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Background <p>Children with attention deficit hyperactivity disorder (ADHD) need constant access to medical resources. This study aimed to evaluate the knowledge about attention deficit hyperactivity disorder (ADHD), preference for clinic visits, and treatment in China.</p> Methods <p>This multicenter cross-sectional study included children aged 6–12 along with their parents and head-teachers who filled in the Swanson, Nolan, and Pelham scale version IV-Parent/Teacher scales and self-compiled questionnaires.</p> Results <p>In 12,376 children, 42.2% reported ADHD-related symptoms. A total of 23.6% of children with positive screening results visited a hospital. Parents chose to enhance discipline (68.8%), and seek assistance from doctors (55.7%), psychological consultants (55.3%), or teachers (33.4%). If their children had symptoms, 1732 parents would visit a clinic. Parents’ low education level, sufficient knowledge, and choice to consult doctors, boys, and children in areas other than Northwest and Southwest China predicted more clinical service (all <i>P &lt;</i> 0.05).</p> Conclusions <p>Over 70% of children with suspected ADHD had no clinical visit, and gender, parents’ education level, disease awareness, and geographic region are influencing factors.</p>

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Medical service utilization status and its influence factors in children with attention deficit hyperactivity disorder in China: a nationwide multicenter cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月5日

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  • Feiyong Jia,
  • Yiwen Zhang,
  • Caihui Cha,
  • Li Chen,
  • Yanhui Chen,
  • Kangkang Chu,
  • Shuanfeng Fang,
  • Ying Han,
  • Rong Li,
  • Ping Shi,
  • Binrang Yang,
  • Jie Zhang,
  • Hui Zhou,
  • Xiaoyan Ke

摘要

Background

Children with attention deficit hyperactivity disorder (ADHD) need constant access to medical resources. This study aimed to evaluate the knowledge about attention deficit hyperactivity disorder (ADHD), preference for clinic visits, and treatment in China.

Methods

This multicenter cross-sectional study included children aged 6–12 along with their parents and head-teachers who filled in the Swanson, Nolan, and Pelham scale version IV-Parent/Teacher scales and self-compiled questionnaires.

Results

In 12,376 children, 42.2% reported ADHD-related symptoms. A total of 23.6% of children with positive screening results visited a hospital. Parents chose to enhance discipline (68.8%), and seek assistance from doctors (55.7%), psychological consultants (55.3%), or teachers (33.4%). If their children had symptoms, 1732 parents would visit a clinic. Parents’ low education level, sufficient knowledge, and choice to consult doctors, boys, and children in areas other than Northwest and Southwest China predicted more clinical service (all P < 0.05).

Conclusions

Over 70% of children with suspected ADHD had no clinical visit, and gender, parents’ education level, disease awareness, and geographic region are influencing factors.