Socioeconomic disparities in attention deficit hyperactivity disorder (ADHD) in Sweden: An intersectional ecological niches analysis of individual heterogeneity and discriminatory accuracy (IEN-AIHDA)
We aimed (i) to gain a better understanding of the demographic and socioeconomical distribution of ADHD risk in Sweden; and (ii) to contribute to the critical discussion on medicalization, i.e., the tendency to define and treat behavioural and social problems as medical entities. For this purpose, w...
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| Published in | PloS one Vol. 18; no. 11; p. e0294741 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
San Francisco
Public Library of Science
2023
Public Library of Science (PLoS) |
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| Abstract | We aimed (i) to gain a better understanding of the demographic and socioeconomical distribution of ADHD risk in Sweden; and (ii) to contribute to the critical discussion on medicalization, i.e., the tendency to define and treat behavioural and social problems as medical entities. For this purpose, we analysed the risk of suffering from ADHD in the whole Swedish population aged between 5 and 60 years, across 96 different strata defined by combining categories of gender, age, income, and country of birth. The stratified analysis evidenced considerable risk heterogeneity, with prevalence values ranging from 0.03% in high income immigrant women aged 50–59, to 6.18% in middle income immigrant boys aged 10–14. Our study questions the established idea that behavioural difficulties conceptualized as ADHD should be primarily perceived as a neurological abnormality. Rather, our findings suggest that there is a strong sociological component behind how some individuals become impaired and subject to medicalization. |
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| AbstractList | We aimed (i) to gain a better understanding of the demographic and socioeconomical distribution of ADHD risk in Sweden; and (ii) to contribute to the critical discussion on medicalization, i.e., the tendency to define and treat behavioural and social problems as medical entities. For this purpose, we analysed the risk of suffering from ADHD in the whole Swedish population aged between 5 and 60 years, across 96 different strata defined by combining categories of gender, age, income, and country of birth. The stratified analysis evidenced considerable risk heterogeneity, with prevalence values ranging from 0.03% in high income immigrant women aged 50–59, to 6.18% in middle income immigrant boys aged 10–14. Our study questions the established idea that behavioural difficulties conceptualized as ADHD should be primarily perceived as a neurological abnormality. Rather, our findings suggest that there is a strong sociological component behind how some individuals become impaired and subject to medicalization. We aimed (i) to gain a better understanding of the demographic and socioeconomical distribution of ADHD risk in Sweden; and (ii) to contribute to the critical discussion on medicalization, i.e., the tendency to define and treat behavioural and social problems as medical entities. For this purpose, we analysed the risk of suffering from ADHD in the whole Swedish population aged between 5 and 60 years, across 96 different strata defined by combining categories of gender, age, income, and country of birth. The stratified analysis evidenced considerable risk heterogeneity, with prevalence values ranging from 0.03% in high income immigrant women aged 50-59, to 6.18% in middle income immigrant boys aged 10-14. Our study questions the established idea that behavioural difficulties conceptualized as ADHD should be primarily perceived as a neurological abnormality. Rather, our findings suggest that there is a strong sociological component behind how some individuals become impaired and subject to medicalization.We aimed (i) to gain a better understanding of the demographic and socioeconomical distribution of ADHD risk in Sweden; and (ii) to contribute to the critical discussion on medicalization, i.e., the tendency to define and treat behavioural and social problems as medical entities. For this purpose, we analysed the risk of suffering from ADHD in the whole Swedish population aged between 5 and 60 years, across 96 different strata defined by combining categories of gender, age, income, and country of birth. The stratified analysis evidenced considerable risk heterogeneity, with prevalence values ranging from 0.03% in high income immigrant women aged 50-59, to 6.18% in middle income immigrant boys aged 10-14. Our study questions the established idea that behavioural difficulties conceptualized as ADHD should be primarily perceived as a neurological abnormality. Rather, our findings suggest that there is a strong sociological component behind how some individuals become impaired and subject to medicalization. |
| Author | Merlo, Juan Hornborg, Christoffer Vicente, Raquel Pérez Axrud, Rebecca |
| Author_xml | – sequence: 1 givenname: Christoffer orcidid: 0000-0002-9580-302X surname: Hornborg fullname: Hornborg, Christoffer – sequence: 2 givenname: Rebecca surname: Axrud fullname: Axrud, Rebecca – sequence: 3 givenname: Raquel Pérez surname: Vicente fullname: Vicente, Raquel Pérez – sequence: 4 givenname: Juan surname: Merlo fullname: Merlo, Juan |
| BackLink | https://gup.ub.gu.se/publication/330508$$DView record from Swedish Publication Index https://lup.lub.lu.se/record/72a4ae6c-da42-4014-87f6-16ab3d336efc$$DView record from Swedish Publication Index oai:portal.research.lu.se:publications/72a4ae6c-da42-4014-87f6-16ab3d336efc$$DView record from Swedish Publication Index |
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| Copyright | 2023 Hornborg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright: © 2023 Hornborg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 2023 Hornborg et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
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| CorporateAuthor | Social Epidemiology Socialepidemiologi Handkirurgi, Malmö Institutionen för translationell medicin Department of Translational Medicine Lunds universitet Profile areas and other strong research environments Department of Clinical Sciences, Malmö Lund University Hand Surgery, Malmö Strategiska forskningsområden (SFO) EpiHealth: Epidemiology for Health Faculty of Medicine Strategic research areas (SRA) Medicinska fakulteten Profilområden och andra starka forskningsmiljöer Institutionen för kliniska vetenskaper, Malmö |
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| SubjectTerms | Adolescent Adult Attention Deficit Disorder with Hyperactivity Attention deficit hyperactivity disorder Behavior Child diagnosis Disease Ecological niches Epidemiology Female Folkhälsovetenskap, global hälsa och socialmedicin Health Sciences Heterogeneity Humans Hyperactivity Hälsovetenskap Immigrants Income Intersectional Framework Intersectionality Male Medical and Health Sciences Medicalization Medicin och hälsovetenskap Middle Aged Preschool Public Health, Global Health and Social Medicine Risk Risk analysis Social conditions Social problems Society Socioeconomic Disparities in Health Socioeconomic factors Sociology Sweden Young Adult |
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| Title | Socioeconomic disparities in attention deficit hyperactivity disorder (ADHD) in Sweden: An intersectional ecological niches analysis of individual heterogeneity and discriminatory accuracy (IEN-AIHDA) |
| URI | https://www.proquest.com/docview/3069280785 https://www.proquest.com/docview/2892269225 https://gup.ub.gu.se/publication/330508 https://lup.lub.lu.se/record/72a4ae6c-da42-4014-87f6-16ab3d336efc oai:portal.research.lu.se:publications/72a4ae6c-da42-4014-87f6-16ab3d336efc https://doaj.org/article/c11e4702af7541e4be3aedaef1e260e4 http://dx.doi.org/10.1371/journal.pone.0294741 |
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