摘要
目的了解中国儿童注意缺陷多动障碍(ADHD)的流行水平和特点,探讨影响其发病率因素。方法通过对1983—2011年已正式发表的中文调查研究资料进行系统回顾,采用Meta分析对其原始数据进行定量分析,并用Meta回归探索发病率的影响因素。结果共33篇论文纳入分析,结果显示,我国儿童ADHD总体发病率为5.7%(95%CI=4.9%～6.6%),男童总发病率为7.5%(95%CI=6.4%～8.8%),女童总发病率为3.4%(95%CI=2.7%～4.4%);我国近年儿童ADHD发病率呈逐渐上升趋势,不发达地区发病率最高,小学生大于学龄前儿童;Meta回归结果显示,调查时间、地区、受调查对象年龄、样本量大小和诊断标准均是影响发病率的重要因素。结论规范研究设计,制定"筛查"和"诊断"的不同标准,并严格执行;应重视不发达地区儿童及学龄前儿童ADHD的流行情况。
Objective To estimate the prevalence and influencing factors of attentiion deficit and hyperactivity dis- order（ADHD） among children in China. Methods The author searched 33 Chinese papers published during 1983 to 2011. Meta-analysis was used to reanalyze the data. Results Totally 33 original articles were included in the meta analy- sis. The national-pooled prevalence of ADHD in the children was 5.7% （95 % confidence interval E 95 % CI] ：4. 9% - 6. 6 % ） （7.5 % - 95 % CI：6. 4% - 8. 8 % ] for boys and 3.4 % E 95 % CI：2.7 % - 4. 4 % ] for girls ）. The prevalence rate of ADHD increased gradually during last 28 years. The rate in undeveloped region was higher than that in developed region. Elementary students had higher prevalence rate of ADHD than preschoolers. Meta-regression analysis indicated that the time and geographic origin of the studies conducted, the age of subjects, and diagnosis criteria were significantly associated with ADHD prevalence rate. Conclusion Screening and diagnosis of ADHD should be standardized for quali- fied study on the prevalence of the disease and more attention should be paid to the prevalence of ADHD in children of poor region and preschoolers.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2013年第9期1279-1283,共5页
Chinese Journal of Public Health
基金
上海市公共卫生重点学科建设计划(2GWZX0301)
