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

BoysGirls
Month of birthChildren, no.Received diagnosis, %Received treatment, %Children, no.Received diagnosis, %Received treatment, %
January39 1365.74.437 4481.61.1
February36 5865.94.634 7911.81.3
March41 5126.04.738 6581.91.4
April40 6056.15.038 5291.91.4
May42 7246.55.240 6211.91.4
June40 7206.75.338 8082.21.7
July41 8297.35.840 1492.31.7
August40 8597.35.938 6702.41.8
September41 1117.66.238 7392.61.9
October39 7737.96.237 9672.61.9
November37 4097.86.235 5352.61.9
December38 9777.46.236 7872.71.9
Overall481 2416.95.5456 7022.21.6
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.