Background: Attention deficit hyperactivity disorder (ADHD) is a rising public health
problem affecting child quality of life. Objectives: To estimate the prevalence and
identify socio-demographic risk factors of attention deficit hyperactivity disorder (ADHD)
among primary school children in a rural area of Sohag governorate. Methods: A crosssectional
community based study design was carried out in two villages of Sohag
governorate using structured interview questionnaire. To identify children with probable
ADHD a validated questionnaire based on Diagnostic and Statistical Manual of Mental
disorders, 4th Edition (DSM IV) was used. It includes a parent's and a teacher's copy.
Results: This study included 854 primary school students in two villages of Sohag
governorate. The prevalence of probable ADHD was 9.6%. The prevalence of ADHD was
significantly associated with low socioeconomic level, higher birth order, male gender,
smoker father, consanguineous parents, family history of ADHD, low birth weight,
artificially fed children and pupils living with single parent. Conclusion and
recommendations: ADHD is prevalent among primary school pupils in rural areas of
Sohag governorate. Efforts are required to control associated risk factors of ADHD and
reduce its prevalence.