Are boys more susceptible to ADHD if born prematurely? 

Research suggests a stronger ADHD susceptibility boys preterm link, with boys born early more likely to develop symptoms than girls. While early birth increases ADHD risk in all children, boys are particularly vulnerable due to differences in how symptoms appear and are recognised. 

One of the key reasons behind this trend is behavioural presentation. Boys ADHD symptoms are often more external and easier to spot such as hyperactivity and impulsiveness. These outward traits are more likely to draw attention and lead to a formal diagnosis. Girls, by contrast, may display more subtle signs like inattention, which are sometimes overlooked. As a result, the ADHD susceptibility boys preterm shows up more clearly in diagnosis rates. 

Experts believe that gender risk in ADHD could also be influenced by biological development. Male brain development may be more affected by early birth, particularly in regions tied to self-control and focus. 

Signs of ADHD Commonly Seen in Preterm Boys 

While both boys and girls should be monitored, here are signs more frequently observed in boys born prematurely:

High physical energy

Frequent movement, fidgeting, or difficulty sitting still, especially in quiet environments can signal regulation challenges. 

Impulsive actions

Interrupting conversations, acting quickly without thinking, or emotional outbursts are common traits among boys with ADHD. 

Short attention span

Difficulty following instructions or completing tasks. This can affect learning and daily routines. 

Recognising these patterns early allows for more tailored support and guidance. 

Visit providers like ADHD Certify for personal consultations and developmental assessments. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to premature birth or low birth weight.