Surdiagnostic du TDAH au Québec: Impact de l’âge d’entrée à l’école, différences régionales et coûts sociaux et économiques
Bibliographic record
Abstract
Au Québec, les enfants doivent avoir 5 ans avant le 1er octobre pour être admis en maternelle. Dans une même classe, les plus jeunes ont donc jusqu’à un an de moins que les plus vieux. Dans cette étude, les auteurs montrent que les enfants nés fin septembre ont des taux de diagnostic et de médication du TDAH 35 % plus élevés que ceux nés début d’octobre. Le TDAH serait confondu avec des comportements d’inattention ou de plus grande turbulence. S’appuyant sur des données inédites de la RAMQ incluant les dossiers de services médicaux de près de 800 000 jeunes nés entre 1996 et 2005, les auteurs tirent des conclusions non équivoques sur l’ampleur du phénomène et sonnent l’alarme sur un enjeu extrêmement préoccupant.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".