ADHD Prevalence Among U.S. Children and Adolescents in 2022: Diagnosis, Severity, Co-Occurring Disorders, and Treatment
- PMID: 38778436
- PMCID: PMC11334226
- DOI: 10.1080/15374416.2024.2335625
ADHD Prevalence Among U.S. Children and Adolescents in 2022: Diagnosis, Severity, Co-Occurring Disorders, and Treatment
Abstract
Objective: To provide updated national prevalence estimates of diagnosed attention-deficit/hyperactivity disorder (ADHD), ADHD severity, co-occurring disorders, and receipt of ADHD medication and behavioral treatment among U.S. children and adolescents by demographic and clinical subgroups using data from the 2022 National Survey of Children's Health (NSCH).
Method: This study used 2022 NSCH data to estimate the prevalence of ever diagnosed and current ADHD among U.S. children aged 3-17 years. Among children with current ADHD, ADHD severity, presence of current co-occurring disorders, and receipt of medication and behavioral treatment were estimated. Weighted estimates were calculated overall and for demographic and clinical subgroups (n = 45,169).
Results: Approximately 1 in 9 U.S. children have ever received an ADHD diagnosis (11.4%, 7.1 million children) and 10.5% (6.5 million) had current ADHD. Among children with current ADHD, 58.1% had moderate or severe ADHD, 77.9% had at least one co-occurring disorder, approximately half of children with current ADHD (53.6%) received ADHD medication, and 44.4% had received behavioral treatment for ADHD in the past year; nearly one third (30.1%) did not receive any ADHD-specific treatment.
Conclusions: Pediatric ADHD remains an ongoing and expanding public health concern, as approximately 1 million more children had ever received an ADHD diagnosis in 2022 than in 2016. Estimates from the 2022 NSCH provide information on pediatric ADHD during the last full year of the COVID-19 pandemic and can be used by policymakers, government agencies, health care systems, public health practitioners, and other partners to plan for needs of children with ADHD.
Similar articles
-
Trends in the parent-report of health care provider-diagnosed and medicated attention-deficit/hyperactivity disorder: United States, 2003-2011.J Am Acad Child Adolesc Psychiatry. 2014 Jan;53(1):34-46.e2. doi: 10.1016/j.jaac.2013.09.001. Epub 2013 Nov 21. J Am Acad Child Adolesc Psychiatry. 2014. PMID: 24342384 Free PMC article.
-
Prevalence of Parent-Reported ADHD Diagnosis and Associated Treatment Among U.S. Children and Adolescents, 2016.J Clin Child Adolesc Psychol. 2018 Mar-Apr;47(2):199-212. doi: 10.1080/15374416.2017.1417860. Epub 2018 Jan 24. J Clin Child Adolesc Psychol. 2018. PMID: 29363986 Free PMC article.
-
A National Profile of Attention-Deficit Hyperactivity Disorder Diagnosis and Treatment Among US Children Aged 2 to 5 Years.J Dev Behav Pediatr. 2017 Sep;38(7):455-464. doi: 10.1097/DBP.0000000000000477. J Dev Behav Pediatr. 2017. PMID: 28723824 Free PMC article.
-
Diagnosis and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Council on Scientific Affairs, American Medical Association.JAMA. 1998 Apr 8;279(14):1100-7. doi: 10.1001/jama.279.14.1100. JAMA. 1998. PMID: 9546570 Review.
-
Special considerations in diagnosing and treating attention-deficit/hyperactivity disorder.CNS Spectr. 2007 Jun;12(6 Suppl 9):1-14; quiz 15-6. doi: 10.1017/s1092852900026092. CNS Spectr. 2007. PMID: 17545959 Review.
Cited by
-
Digital assessments for children and adolescents with ADHD: a scoping review.Front Digit Health. 2024 Oct 8;6:1440701. doi: 10.3389/fdgth.2024.1440701. eCollection 2024. Front Digit Health. 2024. PMID: 39439849 Free PMC article.
-
Changes in Autism and Co-Occurring Conditions from Preschool to Adolescence: Considerations for Precision Monitoring and Treatment Planning.J Autism Dev Disord. 2024 Sep 13. doi: 10.1007/s10803-024-06550-9. Online ahead of print. J Autism Dev Disord. 2024. PMID: 39269675
-
Identifying Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD): a Public Health Concern and Opportunity.Prev Sci. 2024 May;25(Suppl 2):195-202. doi: 10.1007/s11121-024-01667-w. Epub 2024 Apr 10. Prev Sci. 2024. PMID: 38598041 Free PMC article.
References
-
- AAP-AACAP-CHA. (2021). Declaration of a national emergency in child and adolescent mental health from the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry and Children’s Hospital Association https://www.aap.org/en/advocacy/child-and-adolescent-healthy-mental-deve...
-
- Abdelnour E, Jansen MO, & Gold JA (2022). ADHD diagnostic trends: Increased recognition or overdiagnosis? Missouri Medicine, 119(5), 467–473. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616454/ - PMC - PubMed
-
- Akinbami LJ, Liu X, Pastor PN, & Reuben CA (2011). Attention deficit hyperactivity disorder among children aged 5–17 years in the United States, 1998–2009. NCHS Data Brief, 70. https://www.cdc.gov/nchs/products/databriefs/db70.htm - PubMed
-
- American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th edition. American Psychiatric Association.
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous