School of Public Health, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Medical School Southeast University, Nanjing, Jiangsu, China.
J Glob Health. 2021 Feb 11;11:04009. doi: 10.7189/jogh.11.04009.
Adult attention-deficit hyperactivity disorder (ADHD) has recently attracted much attention, however, an up-to-date estimation on the prevalence of adult ADHD is lacking. In this study, we aimed to assess the global prevalence of adult ADHD in the general population through a systematic review and meta-analysis.
PubMed, Medline, Embase and PsycINFO were searched to identify relevant articles published from January 2000 onwards. Population-based studies that were conducted in the general adult population and quantified the prevalence of adult ADHD were included.
The prevalence of persistent adult ADHD (with a childhood onset) and symptomatic adult ADHD (regardless of a childhood onset) both decreased with advancing age. By adjusting for the global demographic structure in 2020, the prevalence of persistent adult ADHD was 2.58% and that of symptomatic adult ADHD was 6.76%, translating to 139.84 million and 366.33 million affected adults in 2020 globally.
This study provides an up-to-date estimation of the global prevalence of both persistent and symptomatic adult ADHD. A well-defined strategy for diagnosing adult ADHD and large-scale investigations on the epidemiology of adult ADHD are needed.
成人注意缺陷多动障碍(ADHD)最近受到了广泛关注,但仍缺乏成人 ADHD 患病率的最新估计。本研究旨在通过系统综述和荟萃分析评估全球普通人群中成人 ADHD 的患病率。
检索 PubMed、Medline、Embase 和 PsycINFO,以确定从 2000 年 1 月起发表的相关文章。纳入在普通成年人群中进行并量化成人 ADHD 患病率的基于人群的研究。
持续性成人 ADHD(发病于儿童期)和有症状的成人 ADHD(无论是否发病于儿童期)的患病率均随年龄增长而降低。通过调整 2020 年的全球人口结构,持续性成人 ADHD 的患病率为 2.58%,有症状的成人 ADHD 的患病率为 6.76%,这意味着 2020 年全球有 1.3984 亿和 3.6633 亿成人受影响。
本研究提供了成人持续性和有症状 ADHD 全球患病率的最新估计。需要制定明确的成人 ADHD 诊断策略,并对成人 ADHD 的流行病学进行大规模调查。