Early Pregnancy Risk Among Adolescents With ADHD: A Nationwide Longitudinal Study

被引:21
作者
Hua, Mao-Hsiu [1 ]
Huang, Kai-Lin [1 ,7 ]
Hsu, Ju-Wei [1 ,7 ]
Bai, Ya-Mei [2 ,7 ]
Su, Tung-Ping [3 ,7 ,8 ]
Tsai, Shih-Jen [4 ,7 ]
Li, Cheng-Ta [5 ,7 ]
Lin, Wei-Chen [5 ,7 ]
Chen, Tzeng-Ji [6 ,7 ]
Chen, Mu-Hong [1 ,7 ]
机构
[1] Taipei Vet Gen Hosp, Dept Psychiat, Div Child & Adolescence Psychiat, Taipei, Taiwan
[2] Taipei Vet Gen Hosp, Dept Psychiat, Div Gen Psychiat, Taipei, Taiwan
[3] Taipei Vet Gen Hosp, Taipei, Taiwan
[4] Taipei Vet Gen Hosp, Dept Psychiat, 201 Shih Pai Rd,Sec 2, Taipei 11217, Taiwan
[5] Taipei Vet Gen Hosp, Dept Psychiat, Div Rehabil Psychiat, Taipei, Taiwan
[6] Taipei Vet Gen Hosp, Dept Family Med, Taipei, Taiwan
[7] Natl Yang Ming Univ, Taipei, Taiwan
[8] Cheng Hsin Gen Hosp, Dept Psychiat, Taipei, Taiwan
关键词
ADHD; early pregnancy; substance use disorders; ADHD medications; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT-HYPERACTIVITY DISORDER; SEXUAL-BEHAVIOR; SUBSTANCE USE; UNINTENDED PREGNANCY; YOUNG-ADULTS; METAANALYSIS; PREVALENCE; SYMPTOMS; CHILDREN;
D O I
10.1177/1087054719900232
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective: ADHD potentially leads to risky sexual behaviors, and is considered a major risk factor for early pregnancy (EP). However, the association between ADHD and subsequent EP remains unknown. Method: Seven thousand five hundred five adolescents with ADHD and 30,020 age- and sex-matched individuals without ADHD were enrolled from 2001 to 2009 and were followed until the end of 2011. Adolescents who developed any pregnancy (at age <= 30 years) or EP (at age <20 years) during the follow-up period were identified. Results: Adolescents with ADHD were found to be prone to pregnancy (hazard ratio [HR] = 1.27) and EP (HR = 2.30) compared with those without ADHD. Long-term ADHD medication use was related to a lower risk of subsequent any pregnancy (HR = 0.72) and EP (HR = 0.69). Conclusion: Adolescents with ADHD had an increased risk of any pregnancy and EP compared with their non-ADHD counterparts. Long-term ADHD medication use was associated with a lower subsequent EP risk.
引用
收藏
页码:1199 / 1206
页数:8
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