uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
ADHD in international adoptees: a national cohort study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health.
2010 (English)In: European child & adolescent psychiatry, ISSN 1435-165X, Vol. 19, no 1, 37-44 p.Article in journal (Refereed) Published
Abstract [en]

Several investigators have reported an increased frequency of attention/hyperactivity symptoms in international adoptees, though population-based studies are lacking. In this national cohort study, we aimed to determine the prevalence of ADHD medication in international adoptees in Sweden, in comparison to the general population. A further purpose was to study gender, age at adoption and region of origin as predictors of ADHD medication in international adoptees. The study population consisted of all Swedish residents born in 1985-2000 with Swedish-born parents, divided into 16,134 adoptees, and a comparison population of 1,326,090. ADHD medications were identified in the Swedish Prescribed Drug Register during 2006. Logistic regression was used to calculate the odds ratios. The rates of ADHD medication were higher in international adoptees than in the comparison population for both boys (5.3 vs. 1.5% for 10-15-year olds) and girls (2.1 vs. 0.3% for 10-15-year olds). International adoptees from all regions of birth more often consumed ADHD medication compared with the majority population, but the age and sex adjusted odds ratios were particularly high for adoptees from Eastern Europe, Middle East/Africa and Latin America. Adjusting for maternal education and single parenthood increased the odds ratios even further. The risk also increased with higher age at adoption. Adoptees from Eastern Europe have a very high risk for ADHD medication. A structured identification and support programme should be tailored for this group. Adoptees from other regions have a more moderately increased risk, which should be communicated to adoptive parents and to professionals who care for adoptees in their clinical practice.

Place, publisher, year, edition, pages
2010. Vol. 19, no 1, 37-44 p.
Keyword [en]
International adoption, ADHD, Methylphenidate, Atomoxetine, Eastern Europe
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-112748DOI: 10.1007/s00787-009-0038-3ISI: 000272868700004PubMedID: 19543791OAI: oai:DiVA.org:uu-112748DiVA: diva2:287775
Available from: 2010-01-19 Created: 2010-01-19 Last updated: 2016-05-02

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Lindblad, Frank
By organisation
Department of NeuroscienceDepartment of Women's and Children's Health
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 212 hits
ReferencesLink to record
Permanent link

Direct link