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. 2014 Jan;53(1):34-46.e2.
doi: 10.1016/j.jaac.2013.09.001. Epub 2013 Nov 21.

Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003-2011

Susanna N Visser  1 , Melissa L Danielson  2 , Rebecca H Bitsko  2 , Joseph R Holbrook  2 , Michael D Kogan  3 , Reem M Ghandour  3 , Ruth Perou  2 , Stephen J Blumberg  4
Affiliations

Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003-2011

Susanna N Visser et al. J Am Acad Child Adolesc Psychiatry. 2014 Jan.

Abstract

Objective: Data from the 2003 and 2007 National Survey of Children's Health (NSCH) reflect the increasing prevalence of parent-reported attention-deficit/hyperactivity disorder (ADHD) diagnosis and treatment by health care providers. This report updates these prevalence estimates for 2011 and describes temporal trends.

Method: Weighted analyses were conducted with 2011 NSCH data to estimate prevalence of parent-reported ADHD diagnosis, current ADHD, current medication treatment, ADHD severity, and mean age of diagnosis for U.S. children/adolescents aged 4 to 17 years and among demographic subgroups. A history of ADHD diagnosis (2003-2011), as well as current ADHD and medication treatment prevalence (2007-2011), were compared using prevalence ratios and 95% confidence intervals.

Results: In 2011, 11% of children/adolescents aged 4 to 17 years had ever received an ADHD diagnosis (6.4 million children). Among those with a history of ADHD diagnosis, 83% were reported as currently having ADHD (8.8%); 69% of children with current ADHD were taking medication for ADHD (6.1%, 3.5 million children). A parent-reported history of ADHD increased by 42% from 2003 to 2011. Prevalence of a history of ADHD, current ADHD, medicated ADHD, and moderate/severe ADHD increased significantly from 2007 estimates. Prevalence of medicated ADHD increased by 28% from 2007 to 2011.

Conclusions: Approximately 2 million more U.S. children/adolescents aged 4 to 17 years had been diagnosed with ADHD in 2011, compared to 2003. More than two-thirds of those with current ADHD were taking medication for treatment in 2011. This suggests an increasing burden of ADHD on the U.S. health care system. Efforts to further understand ADHD diagnostic and treatment patterns are warranted.

Keywords: attention-deficit/hyperactivity disorder (ADHD); epidemiology; medication; prevalence; stimulants.

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Conflict of interest statement

None of the authors have any conflicts of interests to declare.

Figures

Figure 1
Figure 1
Weighted prevalence estimates of parent-reported current attention-deficit/hyperactivity disorder (ADHD) among children aged 4–17 years by state – United States, 2011
Figure 2
Figure 2
Weighted prevalence estimates of parent-reported current attention-deficit/hyperactivity disorder (ADHD) medication treatment among children aged 4–17 years by state – United States, 2011
Figure 3
Figure 3
Weighted prevalence estimates (%) of parent-reported attention-deficit/hyperactivity disorder (ADHD) diagnosis by a health care provider among children, by age and medication status – United States, 2003, 2007, and 2011
See this image and copyright information in PMC

Comment in

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