This cross-sectional analytical study examined the relationship between risk factors of Attention Deficit/ Hyperactivity Disorders (ADHD) in school-age children in Thailand. Materials and methods: The samples were 7,188 Thai students in primary school from grade 1 to 5 in four regions of Thailand and Bangkok, selected by using stratified three-stage cluster sampling. The samples were screened by using SNAP-IV Thai parent version and interviewed by child and adolescent psychiatrists using DSM-IV criteria. Five hundred and twenty-one ADHD children and 1,750 non-ADHD children randomized from the others were analyzed using descriptive statistic, Chi-square test and multiple logistic regressions. Results: The factors associated with ADHD in school-age children were male risk more 2.8 times than female, children living with relatives risk more 1.6 with parent, children had repeated study and punished from teacher risk more 2 and 2.8 times than never. The parents who were marital statuses with widow divorced or separated had been greater risk 1.6 times than who got married, insufficient income and debt risk 1.4 times, the father who had history of inattention/hyperactivity, drug addicted, disruptive behavior risk more 2.1, 2.2, and 1.7 times than never. Especially parent who didn’t had knowledge of ADHD greater risk 2.46 times than who had knowledge and understanding. Conclusion: ADHD is important as it is the risk for academic failure and anti-social behaviors, and also lead to substances and violence problems. Early intervention to prevent the mental health problems and loss of quality population is needed. The stakeholders of care term for children of ADHD must concern on risk factors to develop the appropriate solution and programs in community.
Porntip Wachiradilok, Suan Dusit Rajabhat University, Thailand
Pisamai Phongsathirat, Child and Adolescent Mental Health Rajanagarindra Institute, Thailand
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