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目的调查上海市闸北区学龄前儿童注意缺陷多动障碍(Attention Deficit HyperactivityDisorder,ADHD)患病率及影响因素。方法采用一般情况调查表和注意缺陷多动症状调查表对上海市闸北区9所幼儿园儿童进行整群-分层抽样调查。并运用SPSS16.0进行因素分析和Logistic回归分析。结果学龄前儿童ADHD患病率为3.9%,父母和老师筛选出的可疑ADHD儿童有38.75%被诊断为ADHD者,男女比例为2:1;多元回归分析显示女性(OR=0.357)是罹患ADHD的保护因素,母孕期营养状况差(OR=3.323)是罹患ADHD的危险因素。结论学龄前儿童罹患ADHD的比例较高,不容忽视;性别是罹患ADHD的保护因素,母孕期营养状况和儿童期的营养状况是值得重视的危险因素。
Objective To investigate the prevalence and influential factors of Attention Deficit Hyperactivity Disorder (ADHD) in Zhabei District of Shanghai. Methods A total sample of 9 kindergarten children in Zhabei District of Shanghai City was stratified and stratified by using the general situation questionnaire and attention deficit hyperactivity disorder questionnaire. SPSS 16.0 was used for factor analysis and Logistic regression analysis. Results The prevalence of ADHD was 3.9% in pre-school children, 38.75% of suspicious ADHD children screened by parents and teachers were diagnosed as ADHD, the ratio of male to female was 2: 1. Multiple regression analysis showed that female (OR = 0.357) Of the protective factors, poor nutrition during pregnancy (OR = 3.323) is a risk factor for ADHD. Conclusions There is a high proportion of pre-school children with ADHD, which can not be ignored. Sex is the protective factor of ADHD. The nutritional status during pregnancy and the nutritional status in childhood are the risk factors to be emphasized.