor for Covid-19 infection and that pharmacotherapy may lower that risk. Methods: Study population included all subjects (N = 14,022) registered with Leumit Health Services between February 1st and April 30, 2020, who underwent at least one Covid-19 test. Data were collected from the electronic health records. Purchasing consecutively at least three ADHD-medication-prescriptions during past year was considered drug-treatment. Results: A total of 1,416 (10.1%) subjects (aged 2 months-103 years) were Covid-19-positive.They were significantly younger, and had higher rates of ADHD (adjOR 1.58 (95% CI 1.27-1.96, p < .001) than Covid-19-negative subjects. The risk for Covid-19-Positive was higher in untreated-ADHD subjects compared to non-ADHD subjects [crudeOR 1.61 (95% CI 1.36-1.89, p < .001)], while no higher risk was detected in treated ones [crudeOR 1.07 (95% CI 0.78-1.48, p = .65)]. Conclusion: Untreated ADHD seems to constitute a risk factor for Covid-19 infection while drug-treatment ameliorates this effect.
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