Attention deficit hyperactivity disorder symptom self-report in adults in Kenya and its associated risk factors, an analysis from a household survey in a demographic surveillance site.

Journal: Global mental health (Cambridge, England)

Volume: 2

Issue: 

Year of Publication: 

Affiliated Institutions:  Health Services and Population Research Department, Institute of Psychiatry, Kings College London, UK. Departmenet Psychiatry, University of Nairobi, Nairobi, Kenya. Kenya Medical Research Institute, Centre for Clinical Research, Nairobi, Kenya. Kombewa Health and Demographic Surveillance Site, Kisumu, Kenya. Kenya Medical Training Centre, Mental Health, Nairobi, Kenya.

Abstract summary 

There have been no household surveys of adult attention deficit and hyperactivity disorder (ADHD) in Kenya, and only one in sub-Saharan Africa.Data on ADHD was used from a household survey of mental disorders and their associated risk factors conducted in Maseno area (population 70 805), near Lake Victoria in Kenya, using a demographic surveillance site as the sample frame, as part of a wider survey of mental health, malaria and immunity A total of 1190 households were selected, and 1158 adult participants consented to the study while 32 refused to participate in the study interviews, giving a response rate of 97.3%. ADHD symptoms were assessed with the WHO Adult ADHD Self-Report Scale (ASRS) Screener.This survey found that the overall prevalence of ADHD using the ASRS was 13.1%. This suggests a high level of ADHD in the Kenyan population which needs to be further investigated for its impact on adult mental health. In the adjusted analysis, increased odds ratios (ORs) were found in those with higher assets (OR 1.7,  = 0.023), those with life events (OR 2.4,  = 0.001 for those with 2-3 life events and OR 2.6,  < 0.001 for those with 4 or more life events), and those with common mental disorders (OR 2.3,  = 0.001).The study demonstrates the magnitude of ADHD symptoms as a public health issue, relevant for health worker training, and the importance of further research into its prevalence in adults and associated risk factors.

Authors & Co-authors:  Jenkins Othieno Ongeri Ogutu Sifuna Mboroki Omollo

Study Outcome 

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Citations :  Araya R, Rojas G, Aritsch R, Acuna J, Lewis G (2001). Common mental disorders in Santiago, Chile: prevalence and socio-demographic correlates. British Journal of Psychiatry 178, 228–233.
Authors :  7
Identifiers
Doi : e14
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
ADHD;other;prevalence;risk factors;surveillance site
Study Design
Study Approach
Country of Study
Kenya
Publication Country
England