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CN 34-1304/RISSN 1674-3679

Volume 29 Issue 7
Jul.  2025
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LI Ting, LI Wen, LI Yan, YANG Jian, DU Yasong, LU Feng, FU Chaowei. Knowledge status and its influencing factors among parents of preschool children regarding attention deficit hyperactivity disorder in Xuhui district, Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(7): 812-818. doi: 10.16462/j.cnki.zhjbkz.2025.07.010
Citation: LI Ting, LI Wen, LI Yan, YANG Jian, DU Yasong, LU Feng, FU Chaowei. Knowledge status and its influencing factors among parents of preschool children regarding attention deficit hyperactivity disorder in Xuhui district, Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(7): 812-818. doi: 10.16462/j.cnki.zhjbkz.2025.07.010

Knowledge status and its influencing factors among parents of preschool children regarding attention deficit hyperactivity disorder in Xuhui district, Shanghai

doi: 10.16462/j.cnki.zhjbkz.2025.07.010
Funds:

Shanghai Xuhui District Medical Research Project SHXH202150

More Information
  • Corresponding author: LI Wen, E-mail: wli23@m.fudan.edu.cn; FU Chaowei, E-mail: ; fcw@fudan.edu.cn
  • Received Date: 2025-01-20
  • Rev Recd Date: 2025-04-14
  • Available Online: 2025-08-11
  • Publish Date: 2025-07-10
  •   Objective  To assess the knowledge among parents of preschool children regarding attention deficit hyperactivity disorder (ADHD) and its potential influencing factors, providing evidence for the prevention and intervention of ADHD in children.  Methods  From October to December 2022, an online questionnaire survey was conducted among parents from eight kindergartens in Xuhui District, Shanghai, using stratified cluster sampling. Knowledge levels were equally divided into high, medium, and low tertiles. Chi-square tests were used to compare differences between groups, and logistic regression was applied to explore the factors influencing parents′ knowledge levels.  Results  The average correct rate regarding ADHD among parents was (70.69±8.73)%. Risk factors for low knowledge level included father (aOR=2.02, 95% CI: 1.60-2.56), undergraduate (aOR=2.06, 95% CI: 1.63-2.59) or high school or below (aOR=3.87, 95% CI: 2.54-5.88) educational level, medium (aOR=1.28, 95% CI: 1.00-1.62) or low (aOR=1.99, 95% CI: 1.30-3.04) average annual family income, and less than 16 h parental time per week (8-< 16 h: aOR=1.36, 95% CI: 1.00-1.84; < 8 h: aOR=2.23, 95% CI: 1.54-3.23). Conversely, parents with age at childbirth of 31-40 years (aOR=0.77, 95% CI: 0.63-0.94) or living in a household with both parents and grandparents (aOR=0.76, 95% CI: 0.62-0.93) was possible protective factors (all P < 0.05). More than 80% of parents held negative attitudes toward children with ADHD, while there was a higher proportion among those with high knowledge levels.  Conclusions  Parents of preschool children had relatively limited knowledge of ADHD in Xuhui District, Shanghai. Its influencing factors included parental roles, age at childbirth, education level, family structure, average annual family income, and parental time. Also, parental attitudes toward children with ADHD tended to be negative. Those findings highlighted the need for targeted health education interventions.
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