Estimation of the prevalence of attention deficit disorder with or without hyperactivity under methylphenidate treatment in Asturias (Spain) through consumption of the active ingredient from 2002 to 2010

Published

2012-03-30

How to Cite

Fernández Pérez, M., & Iglesias Carbajo, A. I. (2012). Estimation of the prevalence of attention deficit disorder with or without hyperactivity under methylphenidate treatment in Asturias (Spain) through consumption of the active ingredient from 2002 to 2010. Revista De Psiquiatría Infanto-Juvenil, 29(1), 42–49. Retrieved from https://aepnya.eu/index.php/revistaaepnya/article/view/240

Issue

Section

Orginial article

Authors

  • M Fernández Pérez Área Sanitaria VIII de Asturias, Centro de Salud de La Felguera
  • A I Iglesias Carbajo Área Sanitaria VIII de Asturias, Centro de Salud de La Felguera

Keywords:

Daily dose per inhabitant, pharmacoepidemology, methylphenidate, attention deficit hyperactivity disorder, prevalence, variability

Abstract

Introduction. The consumption of methylphenidate can be used to estimate the prevalence of Attention Deficit Hyperactivity Disorder (ADHD) in pharmacological treatment, thus the minimum prevalence of the disorder. For this to be calculated, we need to know the daily doses of methylphenidate per 1000 inhabitants per day, which is obtained out of the relation between the number of daily defined doses (DDD) and the target population. The goal was to know the treated ADHD’s prevalence amongst population of children up to fourteen years old and particularly population of children from 6 to 14 in the Autonomous Community of the Principality of Asturias (Spain), both globally and in the different Sanitary Areas. Material and methods. We had the records of the consumption of methylphenidate, in its different preparations, in Asturias from 2002 through 2010. At our disposal, as well as information about pediatric cohorts (0-14 years from 2002 at 2010 on and 6-14 years in 2010’s test) of all Sanitary Areas with the purpose of calculating the daily doses of methylphenidate per 1000 inhabitants per day in the aforesaid populations. Results. The prevalence of the treated ADHD in Asturias by 2010 was of 4.111 per 1,000 inhabitants, which represents 0.41% of the child population. Amongst the population from 6 to 14 years, in 2010 the prevalence was of 0.73%. The Sanitary Area of Langreo obtained the highest daily doses of methylphenidate per 1000 inhabitants per day in 2010’s test, with a percentage of 0.69% (6.900 per 1,000 inhabitants) of prevalence amongst child population, whereas the population from 6 to 14 years had a 1.24%. We objectify a continued growth for prevalence figures, but with an important variability in the Sanitary Areas. Conclusions. In relation with the published Spanish prevalence figures, which range from 5 and 6%, the found prevalence in our population is lower. We discuss the reason of this discrepancy and we compare with the data of countries within our socioeconomic environment.

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Author Biographies

M Fernández Pérez, Área Sanitaria VIII de Asturias, Centro de Salud de La Felguera

Pediatra, Psicólogo. 

A I Iglesias Carbajo, Área Sanitaria VIII de Asturias, Centro de Salud de La Felguera

Farmacéutica. Gerencia de Atención Primaria, Área Sanitaria VIII de Asturias. Centro de Salud de La Felguera, Asturias

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