Evidence map›Paper›PMID 36657694›Full record

ArticleAnnals of epidemiology2023

County-level prevalence estimates of ADHD in children in the United States.

Anja Zgodic, Alexander C McLain, Jan M Eberth, Alexis Federico, Jessica Bradshaw, Kate Flory

Abstract read
In one paragraph

Article in Annals of epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Adult Community Perspectives on Improving Rural Youth Access to Mental Health Services: A Participatory Group Concept Mapping Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 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

6 authors.

Anja ZgodicDepartment of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC. Electronic address: azgodic@email.sc.edu.
Alexander C McLainDepartment of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC.
Jan M EberthDepartment of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC; Rural and Minority Health Research Center, University of South Carolina, Columbia, SC.
Alexis FedericoDepartment of Psychology, University of South Carolina, Columbia, SC.
Jessica BradshawDepartment of Psychology, University of South Carolina, Columbia, SC.
Kate FloryDepartment of Psychology, University of South Carolina, Columbia, SC.

Funding

Targeting Behavioral Adjustment and Healthy Lifestyle in Preschool-Age Children Using an Integrated Family-Based InterventionP20GM130420 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI GOODRUM, NADA MUSSAD · 2020 to 2024
$11.2M
Coordinating Center for Research to Promote the Health of Children with Birth Defects and People with Developmental and Other DisabilitiesU19DD001218 · DD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI CAI, BO, CARLIN, ROBERTA · 2017 to 2021
$7.4M
Biomedical-Behavioral Interface: Prevention and Developmental Sciences TrainingT32GM081740 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI PRINZ, RONALD J · 2008 to 2022
$4.5M
Heart Defined Attention in Infancy: Predicting Social Communication and ASD SymptomologyK23MH120476 · NIMH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BRADSHAW, JESSICA · 2019 to 2023
$939k
Neurobehavioral Determinants of Social Communication and Language Impairments in at - Risk InfantsR21DC017252 · NIDCD · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BRADSHAW, JESSICA · 2020 to 2022
$427k
ACL HHS U19DD001218NCBDD CDC HHS U19 DD001218NIDCD NIH HHS R21 DC017252NIGMS NIH HHS P20 GM130420NIGMS NIH HHS T32 GM081740NIMH NIH HHS K23 MH120476
6 · The paper itself

Abstract

purposeAttention-deficit/hyperactivity disorder (ADHD) is a common childhood disorder often characterized by long-term impairments in family, academic, and social settings. Measuring the prevalence of ADHD is important as treatment options increase around the U.S. Prevalence data helps inform decisions by care providers, policymakers, and public health officials about allocating resources for ADHD. In addition, measuring geographic variation in prevalence estimates can facilitate hypothesis generation for future analytic work. Most U.S. studies of ADHD prevalence among children focus on national or demographic group rates.

methodsUsing a small area estimation approach and data from the 2016 to 2018 National Survey of Children's Health, we estimated childhood ADHD prevalence estimates at the census regional division, state, and county levels. The sample included approximately 70,000 children aged 5-17 years.

resultsThe national ADHD rate was estimated to be 12.9% (95% Confidence Interval: 11.5%, 14.4%). Counties in the West South Central, East South Central, New England, and South Atlantic divisions had higher estimated rates of childhood ADHD (55.1%, 53.6%, 49.3%, and 46.2% of the counties had rates of 16% or greater, respectively) compared to counties in the Mountain, Mid Atlantic, West North Central, Pacific, and East North Central divisions (2.1%, 4%, 5.8%, 6.9%, and 11.7% of the counties had rates of 16% or greater, respectively).

conclusionsThese local-level rates are useful for decision-makers to target programs and direct sufficient ADHD resources based on communities' needs.

Indexed as

Attention Deficit Disorder with HyperactivityChildChild HealthHumansPrevalencePublic HealthUnited StatesChildhood attention-deficit/hyperactivity disorderCounty-levelNational Survey of Children's HealthPolicyPrevalenceSmall area estimation

Identifiers

PMID36657694
PMCPMC10099151

What OpenQuestion holds

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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.