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Kim, Lee, Jung, Nam, Bang, Kim, and Kim: Cross Sectional Study on the Prevalence of Attention Deficit Hyperactivity Disorder and Associated Factors among Elementary School Students Living nearby Shihwa-Banwol Industrial Complex
Original Article
Korean Journal of Occupational and Environmental Medicine

Korean Journal of Occupational and Environmental Medicine 2012; 24(3): 252-262.

Published online: 30 September 2012

DOI: https://doi.org/10.0000/kjoem.2012.24.3.252

Cross Sectional Study on the Prevalence of Attention Deficit Hyperactivity Disorder and Associated Factors among Elementary School Students Living nearby Shihwa-Banwol Industrial Complex

Dong-Won Kim, Jeong-Eun Lee1, Woo-Chul Jung2, Ki-Chul Nam3, Ye-Won Bang4, Se-Jin Kim5, Soo-Young Kim

Department of Occupational & Environmental Medicine, Eulji University Hospital, Korea.

1Korea Health Industry Development Institute, Korea.

2Department of Occupational and Environmental Medicine, College of Medicine, Dankook University, Korea.

3Department of Occupational & Environmental Medicine, Cheongju Hana Medical Center, Korea.

4Department of Occupational and Environmental Medicine, Incheon Medical Center, Korea.

5Graduate School of Public Health, Seoul National University, Korea.

Corresponding author (kimsooy@gmail.com)

Received 16 July 2012       Revised 3 September 2012       Accepted 14 September 2012

Copyright © 2012 The Korean Society of Occupational and Environmental Medicine

Abstract

Objectives

The aims of this study were to examine the prevalence of Attention Deficit Hyperactivity Disorder(ADHD) as well as the relationship between ADHD and related factors among elementary school students living nearby Shihwa-Banwol industrial complex.

Methods

A cross-sectional survey was conducted on 573 elementary students living nearby Shihwa-Banwol industrial complex. Dupaul ADHD rating scales were used for assessment of ADHD. Information on age, gender, birth weight, family history, environmental factors including second-hand smoke, house income, house type, bring up a child, road proximity and behavioral factors including outside activity time, eating habits, and cell phone usage were based on data from self-administered questionnaires. Multiple logistic regression analysis was performed, and all odds ratios were adjusted according to age and gender.

Results

The prevalence of ADHD was 9.4%, and those aged 10 years were the most affected. Male elementary school students were 3.19 times (95% CI:1.71~5.93) more likely to have ADHD than females. ADHD was significantly associated with family history of mental disease (adjusted OR 8.69; 95%CI 1.93~39.22), lack of cell phones usage (adjusted OR 2.27; 95%CI 1.21~4.26), a road adjacent to child's residence (adjusted OR 2.21; 95%CI 1.20~4.05) and lack of seafood consumption (adjusted OR 2.08; 95%CI 1.08~4.00).

Conclusions

More research effort should be focused on determining the prevalence of ADHD and relevant factors among children living nearby industrial complexes.

Keywords: Attention deficit hyperactivity disorder, ADHD, Prevalence, Related factors

Figures and Tables

Fig. 1
Distribution of total score between normal and abnormal according to Hyperactivity, Inconcentration and ADHD by normal and abnormal.
kjoem-24-252-g001
Fig. 2
Distribution of total score according to Hyperactivity, Inconcentration and ADHD by grade.
kjoem-24-252-g002
Table 1
Distribution of the study subjects according to characteristics
kjoem-24-252-i001

*house income was divided by two groups of low and high. Participants who earned 3,000,000 won in monthly were included on 'Low', and High group earned more then 3,000,000 won.

Table 2
Results of univariable logistic regression by hyperactivity, inconcentration and ADHD
kjoem-24-252-i002

*odd ratio, †confidential interval.

Table 3
Multiple logistic regression of hyperactivity, inconcentration and ADHD
kjoem-24-252-i003

The results were adjusted according to age and gender.

*odd ratio, †confidential interval.

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