Early Pregnancy Risk Among Adolescents With ADHD: A Nationwide Longitudinal Study
Abstract
Objective: ADHD potentially leads to risky sexual behaviors, and is considered a major risk factor for early pregnancy (EP). However, the association between ADHD and subsequent EP remains unknown. Method: Seven thousand five hundred five adolescents with ADHD and 30,020 age- and sex-matched individuals without ADHD were enrolled from 2001 to 2009 and were followed until the end of 2011. Adolescents who developed any pregnancy (at age ≤30 years) or EP (at age <20 years) during the follow-up period were identified. Results: Adolescents with ADHD were found to be prone to pregnancy (hazard ratio [HR] = 1.27) and EP (HR = 2.30) compared with those without ADHD. Long-term ADHD medication use was related to a lower risk of subsequent any pregnancy (HR = 0.72) and EP (HR = 0.69). Conclusion: Adolescents with ADHD had an increased risk of any pregnancy and EP compared with their non-ADHD counterparts. Long-term ADHD medication use was associated with a lower subsequent EP risk.
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- Authors
- Hua, M.-H., Huang, K.-L., Hsu, J.-W., Bai, Y.-M., Su, T.-P., Tsai, S.-J., Li, C.-T., Lin, W.-C., Chen, T.-J., & Chen, M.-H.
- Affiliations
- Taipei Veterans General Hospital (TW)
- Corresponding author
- Huang, Kai-Lin
- Chen, Mu-Hong
- ORCID
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2020-01-23
- Volume
- 25
- Issue
- 9
- Pages
- 1199-1206
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W3002326948
- Cited by
- 46
- References
- 6
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 11 · 2023: 10 · 2022: 7 · 2021: 3 · 2020: 1
- FWCI
- 3.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- taipei veterans general hospital (V103E10-001, V104E10-002, V105E10-001-MY2-1, V105A-049, V106B-020, V107B-010, V107C-181)
- ministry of science and technology (107-2314-B-075-063-MY3)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- attention deficit hyperactivity disorder, early pregnancy, adolescents, sexual risk behavior, ADHD medication, pregnancy risk, adolescent pregnancy
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Longitudinal Studies, Pregnancy, Risk Factors, Risk-Taking, Sexual Behavior, Comorbidity, Young Adult
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