Prevalence of ADHD and factors for parent's participation in the care of children with ADHD, Yasothon, Thailand

Abstract

BACKGROUND: Attention deficit hyperactivity disorder (ADHD) is a mental health disorder commonly observed in children. Parents' participation in the care (PPC) of children with ADHD (C-ADHD) is especially important to promote support care and treatment. We estimated the prevalence of C-ADHD and identified the factors for the PPC of C-ADHD. METHODS AND MATERIALS: A cross-sectional analytic study was conducted on parents and grade-one students in five primary schools, Muang district, Yasothon, Thailand. The study was conducted from March to June 2022. Data were collected using the screening test of SNAP-IV Thai version and by interviewing child psychiatrists and parents. Descriptive statistics were used to summarize the demographic data and prevalence of C-ADHD. Unconditional multiple logistic regression was used to identify predictive statistical model for the PPC of C-ADHD. RESULTS: Four hundred sixty-four students were screened by SNAP-IV, of which 30 students were confirmed as ADHD (6.5% [95% confidence interval [CI]: 4.4–9.1]), with 9.1% boys and 3.6% girls. Four factors associated with the PPC of C-ADHD significantly including male (ORadj: 2.5, 95% CI: 1.4–4.4), single divorce status (ORadj: 2.1, 95% CI: 1.1–4.2), income more than 15,000 baht (ORadj: 3.1, 95% CI: 1.8–5.1), and attitude level during middle-high (ORadj: 8.4, 95% CI: 5.0–14.2). Predictive factors of four variables can be used to implement the policy to improve the healthcare system, prevention, and PPC of C-ADHD.