The Association Between ADHD in Adolescence and Injury in Early Adulthood in Israel: A Nationwide Historical Cohort Study-Reference-Cited by-同舟云学术

The Association Between ADHD in Adolescence and Injury in Early Adulthood in Israel: A Nationwide Historical Cohort Study

Published:2024-04-24 Issue:8 Volume:28 Page:1242-1251
ISSN:1087-0547
Container-title:Journal of Attention Disorders
language:en
Short-container-title:J Atten Disord

Author:

Tiruneh Abebe¹^ORCID,Radomislensky Irina¹²,Shlaifer Amir²,Talmy Tomer²³,Almog Ofer²³^ORCID,Rotschield Jacob²³, ,Katorza Eldad⁴⁵⁶⁷,Benov Avi²⁸,Avital Guy²⁹

Affiliation:

1. The National Center for Trauma and Emergency Medicine Research, Gertner Institute for Epidemiology and Health Policy Research, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel

2. Israel Defense Forces Medical Corps, Tel-Hashomer, Ramat Gan, Israel

3. Department of Military Medicine, Faculty of Medicine, Hebrew University, Jerusalem 9574869, Israel

4. Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

5. Gertner Institute for Epidemiology & Health policy Research, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel

6. Antenatal Diagnostic Unit, Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel

7. Arrow Program for Medical Research Education, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, Israel

8. The Azrieli Faculty of Medicine Bar Ilan University, Safed, Israel

9. Division of Anesthesia, Intensive Care and Pain Management, Tel-Aviv Sourasky Medical Center, Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel

Abstract

Objective: To examine the association between late adolescence ADHD and the risk of serious injury in early adulthood. Method: A nationwide cohort study utilizing data from the Military Health Examinations Database for potential military recruits (age 16.5–18 years), cross-referenced with the Israeli National Trauma Registry (2008–2020). Individuals with and without ADHD (mild/severe) were compared for early adulthood injury risk using Cox models. Results: This study compared 76,403 participants with mild ADHD (18.76%) and 330,792 without (81.24%), alongside 2,835 severe ADHD participants (1.11%) versus 252,626 without (98.89%). Adjusted hazard ratios for injury-related hospitalization were 1.27 (95% CI [1.17, 1.37]) for mild ADHD and 1.40 (95% CI [1.09, 1.79]) for severe ADHD, compared to non-ADHD. Conclusions: Adolescents with ADHD, regardless of severity, had a significantly higher risk of hospitalization due to injury that persists into early adulthood, underscoring the importance of recognizing ADHD as an injury risk and incorporating it into injury prevention strategies.

Funder

Israel Science Foundation

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/10870547241246482

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