Abstract：
BACKGROUND: Fazel and Favril presented a reanalysis of our previously published systematic review and meta-analysis on the prevalence of attention deficit hyperactivity disorder (ADHD) in prison.
OBJECTIVE: The current paper addresses some of the criticisms of Fazel and Favril on our meta-analysis and presents a reanalysis of the data, focusing on adult detained persons.
METHODS: We conducted a meta-regression on 28 studies (n = 7710) to estimae the pooled prevalence of ADHD.
RESULTS: This reanalysis yielded a pooled estimate of 22.2% for the prevalence of ADHD (95% confidence interval [CI]: 15.7; 28.6), which disagrees with the estimate given by Fazel and Favril (8.3%, 95% CI: 3.8; 12.8).
CONCLUSIONS: We argue that the ADHD prevalence provided by Fazel and Favril was an underestimate due to their use of too restrictive exclusion criteria and suboptimal analysis methods. Our reanalysis on detained adults suggests a higher ADHD prevalence, which highlights the need to diagnose and treat ADHD in prison.
OBJECTIVE: The current paper addresses some of the criticisms of Fazel and Favril on our meta-analysis and presents a reanalysis of the data, focusing on adult detained persons.
METHODS: We conducted a meta-regression on 28 studies (n = 7710) to estimae the pooled prevalence of ADHD.
RESULTS: This reanalysis yielded a pooled estimate of 22.2% for the prevalence of ADHD (95% confidence interval [CI]: 15.7; 28.6), which disagrees with the estimate given by Fazel and Favril (8.3%, 95% CI: 3.8; 12.8).
CONCLUSIONS: We argue that the ADHD prevalence provided by Fazel and Favril was an underestimate due to their use of too restrictive exclusion criteria and suboptimal analysis methods. Our reanalysis on detained adults suggests a higher ADHD prevalence, which highlights the need to diagnose and treat ADHD in prison.
摘要：
背景：Fazel和Favril对我们先前发表的关于监狱中注意缺陷多动障碍（ADHD）患病率的系统综述和荟萃分析进行了重新分析。
目的：本论文解决了Fazel和Favril对我们的荟萃分析的一些批评，并对数据进行了重新分析，重点关注成人被拘留者。
方法：我们对28项研究（n=7710）进行了荟萃回归，以评估ADHD的合并患病率。
结果：此重新分析得出ADHD患病率的合并估计值为22.2％（95％置信区间[CI]：15.7;28.6），这与Fazel和Favril给出的估计(8.3%，95%CI：3.8；12.8）。
结论：我们认为，Fazel和Favril提供的ADHD患病率被低估，因为他们使用了过于严格的排除标准和次优的分析方法。我们对被拘留的成年人的重新分析表明，多动症的患病率更高，这凸显了在监狱中诊断和治疗多动症的必要性。
目的：本论文解决了Fazel和Favril对我们的荟萃分析的一些批评，并对数据进行了重新分析，重点关注成人被拘留者。
方法：我们对28项研究（n=7710）进行了荟萃回归，以评估ADHD的合并患病率。
结果：此重新分析得出ADHD患病率的合并估计值为22.2％（95％置信区间[CI]：15.7;28.6），这与Fazel和Favril给出的估计(8.3%，95%CI：3.8；12.8）。
结论：我们认为，Fazel和Favril提供的ADHD患病率被低估，因为他们使用了过于严格的排除标准和次优的分析方法。我们对被拘留的成年人的重新分析表明，多动症的患病率更高，这凸显了在监狱中诊断和治疗多动症的必要性。
