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中国儿童注意缺陷多动障碍患病率的Meta分析

  

  1. 兰州大学第二医院  甘肃省儿童医院 儿童心理行为科,甘肃 兰州 730030
  • 出版日期:2017-12-05 发布日期:2017-12-14
  • 通讯作者: 通信作者:杨静,Email:yangdoctor2007@126.com

Current prevalence of attention deficit hyperactivity disorder   among children: a  metaanalysis

  1. Department of Child Psychology and Behavior,  Children’s Hospital of Gansu Province, 
    the Second Hospital of Lanzhou University,  Lanzhou  730030, China
  • Online:2017-12-05 Published:2017-12-14
  • Contact: Corresponding author: Yang Jing,Email:yangdoctor2007@126.com

摘要: 目的  了解我国儿童注意缺陷多动障碍(ADHD)的患病情况,为国内ADHD治疗干预提供一定依据。方法  检索万方数据库、中国期刊全文数据库(CNKI)、维普数据库、PubMed及中国生物医学数据库(CMB)等数据库,收集关于中国儿童注意缺陷多动障碍患病率的文献,采用STATA 12.0软件进行Meta分析。结果  本文最终纳入文献33篇,累计样本总量为132 204例;经Meta分析国内儿童ADHD总患病率为5.5%(95%CI=4.8%~6.2%);亚组分析结果显示:男孩的患病率高于女孩;西部地区的患病率高于中部、东部;ADHDI在3种类型中患病率最高为3.4%(95%CI=2.5%~4.3%)。结论  我国儿童ADHD的患病率较高,已成为一个严重的公共卫生问题。

关键词: 注意缺陷和分裂性行为障碍, 儿童, Meta分析

Abstract: Objective  To  investigatethe prevalence of children with attention deficit hyperactivity disorder (ADHD) in China,in order to provide a basis evidence for intervention in ADHD treatment in China.Methods  A computerized literature search was carried out in several databases such as  Wanfang database, China Journal Fulltext Database (CNKI), VIP database, PubMed and China biomedical database (CMB) database, a collection of China children with attention deficit hyperactivity disorder.Results  Thirtythree papers up to 132 204  participants were included in this study. The total prevalence of ADHD in children was  5.5% (95%CI=4.8%6.2%);Subgroup analysis showed  the prevalence of boys was higher  than  that of girls,the prevalence of the western region was higher than that of central and eastern regions,the prevalence of ADHDI  which was highest accounted  for 3.4%(95%CI=2.5%4.3%). Conclusion  The prevalence of ADHD is higher in China and  has become a serious public health issue.

Key words: attention deficit and disruptive behavior disorders, child, metaanalysis