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Association Between Substance Use and Current Attention Deficit Hyperactivity Disorder Symptoms in a National Sample of Adolescents

Brinkman, William B, M.D.

Abstract Details

2013, MS, University of Cincinnati, Medicine: Clinical and Translational Research.
Objective: To evaluate the relation between the number of attention-deficit/hyperactivity disorder (ADHD) symptoms and lifetime use of alcohol, tobacco, and drugs in an adolescent sample representative of the United States population. Design: Cross-sectional survey. Setting: Nationally representative sample of the U.S. population from 2000-2004. Participants: Twelve- to 15-year-old adolescents (N=2517) in the National Health and Nutrition Examination Survey. Main Outcome Measure: The National Health and Nutrition Examination Survey Audio Computer Assisted Self Interview of adolescents was used to ascertain lifetime use of alcohol, tobacco, and drugs. Primary Predictor Measure: The National Institute of Mental Health Diagnostic Interview Schedule for Children (caregiver module) was used to ascertain the presence of ADHD symptoms in the past year. Results: There was a strong linear relationship between the number of current ADHD symptoms and the likelihood of substance use after controlling for diagnosis of conduct disorder, age, gender, race/ethnicity, poverty status, and household smoke for tobacco use outcome. This relationship was most robust for inattentive symptoms than for total ADHD symptoms or hyperactive-impulsive symptoms along. For every inattentive symptom, there was a nine to fourteen percent increase in the likelihood of substance use. Conclusions: There is a significant linear relationship between ADHD symptoms and likelihood of lifetime use of alcohol, tobacco, and drug among adolescents in the U.S. The number of ADHD symptoms confers risk of substance use even at symptoms levels below the clinical threshold for diagnosis of ADHD.1
Paul Succop, Ph.D. (Committee Chair)
Jeffery Epstein, Ph.D. (Committee Member)
16 p.

Recommended Citations

Citations

  • Brinkman, M.D., W. B. (2013). Association Between Substance Use and Current Attention Deficit Hyperactivity Disorder Symptoms in a National Sample of Adolescents [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368028561

    APA Style (7th edition)

  • Brinkman, M.D., William. Association Between Substance Use and Current Attention Deficit Hyperactivity Disorder Symptoms in a National Sample of Adolescents. 2013. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368028561.

    MLA Style (8th edition)

  • Brinkman, M.D., William. "Association Between Substance Use and Current Attention Deficit Hyperactivity Disorder Symptoms in a National Sample of Adolescents." Master's thesis, University of Cincinnati, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368028561

    Chicago Manual of Style (17th edition)