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February 2002, Vol 92, No. 2 | American Journal of Public Health 231-234
© 2002 American Public Health Association


RESEARCH AND PRACTICE

Prevalence of Medication Treatment for Attention Deficit–Hyperactivity Disorder Among Elementary School Children in Johnston County, North Carolina

Andrew S. Rowland, PhD, David M. Umbach, PhD, Lil Stallone, MPH, A. Jack Naftel, MD, E. Michael Bohlig, BA and Dale P. Sandler, PhD

Andrew S. Rowland and Dale P. Sandler are with the Epidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC. David M. Umbach is with the Biostatistics Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC. Lil Stallone and E. Michael Bohlig are with CODA/Westat Inc, Durham, NC. A. Jack Naftel is with the Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill.

Correspondence: Requests for reprints should be sent to Andrew S. Rowland, PhD, MPH Program, Department of Family and Community Medicine, University of New Mexico Health Sciences Center, 2400 Tucker NE, Albuquerque, NM 87131-5267 (e-mail: arowland{at}salud.unm.edu).

Objectives. This study estimated the prevalence of medication treatment for attention deficit–hyperactivity disorder (ADHD) among elementary school children in a North Carolina county.

Methods. Parents of 7333 children in grades 1 through 5 in 17 public elementary schools were asked whether their child had ever been given a diagnosis of ADHD by a psychologist or physician and whether their child was currently taking medication to treat ADHD. Parents of 6099 children (83%) responded.

Results. By parental report, 607 children (10%) had been given an ADHD diagnosis and 434 (7%) were receiving ADHD medication treatment. Seventy-one % of the diagnosed children were receiving medication. Treatment rates varied by sex, race/ethnicity, and grade.

Conclusions. If treatment patterns observed in this study are representative, the public health impact of ADHD may be underestimated. (Am J Public Health. 2002;92:231–234)




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