Anil Chauhan1, Jitendra Kumar Sahu2, Manvi Singh3, Nishant Jaiswal1, Amit Agarwal1, Singanamalla Bhanudeep2, Pranita Pradhan3, Meenu Singh4,5,6. 1. Department of Telemedicine, Postgraduate Institute of Medical Education and Research (PGIMER), Evidence Based Health Informatics Unit, Regional Resource Centre, Chandigarh, India. 2. Pediatric Neurology Unit, Department of Pediatrics, PGIMER, Chandigarh, India. 3. ICMR Advanced Center for Evidence Based Child Health, Department of Pediatrics, PGIMER, Chandigarh, 160012, India. 4. Department of Telemedicine, Postgraduate Institute of Medical Education and Research (PGIMER), Evidence Based Health Informatics Unit, Regional Resource Centre, Chandigarh, India. ebm2012apc@gmail.com. 5. ICMR Advanced Center for Evidence Based Child Health, Department of Pediatrics, PGIMER, Chandigarh, 160012, India. ebm2012apc@gmail.com. 6. Department of Pediatrics, PGIMER, Chandigarh, India. ebm2012apc@gmail.com.
Abstract
OBJECTIVE: To determine the pooled prevalence of attention deficit hyperactivity disorder (ADHD) in Indian children. METHODS: The searching of published literature was conducted in different databases (PubMed, Ovid SP, and EMBASE). The authors also tried to acquire information from the unpublished literature about the prevalence of ADHD. A screening was done to include eligible original studies, community or school-based, cross-sectional or cohort, reporting the prevalence of ADHD in children aged ≤ 18 y in India. Retrieved data were analyzed using STATA MP12 (Texas College station). RESULTS: Of 729 studies retrieved by searching different databases, 183 studies were removed as duplicates, and 546 titles and abstracts were screened. After screening, 19 studies were included for quantitative analysis. Subgroup analysis was conducted with respect to their setting (school-based/community-based). Fifteen studies performed in a school-based setting showed 75.1 (95% CI 56.0-94.1) pooled prevalence of ADHD per 1000 children of 4-19 y of age. In community-based settings, the pooled prevalence per 1000 children surveyed was 18.6 (95% CI 8.8-28.4). The overall pooled prevalence of ADHD was observed as 63.2 (95% CI 49.2-77.1) in 1000 children surveyed. Significant heterogeneity was observed in the systemic review. CONCLUSIONS: ADHD accounts for a significant health burden, and understanding its burden is crucial for effective health policy-making for educational intervention and rehabilitation.
OBJECTIVE: To determine the pooled prevalence of attention deficit hyperactivity disorder (ADHD) in Indian children. METHODS: The searching of published literature was conducted in different databases (PubMed, Ovid SP, and EMBASE). The authors also tried to acquire information from the unpublished literature about the prevalence of ADHD. A screening was done to include eligible original studies, community or school-based, cross-sectional or cohort, reporting the prevalence of ADHD in children aged ≤ 18 y in India. Retrieved data were analyzed using STATA MP12 (Texas College station). RESULTS: Of 729 studies retrieved by searching different databases, 183 studies were removed as duplicates, and 546 titles and abstracts were screened. After screening, 19 studies were included for quantitative analysis. Subgroup analysis was conducted with respect to their setting (school-based/community-based). Fifteen studies performed in a school-based setting showed 75.1 (95% CI 56.0-94.1) pooled prevalence of ADHD per 1000 children of 4-19 y of age. In community-based settings, the pooled prevalence per 1000 children surveyed was 18.6 (95% CI 8.8-28.4). The overall pooled prevalence of ADHD was observed as 63.2 (95% CI 49.2-77.1) in 1000 children surveyed. Significant heterogeneity was observed in the systemic review. CONCLUSIONS: ADHD accounts for a significant health burden, and understanding its burden is crucial for effective health policy-making for educational intervention and rehabilitation.
Authors: Shoba Srinath; Satish Chandra Girimaji; G Gururaj; Shekhar Seshadri; D K Subbakrishna; Poornima Bhola; Narender Kumar Journal: Indian J Med Res Date: 2005-07 Impact factor: 2.375