Prevalence of Medication Treatment for Attention DeficitHyperactivity Disorder Among Elementary School Children in Johnston County, North Carolina
Andrew S. Rowland, PhD,
David M. Umbach, PhD,
Lil Stallone, MPH,
A. Jack Naftel, MD,
E. Michael Bohlig, BA and
Dale P. Sandler, PhD
Andrew S. Rowland and Dale P. Sandler are with the Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC. David M. Umbach is with the Biostatistics Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC. Lil Stallone and E. Michael Bohlig are with CODA/Westat Inc, Durham, NC. A. Jack Naftel is with the Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill.
Correspondence: Requests for reprints should be sent to Andrew S. Rowland, PhD, MPH Program, Department of Family and Community Medicine, University of New Mexico Health Sciences Center, 2400 Tucker NE, Albuquerque, NM 87131-5267 (e-mail: arowland{at}salud.unm.edu).
Objectives. This study estimated the prevalence of medicationtreatment for attention deficithyperactivity disorder(ADHD) among elementary school children in a North Carolinacounty.
Methods. Parents of 7333 children in grades 1 through 5 in 17public elementary schools were asked whether their child hadever been given a diagnosis of ADHD by a psychologist or physicianand whether their child was currently taking medication to treatADHD. Parents of 6099 children (83%) responded.
Results. By parental report, 607 children (10%) had been givenan ADHD diagnosis and 434 (7%) were receiving ADHD medicationtreatment. Seventy-one % of the diagnosed children were receivingmedication. Treatment rates varied by sex, race/ethnicity, andgrade.
Conclusions. If treatment patterns observed in this study arerepresentative, the public health impact of ADHD may be underestimated.(Am J Public Health. 2002;92:231234)
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