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<p>The long-term consequences of attention deficit hyperactivity disorder (ADHD) in females remain underrecognized both in research and clinical practice. Multimorbidity (two or more long-term conditions) is increasingly viewed as a key outcome yet its prevalence, complexity and sociodemographic determinants are understudied in this group. Here, in this longitudinal cohort study, we examined the combined influence of childhood socioeconomic deprivation and ADHD diagnosis on multimorbidity risk in women in early adulthood (that is, aged 18–32 years) and used latent class analysis to explore clustering patterns. Three findings emerged: females with childhood ADHD had a significantly higher risk of adult multimorbidity; childhood ADHD and socioeconomic deprivation increased this risk both in isolation and synergistically, with 39% of the multimorbidity burden attributable to their interaction; and distinct multimorbidity clusters emerged, with the most adverse marked by psychiatric complexity. These results highlight girls with ADHD from disadvantaged backgrounds as a high-risk group requiring earlier, integrated care.</p>

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Intersecting trajectories of childhood ADHD, socioeconomic deprivation and distinct multimorbidity patterns in women

  • 期刊论文

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  • 发表日期：

    2026年5月25日

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  • Naomi Wilson,
  • Kirstie O’Hare,
  • Helen Minnis,
  • Michael Fleming,
  • Ian Kelleher,
  • Ruchika Gajwani

摘要

The long-term consequences of attention deficit hyperactivity disorder (ADHD) in females remain underrecognized both in research and clinical practice. Multimorbidity (two or more long-term conditions) is increasingly viewed as a key outcome yet its prevalence, complexity and sociodemographic determinants are understudied in this group. Here, in this longitudinal cohort study, we examined the combined influence of childhood socioeconomic deprivation and ADHD diagnosis on multimorbidity risk in women in early adulthood (that is, aged 18–32 years) and used latent class analysis to explore clustering patterns. Three findings emerged: females with childhood ADHD had a significantly higher risk of adult multimorbidity; childhood ADHD and socioeconomic deprivation increased this risk both in isolation and synergistically, with 39% of the multimorbidity burden attributable to their interaction; and distinct multimorbidity clusters emerged, with the most adverse marked by psychiatric complexity. These results highlight girls with ADHD from disadvantaged backgrounds as a high-risk group requiring earlier, integrated care.