The association between exposure to environmental factors and the occurrence of attention-deficit/hyperactivity disorder (ADHD). A population-based retrospective cohort study
Highlights: • We found a certain north-south pattern for the risk of occurrence of ADHD. • These clusters could be related to some of the environmental variables. • In particular, an increased risk of occurrence of ADHD was found. • Living less than 100 m from an agricultural area or a residential Street. • Living less than 300 m from a motorway/dual carriageway or an industrial estate. A number of factors contribute to attention deficit hyperactivity disorder (ADHD) and although they are not fully known, the occurrence of ADHD seems to be a consequence of an interaction between multiple genetic and environmental factors. However, apart from pesticides, the evidence is inadequate and inconsistent as it differs not only in the population and time period analysed, but also in the type of study, the control of the confounding variables and the statistical methods used. In the latter case, the studies also differ in the adjustment of spatial and temporal variability. Our objective here, is to provide evidence on an association between environmental factors and ADHD.