Hakim Shooshtari Mitra, Shariati Behnam, Kamalzadeh Leila, Naserbakht Morteza, Tayefi Batool, Taban Mozhgan
Mental Health Research Center, Psychosocial Health Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2021 Jan 14;35:8. doi: 10.47176/mjiri.35.8. eCollection 2021.
Attention deficit hyperactivity disorder (ADHD) is among the most common neurodevelopmental disorders in children and adolescents. There is a controversy over the true prevalence of ADHD in Iran, the knowledge of which is crucial for allocating health care resources and identifying research priorities. This is an updated systematic review of the prevalence of ADHD in Iranian children and adolescents. For this systematic review, PubMed/Medline, Web of Science, Scopus, PsycINFO, IranPsych, IranMedex, Irandoc, Google Scholar, and grey literature were reached for publications between January 1990 and December 2018 that reported prevalence estimates of ADHD in Iran. Parallel independent assessments were conducted. The Quality Assessment Checklist for Prevalence Studies was used to assess the overall quality of studies. A total of 34 original studies covering 33 621 Iranian children, adolescents, and adults were included. The included studies were mostly conducted on the population of preschool, elementary, middle, and high school-aged children as well as adolescents. Also, 6 studies addressed university students. Prevalence estimates of ADHD reported varied substantially across the studies and offered a range of heterogeneous data. Overall, making exact comparisons among studies was not easy because the assessment method and the type of sampling could impact prevalence estimates. These factors need to be considered when comparing data from different studies.
注意缺陷多动障碍（ADHD）是儿童和青少年中最常见的神经发育障碍之一。伊朗ADHD的真实患病率存在争议，了解这一点对于分配医疗资源和确定研究重点至关重要。这是一项关于伊朗儿童和青少年ADHD患病率的最新系统评价。对于这项系统评价，检索了PubMed/Medline、科学网、Scopus、PsycINFO、IranPsych、IranMedex、Irandoc、谷歌学术以及灰色文献，以查找1990年1月至2018年12月期间报告伊朗ADHD患病率估计值的出版物。进行了平行独立评估。使用患病率研究质量评估清单来评估研究的整体质量。总共纳入了34项涉及33621名伊朗儿童、青少年和成人的原始研究。纳入的研究大多针对学龄前、小学、初中和高中年龄段的儿童以及青少年。此外，有6项研究涉及大学生。各研究报告的ADHD患病率估计值差异很大，提供了一系列异质性数据。总体而言，在各项研究之间进行精确比较并不容易，因为评估方法和抽样类型可能会影响患病率估计值。在比较不同研究的数据时需要考虑这些因素。
