Home | Contact us | Staff | Students | MyExeter (Staff) | exehub (Students) | Site map |

      StudyingResearchBusiness and communityWorking hereAlumni and supportersOur departmentsVisiting usAbout us

      Open Research Exeter (ORE)

      View Item 
      •   ORE Home
      • University of Exeter Medical School
      • Institute of Health Research
      • View Item
      •   ORE Home
      • University of Exeter Medical School
      • Institute of Health Research
      • View Item
      JavaScript is disabled for your browser. Some features of this site may not work without it.

      Socioeconomic Associations with ADHD: Findings from a Mediation Analysis

      Thumbnail
      View/Open
      PlosOne.pdf (318.7Kb)
      Date
      2015-06-01
      Author
      Russell, AE
      Ford, Tamsin
      Russell, G
      Date issued
      2015-06-01
      Journal
      PLoS One
      Type
      Article
      Language
      en
      Publisher
      Public Library of Science
      Links
      http://www.ncbi.nlm.nih.gov/pubmed/26030626
      Rights
      © 2015 Russell et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
      Abstract
      BACKGROUND: Children from disadvantaged socioeconomic backgrounds are at greater risk of a range of negative outcomes throughout their life course than their peers; however the specific mechanisms by which socioeconomic status relates to different health outcomes in childhood are as yet unclear. AIMS: The current study investigates the relationship between socioeconomic disadvantage in childhood and attention deficit/hyperactivity disorder (ADHD), and investigates putative mediators of this association in a longitudinal population-based birth cohort in the UK. METHODS: Data from the Avon Longitudinal Study of Parents and Children was used (n = 8,132) to explore the relationship between different measures of socioeconomic status at birth-3 years and their association with a diagnosis of ADHD at age 7. A multiple mediation model was utilised to examine factors occurring between these ages that may mediate the association. RESULTS: Financial difficulties, housing tenure, maternal age at birth of child and marital status were significantly associated with an outcome of ADHD, such that families either living in financial difficulty, living in council housing, with younger or single mothers' were more likely to have a child with a research diagnosis of ADHD at age 7. Financial difficulties was the strongest predictor of ADHD (OR 2.23 95% CI 1.57-3.16). In the multiple mediation model, involvement in parenting at age 6 and presence of adversity at age 2-4 mediated 27.8% of the association. CONCLUSIONS: Socioeconomic disadvantage, conceptualised as reported difficulty in affording basic necessities (e.g. heating, food) has both direct and indirect impacts on a child's risk of ADHD. Lower levels of parent involvement mediates this association, as does presence of adversity; with children exposed to adversity and those with less involved parents being at an increased risk of having ADHD. This study highlights the importance of home and environmental factors as small but important contributors toward the aetiology of ADHD.
      Funders/Sponsor
      Medical Research Council
      Wellcome Trust
      ESRC Secondary Data Analysis Initiative
      Description
      This is a freely-available open access publication. Please cite the published version which is available via the DOI link in this record.
      Citation
      Vol. 10 (6), article e0128248
      Grant number
      092731
      ES/K003356/1
      DOI
      https://doi.org/10.1371/journal.pone.0128248
      URI
      http://hdl.handle.net/10871/17730
      ISSN
      1932-6203
      Collections
      • Institute of Health Research
      Place of publication
      United States

      Using our site |  Freedom of Information |  Data Protection |  Copyright & disclaimer |  Privacy & Cookies | 

       

       

      Related Links
      What is ORE Library Site Research Site
      Browse
      All of ORECommunities & CollectionsTitlesAuthorsTypeThis CollectionTitlesAuthorsType
      Statistics
      Most Popular ItemsStatistics by Country

      Using our site |  Freedom of Information |  Data Protection |  Copyright & disclaimer |  Privacy & Cookies |