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Prevalence and risk factors of attention-deficit/hyperactivity disorder among Black individuals

JAMA Psychiatry Jan 09, 2021

Cénat JM, Blais-Rochette C, Morse C, et al. - By performing this systematic review and meta-analysis, researchers estimated the pooled prevalence of attention-deficit/hyperactivity disorder (ADHD) in US Black individuals as well as associated risk factors. Peer-reviewed studies published until October 18, 2019 were identified using the APA PsycInfo, MEDLINE, Embase, Cochrane CENTRAL, CINAHL, ERIC, and Education Source databases. The pooled prevalence of ADHD was estimated to be 14.54% (95% CI, 10.64%-19.56%). Sociodemographic features (age, gender, race, and socioeconomic status), familial factors, environmental factors, and risk behaviors were mentioned as risk factors related to ADHD in some studies, as noted in a narrative review of the studies in this analysis, but a a moderation analysis could not be performed. Overall, findings of this study revealed a higher risk for ADHD diagnoses in Black individuals vs the general US population, contrary to what is stated in the DSM-5. These data emphasize that ADHD assessment and monitoring are required to be increased among Black individuals from different social backgrounds, and that establishing accurate diagnoses and culturally appropriate care are important.

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