Prevalence of attention deficit hyperactivity disorder in homeless children and adolescents: A systematic review and meta-analysis.

IF 8.3 2区医学 Q1 Medicine

Dialogues in Clinical Neuroscience Pub Date : 2025-12-01 Epub Date: 2025-04-02 DOI:10.1080/19585969.2025.2486355

Charles Denis, Denis Boucaud-Maitre, Jérôme Brunelin, Lucie Jurek, William Vallet, Caroline Demily

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引用次数: 0

Abstract

Introduction: This systematic review and meta-analysis aimed to examine the prevalence of Attention deficit hyperactivity disorder (ADHD) in homeless children and adolescents, and the factors that may influence its prevalence.

Methods: Relevant publications in Medline, Web of Science, Scopus and PsycINFO were systematically searched to identify studies on the prevalence of ADHD in homeless children and adolescents (≤19 years). The extracted data were pooled using a random-effects model.

Results: Thirteen studies involving 2878 homeless children and adolescents were included (mean age: 12.0 years, sex F/M: 0.43). The prevalence rates of ADHD vary considerably across studies, ranging from 1.6% to 64.5%. The pooled prevalence of ADHD was 22.8% (95% CI 12.9-34.4%, I² =98%). Meta-regression analyses indicated that age (slope = 0.046; p = .042) significantly increased ADHD prevalence. The prevalence of ADHD in studies with a mean age ≥ 12 years (43.1%, 95% CI 26.5-60.4%) was higher than those with a mean age < 12 years (13.1%, 95%CI 4.3-25.6).

Conclusion: Despite the high heterogeneity of the studies, we observed that ADHD could affect almost a quarter of homeless children and adolescents. Reintegrating them into care systems and ensuring access to public health interventions tailored for homeless families and youth is imperative for breaking the cycle of homelessness and improving long-term trajectories.

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流浪儿童和青少年中注意缺陷多动障碍的患病率：系统回顾和荟萃分析。

本系统综述和荟萃分析旨在研究无家可归儿童和青少年中注意缺陷多动障碍（ADHD）的患病率，以及可能影响其患病率的因素。方法：系统检索Medline、Web of Science、Scopus和PsycINFO的相关出版物，以确定无家可归儿童和青少年（≤19岁）ADHD患病率的研究。提取的数据使用随机效应模型进行汇总。结果：纳入13项研究，涉及2878名无家可归儿童和青少年（平均年龄12.0岁，性别F/M: 0.43）。不同研究的ADHD患病率差异很大，从1.6%到64.5%不等。ADHD的总患病率为22.8% （95% CI 12.9-34.4%, I2 =98%）。meta回归分析显示，年龄(斜率= 0.046；p = 0.042)显著增加ADHD患病率。平均年龄≥12岁的ADHD患病率（43.1%,95%CI 26.5-60.4%）高于平均年龄< 12岁的ADHD患病率（13.1%,95%CI 4.3-25.6）。结论：尽管这些研究具有高度的异质性，但我们观察到ADHD可能影响近四分之一的无家可归的儿童和青少年。要打破无家可归的恶性循环，改善长期发展轨迹，就必须让他们重新融入照料系统，并确保他们能够获得为无家可归家庭和青年量身定制的公共卫生干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dialogues in Clinical Neuroscience Medicine-Psychiatry and Mental Health

CiteScore

19.30

自引率

1.20%

发文量

期刊介绍： Dialogues in Clinical Neuroscience (DCNS) endeavors to bridge the gap between clinical neuropsychiatry and the neurosciences by offering state-of-the-art information and original insights into pertinent clinical, biological, and therapeutic aspects. As an open access journal, DCNS ensures accessibility to its content for all interested parties. Each issue is curated to include expert reviews, original articles, and brief reports, carefully selected to offer a comprehensive understanding of the evolving landscape in clinical neuroscience. Join us in advancing knowledge and fostering dialogue in this dynamic field.