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. 2012 Apr 17;184(7):755–762. doi: 10.1503/cmaj.111619

Table 1:

Percentages of boys and girls aged 6–12 years who received a diagnosis of attention-deficit/hyperactivity disorder or treatment for the condition from a cohort of 937 943 children, by birth month

Boys Girls


Month of birth Children, no. Received diagnosis, % Received treatment, % Children, no. Received diagnosis, % Received treatment, %
January 39 136 5.7 4.4 37 448 1.6 1.1

February 36 586 5.9 4.6 34 791 1.8 1.3

March 41 512 6.0 4.7 38 658 1.9 1.4

April 40 605 6.1 5.0 38 529 1.9 1.4

May 42 724 6.5 5.2 40 621 1.9 1.4

June 40 720 6.7 5.3 38 808 2.2 1.7

July 41 829 7.3 5.8 40 149 2.3 1.7

August 40 859 7.3 5.9 38 670 2.4 1.8

September 41 111 7.6 6.2 38 739 2.6 1.9

October 39 773 7.9 6.2 37 967 2.6 1.9

November 37 409 7.8 6.2 35 535 2.6 1.9

December 38 977 7.4 6.2 36 787 2.7 1.9

Overall 481 241 6.9 5.5 456 702 2.2 1.6

Trend test (p value)* −19.7 (< 0.0001) −19.3 (< 0.0001) −16.5 (< 0.0001) −14.1 (< 0.0001)

RD (95% CI)
Dec. v. Jan.
1.71 (1.36 to 2.05) 1.80 (1.48 to 2.11) 1.09 (0.88 to 1.30) 0.84 (0.66 to 1.01)

RR (95% CI)
Dec. v. Jan.
1.30 (1.23 to 1.37) 1.41 (1.33 to 1.50) 1.70 (1.53 to 1.88) 1.77 (1.57 to 2.00)

Note: CI = confidence interval, RD = risk difference, RR = relative risk.

*

Cochran–Armitage trend test with one-sided p value.

Risk of receiving a diagnosis of or treatment for attention-deficit/hyperactivity disorder for children born in December compared with children born in January.