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Childhood ADHD and Involvement in Early Pregnancy: Mechanisms of Risk.

Authors
  • Meinzer, Michael C1
  • LeMoine, Kaitlyn A1
  • Howard, Andrea L2
  • Stehli, Annamarie3
  • Arnold, L Eugene4
  • Hechtman, Lily5
  • Hinshaw, Stephen P6, 7
  • Molina, Brooke S G8
  • Murray, Desiree W9
  • Sibley, Margaret H10
  • Swanson, James M3
  • Tamm, Leanne11
  • Chronis-Tuscano, Andrea1
  • 1 University of Maryland, College Park, USA.
  • 2 Carleton University, Ottawa, Ontario, Canada. , (Canada)
  • 3 University of California, Irvine, USA.
  • 4 The Ohio State University, Columbus, USA.
  • 5 McGill University, Montréal, Quebec, Canada. , (Canada)
  • 6 University of California, Berkeley, USA.
  • 7 University of California, San Francisco, USA.
  • 8 University of Pittsburgh, PA, USA.
  • 9 The University of North Carolina at Chapel Hill, USA.
  • 10 Florida International University, Miami, USA.
  • 11 Cincinnati Children's Hospital Medical Center, OH, USA.
Type
Published Article
Journal
Journal of Attention Disorders
Publisher
SAGE Publications
Publication Date
Dec 01, 2020
Volume
24
Issue
14
Pages
1955–1965
Identifiers
DOI: 10.1177/1087054717730610
PMID: 28938857
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Objective: ADHD is associated with risky sexual behavior and early pregnancy, but few studies have examined mechanisms of risk linking childhood ADHD to early pregnancy. The present study utilized data from the Multimodal Treatment Study of ADHD to examine potential mechanisms that may account for the association between childhood ADHD and becoming pregnant or causing a pregnancy by age 18. Method: Participants were 579 children with ADHD and 289 comparison peers followed over 16 years. Results: Relative to the comparison group, those with childhood ADHD were at more than two times increased risk of early pregnancy. Univariately, persistence of ADHD symptoms, delinquency/substance use, and academic performance/achievement during adolescence each mediated the association between childhood ADHD and early pregnancy. When considered together, only delinquency/substance use remained a significant mediator of this relationship. Conclusion: Findings point toward specific targets of intervention for youth with ADHD to prevent early pregnancy.

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