Chronic conditions and coexisting ADHD-a complicated combination in adolescents
2015 (English)In: European Journal of Pediatrics, ISSN 0340-6199, E-ISSN 1432-1076, Vol. 174, no 9, 1209-1215 p.Article in journal (Refereed) Published
Adolescents with chronic conditions (CCs) take more health risks than peers. However, coexisting ADHD has not sufficiently been considered. The aim of the present study was to investigate the impact of different CCs on protective factors and health-risk behaviors, taking coexisting ADHD into account. A school-based study among 6895 15- and 17-year-old students was performed in the county of Sormland, Sweden in 2011 (response rate 80 %). The questionnaire explored background factors, CCs, protective factors, and health-risk behaviors. CCs were reported by 11 %, while 55 % were healthy. Students with CCs more often reported coexisting ADHD than healthy students. In adolescents with neurological conditions, the odds ratio for having ADHD was 7.34 (95 % CI 3.00-17.99) as compared to healthy peers. Few protective factors (< 4) and clustered health-risk behaviors (a parts per thousand yen4) were more common among students with CCs, especially if ADHD or a combination including ADHD was reported. Conclusion: CCs and coexisting ADHD are associated with few protective factors and clustered-health risk behaviors. Adolescents with ADHD-in addition to a chronic condition-should be specially acknowledged by health care professionals in order to prevent health risk behaviors. ADHD should be considered when studying these outcomes in adolescents.
Place, publisher, year, edition, pages
2015. Vol. 174, no 9, 1209-1215 p.
Adolescent medicine, Chronic disease, ADHD, Health behavior, Risk-taking, Protective factors
IdentifiersURN: urn:nbn:se:uu:diva-261936DOI: 10.1007/s00431-015-2521-9ISI: 000359821700009PubMedID: 25823759OAI: oai:DiVA.org:uu-261936DiVA: diva2:855812