Ask any pediatrician and they will likely tell you they are seeing many more kids who have ADHD than ever before in their career. More adults have ADHD than ever before as well.
Most MDs know the incidence of ADHD is rising. We all know this increase is in part also due to increased electronic screen time. Trying to sit and contemplate, pray, study, and especially pray something like a rosary is very hard in one who has just seen hours and hours of tv and video games.
Yet the authors below list all the many factors involved in ADHD except increased electronic screen time. That is a travesty as it points to a possibility that the researchers may clueless to this factor.
Do all pediatricians ask about electronic screen time usage to all their patients? They should. Excessive screen time is a factor in ADHD in adults and kids as well as chronic eye pain syndromes in adults and now kids.
SLC
Most MDs know the incidence of ADHD is rising. We all know this increase is in part also due to increased electronic screen time. Trying to sit and contemplate, pray, study, and especially pray something like a rosary is very hard in one who has just seen hours and hours of tv and video games.
Yet the authors below list all the many factors involved in ADHD except increased electronic screen time. That is a travesty as it points to a possibility that the researchers may clueless to this factor.
Do all pediatricians ask about electronic screen time usage to all their patients? They should. Excessive screen time is a factor in ADHD in adults and kids as well as chronic eye pain syndromes in adults and now kids.
SLC
Original Investigation
Pediatrics
August 31, 2018
Twenty-Year Trends in Diagnosed Attention-Deficit/Hyperactivity Disorder Among US Children and Adolescents, 1997-2016
Guifeng Xu, MD1,2; Lane Strathearn, MBBS, FRACP, PhD1,3; Buyun Liu, MD, PhD2; et alBinrang Yang, MD, PhD1,4; Wei Bao, MD, PhD2
JAMA Network Open. 2018;1(4):e181471. doi:10.1001/jamanetworkopen.2018.1471
Key Points
Question What are the long-term trends in prevalence of attention-deficit/hyperactivity disorder among US children and adolescents over the past 2 decades?
Findings In this study of data from 186 457 children and adolescents aged 4 to 17 years from the National Health Interview Survey, a nationwide, population-based, cross-sectional survey conducted annually from 1997 to 2016, the estimated prevalence of diagnosed attention-deficit/hyperactivity disorder in US children and adolescents increased from 6.1% in 1997-1998 to 10.2% in 2015-2016.
Meaning Among US children and adolescents, the estimated prevalence of diagnosed attention-deficit/hyperactivity disorder increased significantly between 1997 and 2016.
Abstract
Importance Attention-deficit/hyperactivity disorder (ADHD) is common in US children and adolescents. It is important to understand the most recent prevalence of ADHD and its long-term trends over the past decades.
Objective To estimate the prevalence of diagnosed ADHD and 20-year trends from 1997 to 2016 among US children and adolescents using nationally representative data.
Design, Setting, and Participants In this population-based, cross-sectional survey study (National Health Interview Survey), surveys were conducted annually from 1997 to 2016. A total of 186 457 children and adolescents aged 4 to 17 years from 1997 to 2016 were included in this analysis. Data were collected through in-person household interviews with a parent or guardian. The data analysis was performed in January 2018.
Main Outcomes and Measures Attention-deficit/hyperactivity disorder diagnosed by a physician or other health care professional.
Results Among the included 186 457 children and adolescents (96 017 boys [51.5%], 51 350 Hispanic [27.5%], 91 374 non-Hispanic white [49.0%], 28 808 non-Hispanic black [15.5%], 14 925 non-Hispanic other race [8.0%]), 14 704 children and adolescents (7.9%; 10 536 boys [71.7%], 2497 Hispanic [17.0%], 9010 non-Hispanic white [61.3%], 2328 non-Hispanic black [15.8%], and 869 non-Hispanic other race [5.9%]) were reported to have ever been diagnosed with ADHD. The weighted prevalence of diagnosed ADHD was 10.2% (95% CI, 9.6%-10.8%) in 2015-2016. There were significant sex and racial/ethnic disparities in the prevalence of diagnosed ADHD. The prevalence was 14.0% (95% CI, 13.1%-15.0%) in boys and 6.3% (95% CI, 5.6%-7.0%) in girls, 6.1% (95% CI, 5.2%-7.0%) in Hispanic individuals, 12.0% (95% CI, 11.1%-12.9%) in non-Hispanic white individuals, and 12.8% (95% CI, 11.0%-14.5%) in non-Hispanic black individuals. Over the 20-year period, the estimated prevalence of diagnosed ADHD in US children and adolescents increased from 6.1% in 1997-1998 to 10.2% in 2015-2016 (P for trend <.001). All subgroups by age, sex, race/ethnicity, family income, and geographic regions showed a significant increase in the prevalence from 1997-1998 to 2015-2016.
Conclusions and Relevance This study’s findings suggest that among US children and adolescents, the estimated prevalence of diagnosed ADHD increased significantly between 1997-1998 and 2015-2016. This study suggests that additional research is needed to better understand the cause of this apparent rise in prevalence.
Nonetiologic factors may partly explain the apparent increase in the prevalence of diagnosed ADHD in this study. Over the past 20 years, there have been expanded continuing medical education efforts about ADHD that enhanced physicians’ sensitivity to the diagnosis of ADHD. Changes in diagnostic criteria may also contribute to the increased number of children being diagnosed with ADHD.7 In particular, changes in the Diagnostic and Statistical Manual of Mental Disorders criteria that established the predominately inattentive presentation of ADHD led to significantly increased diagnosis in girls, who often fail to demonstrate classic hyperactive symptoms. In addition, increased public awareness, improved access to health services, and improved referral from primary care and communities to specialty mental health services may increase the likelihood of ADHD being identified on screening and diagnosis.9 Increased rates of diagnosed ADHD among black and Hispanic youths might reflect increased access to care and decreased stigma in those communities for receiving an ADHD diagnosis. The execution of the Affordable Care Act may also have increased access to care in lower socioeconomic status and minority groups. There is a common perception that ADHD is overdiagnosed in the United States, but this perception was not supported by scientific evidence based on review of prevalence studies and research on the diagnostic process.27
It remains to be understood how much of the observed apparent increase in diagnosed ADHD was attributed to etiologic factors; ADHD has a genetic component with an estimated heritability of 70% to 80%.21 In addition to genetic risk factors, environmental risk factors are believed to contribute to the development of ADHD.1,28 Prenatal and perinatal risk factors, including preterm birth, low birth weight, maternal cigarette smoking, and maternal use of certain medications or illicit substances during pregnancy, have been associated with ADHD risk.29-31 Attachment-related factors in early infancy have also been associated with ADHD in childhood.32-34 Environmental contamination, such as lead, organophosphate pesticides, and polychlorinated biphenyls exposure, during prenatal and/or postnatal periods is a possible risk factor for ADHD.30 In addition, nutritional deficiencies (eg, zinc, magnesium, and polyunsaturated fatty acids) may also be implicated in the development of ADHD.1 The contributions of these nongenetic and genetic risk factors to the etiologic source of ADHD, both separately and jointly, warrant further
My life is beautiful thanks to you, Mein Helfer. Lord Jesus in my life as a candle light in the darkness. You showed me the meaning of faith with your words. I know that even when I cried all day thinking about how to recover, you were not sleeping, you were dear to me. I contacted the herbal center Dr Itua, who lived in West Africa. A friend of mine here in Hamburg is also from Africa. She told me about African herbs but I was nervous. I am very afraid when it comes to Africa because I heard many terrible things about them because of my Christianity. god for direction, take a bold step and get in touch with him in the email and then move to WhatsApp, he asked me if I can come for treatment or I want a delivery, I told him I wanted to know him I buy ticket in 2 ways to Africa To meet Dr. Itua, I went there and I was speechless from the people I saw there. Patent, sick people. Itua is a god sent to the world, I told my pastor about what I am doing, Pastor Bill Scheer. We have a real battle beautifully with Spirit and Flesh. Adoration that same night. He prayed for me and asked me to lead. I spent 2 weeks and 2 days in Africa at Dr Itua Herbal Home. After the treatment, he asked me to meet his nurse for the HIV test when I did it. It was negative, I asked my friend to take me to another nearby hospital when I arrived, it was negative. I was overwhite with the result, but happy inside of me. We went with Dr. Itua, I thank him but I explain that I do not have enough to show him my appreciation, that he understands my situation, but I promise that he will testify about his good work. Thank God for my dear friend, Emma, I know I could be reading this now, I want to thank you. And many thanks to Dr. Itua Herbal Center. He gave me his calendar that I put on my wall in my house. Dr. Itua can also cure the following diseases ... Cancer, HIV, Herpes, Hepatitis B, Inflammatory Liver, Diabetis, Fribroid, recover your ex. You can contact him by email or whatsapp, @ .. drituaherbalcenter@gmail.com, phone number .. + 2348149277967 .. He is a good doctor, talk to him kindly. I'm sure he will also listen to you.
ReplyDelete