Evidence map›Paper›PMID 34759326›Full record

ArticleScientific reports2021

U.S. national, regional, and state-specific socioeconomic factors correlate with child and adolescent ADHD diagnoses pre-COVID-19 pandemic.

Kesten Bozinovic, Flannery McLamb, Katherine O'Connell, Natalie Olander, Zuying Feng, Sora Haagensen, Goran Bozinovic

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
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  4. Investigating the Shared and Divergent Neuroanatomical Features of Attentional Deficits in Adolescents.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  5. Article
  6. Methylphenidate-effects on orthodontic tooth movement, orthodontically induced and nonorthodontic root resorption? : A micro-computed tomography and immunohistochemical analysis.Journal of orofacial orthopedics = Fortschritte der Kieferorthopadie : Organ/official journal Deutsche Gesellschaft fur Kieferorthopadie · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. tDCS and neurofeedback in ADHD treatment.Frontiers in systems neuroscience · 2025
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Trends in Mental Wellbeing of US Children, 2019-2022: Erosion of Mental Health Continued in 2022.International journal of environmental research and public health · 2024
    Article
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  18. Article
  19. Review
  20. Article
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 2 institutions in 1 country.

Kesten BozinovicBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA.
Flannery McLambBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA.
Katherine O'ConnellBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA.
Natalie OlanderBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA.
Zuying FengBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA.
Sora HaagensenBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA.
Goran BozinovicBoz Life Science Research and Teaching Institute, San Diego Science Center, 3030 Bunker Hill Street, Suite 102, San Diego, CA, 92109, USA. gbozinovic@ucsd.edu.
Fleet Science Center · USTorrey Pines Institute For Molecular Studies · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Attention-deficit/hyperactivity disorder (ADHD), the most diagnosed emerging neurodevelopmental disorder in children, is a growing health crisis in the United States. Due to the potential increase in ADHD severity during and post the COVID-19 pandemic, we analyzed recent national and two state-specific ADHD data distribution among U.S. children and adolescents by investigating a broad range of socioeconomic status (SES) factors. Child and adolescent ADHD diagnosis and treatment data were parent-reported via National Survey of Children's Health (NSCH). The nationwide childhood prevalence of ADHD is 8.7%, and 62.1% of diagnosed children are taking medication. Louisiana (15.7%) has the highest percentage of children diagnosed with ADHD and California (5.6%) has the lowest, followed by Nevada (5.9%). Multiple correspondence analysis (MCA, n = 51,939) examining 30 factors highlights four areas of interest at the national and state level: race/ethnicity, financial status, family structure, and neighborhood characteristics. Positive correlations between ADHD diagnosis and unsafe school, unsafe neighborhood, and economic hardship are evident nationally and statewide, while the association between a lack of ADHD diagnosis and higher urban neighborhood amenities are evident nationally, but not in two opposing outlier states-Louisiana or Nevada. National and state-specific hierarchical analyses demonstrate significant correlations between the various SES factors and ADHD outcomes. Since the national analysis does not account for the demographic heterogeneity within regions or individual states, the U.S. should rely on comprehensive, county-specific, near real-time data reporting to effectively model and mitigate the ADHD epidemic and similar national health crises.

Indexed as

Attention Deficit Disorder with HyperactivityCOVID-19Socioeconomic FactorsAdolescentChildChild, PreschoolFemaleHumansMalePandemicsPrevalenceResidence CharacteristicsSARS-CoV-2Social ClassUnited States

Identifiers

PMID34759326
PMCPMC8580963
OpenAlexW3214105395

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.