Evidence map›Paper›PMID 28801917›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2018

Attention-Deficit/Hyperactivity Disorder (ADHD): Interaction between socioeconomic status and parental history of ADHD determines prevalence.

Andrew S Rowland, Betty J Skipper, David L Rabiner, Fares Qeadan, Richard A Campbell, A Jack Naftel, David M Umbach

Abstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 86 citations in OpenAlex.

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  7. Exploring Transdiagnostic Mechanisms of Youth Externalizing Psychopathology: A Longitudinal Person-Centered Approach.Clinical psychological science : a journal of the Association for Psychological Science · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 6 institutions in 2 countries.

Andrew S RowlandCollege of Population Health, UNM Health Sciences Center, Albuquerque, NM, USA.
Betty J SkipperUNM Department of Family and Community Medicine, UNM Health Sciences Center, Albuquerque, NM, USA.
David L RabinerDepartment of Psychology & Neuroscience, Duke University, Durham, NC, USA.
Fares QeadanDepartment of Internal Medicine, Division of Epidemiology, Biostatistics & Preventive Medicine, UNM Health Sciences Center, Albuquerque, NM, USA.
Richard A CampbellDepartment of Psychiatry, UNM Health Sciences Center, Albuquerque, NM, USA.
A Jack NaftelDepartment of Psychiatry, UNC School of Medicine, Chapel Hill, NC, USA.
David M UmbachBiostatistics and Computational Biology Branch, NIH, National Institute of Environmental Health Sciences (NIEHS), Research Triangle Park, NC, USA.
University of New Mexico Hospital · USDuke University · USGeneral Department of Preventive Medicine · VNNational Institute of Environmental Health Sciences · USNew Mexico Department of Health · USUniversity of North Carolina Health Care · US

Funding

Tracking and EvaluationU54GM104944 · NIGMS · UNIVERSITY OF NEVADA LAS VEGAS · PI SHUTTLEWORTH, CLAUDE W · 2013 to 2023
$39.6M
UNM HSC Clinical and Translational Science CenterUL1TR001449 · NCATS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI CAMPEN, MATTHEW J, PANDHI, NANCY · 2015 to 2024
$36.9M
University of New Mexico (UNM) Center for Brain Recovery and RepairP20GM109089 · NIGMS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI SHUTTLEWORTH, CLAUDE W · 2015 to 2024
$22.7M
The Natural Histroy of ADHD in a Population-Based SampleR01MH071563 · NIMH · UNIVERSITY OF NEW MEXICO · PI ROWLAND, ANDREW S. · 2005 to 2009
$2.5M
Statistical Methods In Human Development/clinical StudiesZIAES049004 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI UMBACH, DAVID M · 2009 to 2025
$1.8M
NCATS NIH HHS UL1 TR001449NIGMS NIH HHS P20 GM109089NIGMS NIH HHS U54 GM104944NIMH NIH HHS R01 MH071563
6 · The paper itself

Abstract

backgroundMany studies have reported a higher prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) among disadvantaged populations, but few have considered how parental history of ADHD might modify that relationship. We evaluated whether the prevalence of ADHD varies by socioeconomic status (SES) and parental history of ADHD in a population-sample of elementary school children age 6-14 years.

methodsWe screened all children in grades 1-5 in 17 schools in one North Carolina (U.S.) county for ADHD using teacher rating scales and 1,160 parent interviews, including an ADHD structured interview (DISC). We combined parent and teacher ratings to determine DSM-IV ADHD status. Data analysis was restricted to 967 children with information about parental history of ADHD. SES was measured by family income and respondent education.

resultsWe found an interaction between family income and parental history of ADHD diagnosis (p = .016). The SES gradient was stronger in families without a parental history and weaker among children with a parental history. Among children without a parental history of ADHD diagnosis, low income children had 6.2 times the odds of ADHD (95% CI 3.4-11.3) as high income children after adjusting for covariates. Among children with a parental history, all had over 10 times the odds of ADHD as high income children without a parental history but the SES gradient between high and low income children was less pronounced [odds ratio (OR) = 1.4, 95% CI 0.6-3.5].

conclusionsSocioeconomic status and parental history of ADHD are each strong risk factors for ADHD that interact to determine prevalence. More research is needed to dissect the components of SES that contribute to risk of ADHD. Future ADHD research should evaluate whether the strength of other environmental risk factors vary by parental history. Early identification and interventions for children with low SES or parental histories of ADHD should be explored.

Indexed as

Social ClassAdolescentAttention Deficit Disorder with HyperactivityChildChild of Impaired ParentsFemaleHumansMaleNorth CarolinaPrevalenceRisk FactorsAttention-Deficit/Hyperactivity Disorderepidemiologyfamily historyprevalencesocial class

Identifiers

PMID28801917
PMCPMC5809323
OpenAlexW2743323043

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.