The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis
Nader Salari, Hooman Ghasemi, Nasrin Abdoli, Adibeh Rahmani, Mohammad hossain Shiri, Amir Hossein Hashemian et al. · 2023 · 663 citationsRead the paper
Abstract Background Attention-Deficit / Hyperactivity Disorder is a developmental neurological disorder that has three basic characteristics: Attention Deficit, Hyperactivity, and impulsivity. This study aimed to investigate the prevalence of ADHD in children and adolescents. Methods This investigation was carried out using the meta-analysis method under PRISMA guidelines. Until October 2020, the articles were gathered by scanning PubMed, Scopus, WOS, and Science Direct databases. The second version of Comprehensive Meta-Analysis software was used to run analyses after extracting data from chosen papers. At a significance level of 0.05, the I 2 test was used to analyze study heterogeneity, and the Egger test was used to assess publication bias. Results This analysis includes 61 cross-sectional research, with 53 research used to determine the prevalence of ADHD in children, 7.6% of 96,907 children aged 3 to 12 years had ADHD (95% confidence interval: 6.1–9.4%), and 5.6% of teenagers aged 12 to 18 years have ADHD (95% confidence interval: 4.8-7%). The prevalence of ADHD in children and adolescents according to the DSM-V criterion is also higher than previous diagnostic criteria, according to studies. Conclusion The findings of this study based on meta-analysis show the high prevalence of attention deficit hyperactivity disorder (ADHD). The findings of this study demonstrate the importance of management and policy in the treatment and control of ADHD in children and adolescents.
What the full text shows
Tested in real conditions- Global prevalence of ADHD in children aged 3 to 12 years — 7.6% (95% CI: 6.1–9.4%) (Based on 53 studies with 96,907 participants)
- Global prevalence of ADHD in adolescents aged 12 to 18 years — 5.6% (95% CI: 4–7.8%) (Based on 25 studies)
- Prevalence of ADHD subtypes in children (under 12) — Inattentive: 33.2%, Hyperactive-Impulsive: 30.3%, Combined: 31.4% (Based on 24 studies)
- Prevalence of ADHD subtypes in adolescents (12-18) — Inattentive: 37.3%, Hyperactive-Impulsive: 23.1%, Combined: 31.1% (Based on 5 studies)
- Impact of diagnostic criteria on prevalence — Higher prevalence using DSM-V compared to other criteria (Across children and adolescents)
- Setup
- 61 cross-sectional studies; total sample for children (under 12) was 96,907 participants.
- How
- Systematic review and meta-analysis of cross-sectional studies following PRISMA guidelines. Data were extracted from PubMed, Scopus, WOS, and Science Direct and analyzed using Comprehensive Meta-Analysis software (Version 2).
- Limitations
- High heterogeneity of studies regarding age groups · Exclusion of studies that combined children and adolescents into one group · Lack of longitudinal data due to the use of only cross-sectional papers
Summarized by Gemma 4 from the open-access full text · 9 Oct 2026. Read it