不断变化的ADHD全球负担:全面分析和未来预测 (1990-2046)
Chun Wang1, Liyan Hou2, Hang Zhou3
1Department of Neurology, The Second Hospital of Dalian Medical University, Dalian 116027, Liaoning, PR China.
Journal of affective disorders
|August 8, 2025
概括
全球范围内,注意力缺陷/多动症 (ADHD) 负担增加,特别是在高收入地区和女性中. 需要有针对性的战略来解决差异,并减轻多动症的社会经济影响.
科学领域:
- 神经发育障碍 神经发育障碍
- 全球卫生流行病学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一种常见的儿童神经发育障碍,具有显著的认知,行为和社会影响.
- 多动症持续到成年,对全球医疗保健系统构成持续的挑战.
研究的目的:
- 综合评估全球ADHD疾病负担,包括发病率,患病率和残疾调整寿命年 (DALYs).
- 从1990年到2021年,分析ADHD负担的时间趋势和区域变化.
- 在未来25年内预测未来的ADHD负担,以告知公共卫生战略.
主要方法:
- 评估了2021年ADHD发病率,流行率和DALY的年龄标准化率.
- 分析了使用估计年度百分比变化 (EAPC) 的时间趋势 (1990-2021年).
- 利用集群分析用于区域变化和ARIMA/BAPC模型用于未来预测.
主要成果:
- 全球ADHD发病率,流行率和DALY在1990年至2021年期间增加,儿童和青少年的负担最高.
- 男人持续显示较高的ADHD率;高和高中级社会人口指数 (SDI) 地区的负担增加,而低SDI地区显示稳定或下降的趋势.
- 预测表明ADHD的持续增长,女性预计会显著增加,这可能会缩小性别差距.
结论:
- ADHD仍然是一个重要的全球健康问题,在地区,性别和社会人口群体之间存在显著的差异.
- 基于证据的医疗保健策略对于应对多动症挑战和减轻其全球社会经济影响至关重要.
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