Affiliation:
1. Boston University School of Medicine, Boston Medical Center, MA, USA
2. Boston University School of Public Health, MA, USA
3. University of California Los Angeles, CA, USA
Abstract
Objective: Attention-Deficit/Hyperactivity Disorder (ADHD) disproportionately affects socioeconomically disadvantaged children, but for unclear reasons. We examined the association between social determinants of health (SDH) and ADHD symptoms in a national sample of preschool-age children. Methods: We conducted exploratory factor analysis (EFA) and exploratory structural equation modeling (ESEM) with a sample of 7,565 preschool-age children from the 2016 National Survey of Children’s Health, to examine the association between ADHD symptoms and SDH. Results: EFA indicated a one-factor structure for ADHD symptoms, and three factors for SDH (socioeconomic status, access to basic needs, and caregiver well-being). Independently, all three SDH were significantly associated with higher ADHD symptoms. However, in the ESEM model, only worse caregiver well-being (β = .39, p < .01) was significantly associated with ADHD symptoms, and fully mediated the relationship between SDH and ADHD symptoms. Conclusion: Addressing caregiver well-being in preschoolers with ADHD symptoms could be an early intervention strategy.
Funder
Gordon and Betty Moore Foundation
National Institute of Mental Health
Subject
Clinical Psychology,Developmental and Educational Psychology
Cited by
3 articles.
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