ArticleNeuropsychiatric disease and treatment2026
Determinants of ADHD Health Literacy and Public Awareness of Child-Friendly City Policies in Wenzhou: A Cross-Sectional Survey.
Article in Neuropsychiatric disease and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To evaluate adult Attention Deficit Hyperactivity Disorder (ADHD)-related health literacy, its determinants, and public awareness of local Child-Friendly City (CFC) policies in Wenzhou. Methods: This study adopted a mixed-methods design. The quantitative cross-sectional survey recruited 1792 adults (≥18 years), applying a validated 9-item ADHD knowledge scale to gauge ADHD health literacy. Independent Results: Single-factor analysis initially revealed potential associations between educational level, occupation, attitudes toward ADHD, and having relatives or friends with ADHD were significant influencing factors in both regions (all P<0.05), with significant interactions (eg interaction of parental status, age, and educational level; all P<0.05). Yet these associations reversed after adjustment for confounders. Poisson regression, confirmed educational level (β = 0.0624), positive attitude (β = 0.0758) and do not know having relatives or friends with ADHD (β = 0.1002) as positive predictors (β = 0.1002) (all P<0.05). Regarding policy awareness, Dongtou District showed superior understanding overall compared to the Wenzhou Urban Area (all P<0.05), and professional groups (healthcare- and education-related practitioners) exhibited significantly higher awareness levels than the general public. Conclusions: Wenzhou adults have moderately low ADHD health literacy with regional and social disparities. Higher educational level, positive attitude, and do not know having relatives or friends with ADHD predicted superior literacy, while female gender, urban residence, and professional identities correlate with lower levels. CFC policy awareness is inadequate. Targeted dissemination for high-priority groups and region-adapted support systems are needed.
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