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7 (95% CI 1.3-2.2). In a restricted follow-up, which ended at the end of the year of the children's eighth birthday, the HRs for boys and girls born in September to December 2007 were 1.5 (95% CI 1.3-1.7) and 2.0 (95% CI 1.5-2.8), respectively. Relative immaturity increases the likelihood of ADHD medication use in Finland. The association was more pronounced during the first school years. Increased awareness of this association is needed among clinicians and teachers. Relative immaturity increases the likelihood of ADHD medication use in