英国初级保健中的注意力缺陷多动症诊断和处方,2000-2018:基于人口的队列研究
Douglas G J McKechnie1, Elizabeth O'Nions2, Sandra Dunsmuir2
1Department of Primary Care and Population Health, University College London, UK.
BJPsych open
|July 17, 2023
概括
在英国,注意力缺陷多动症 (ADHD) 的诊断和处方正在增加,特别是在成年人和贫困地区的人群中. 虽然儿童的患病率最高,但成人多动症患病率在2000年至2018年间的比例增长最大.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 精神病学是一个精神病学.
背景情况:
- 在英国,被诊断患有注意力缺陷多动性障碍 (ADHD) 的人数增加.
- 需要了解不同人口统计数据中ADHD诊断和治疗的趋势.
研究的目的:
- 估计英国初级保健中ADHD诊断的发生率和流行率.
- 估计英国初级保健中ADHD药物处方的发生率和流行率.
- 根据年龄,性别和社会经济贫困状况分析这些比例.
主要方法:
- 使用英国初级保健数据库IQVIA医学研究数据进行了队列研究.
- 数据涵盖2000年至2018年的年龄为3至99岁的个人.
- 根据人口因素计算和分析了ADHD诊断和处方的比率.
主要成果:
- 在760万个人的0.5%有ADHD诊断;0.2%接受了处方.
- 在男性,儿童和贫困地区的个人中,患病率更高.
- 从2000年到2018年,观察到ADHD诊断和处方的显著增加,成年人的相对增加最大.
结论:
- ADHD诊断和药物使用在儿童中最常见,但在成年人中比例增加.
- 在ADHD诊断/处方和社会经济贫困之间存在明显的关联.
- 研究结果强调了英国人口中ADHD诊断和治疗的发展趋势.
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