The authors examined the association of neighborhood social and physical characteristics with ADHD, accounting for individual and family factors. The 2007 National Survey of Child Health, a nationally representative data set, was used (N= 64,076). Three neighborhood scales were generated: social support, amenities, and disorder. Logistic and ordinal logistic regressions were conducted to examine the association of these scales with ADHD diagnosis and severity while adjusting for individual and family characteristics. The authors found eight percent had a child with ADHD: 47% described as mild, 40% moderate, and 13% severe. In adjusted models, lower neighborhood support was associated with increased ADHD diagnosis (odds ratio [OR] = 1.66 [1.05, 2.63]) and severity (OR = 3.74 [1.71, 8.15]); neighborhood amenities or disorder were not significantly associated. Poor parental mental health was associated with ADHD prevalence and severity. The authors concluded that neighborhood social support is a potential area of intervention for children with ADHD and their caregivers.
Razani, Nooshin, Hilton, Joan F., Halpern-Felsher, Bonnie L., Okumura, Megumi J., Morrell, Holly E., and Yen, Irene H. (2015). Neighborhood Characteristics and ADHD – Results of a National Study. Journal of Attention Disorders, 19, 731-740.