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The Application of the First Year Inventory for ASD Screening in China

Wen-Hao Li1, Li-Fei Hu1, Li Yuan2

  • 1Department of Developmental Behavioral Pediatric, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Journal of Pediatric Nursing
|November 28, 2018
PubMed

Insights

The First Year Inventory (FYI) shows higher autism risk scores in Chinese infants compared to US norms. Boys and children of mothers with junior college education scored higher on this parent-report tool.

Area of Science:

  • Developmental Pediatrics
  • Autism Spectrum Disorder Research
  • Cross-Cultural Psychology

Background:

  • The First Year Inventory (FYI) is a parent-report tool designed to identify behavioral risks for autism in 12-month-old infants.
  • Assessing developmental risks in diverse populations is crucial for early intervention strategies.

Purpose of the Study:

  • To evaluate the applicability and performance of the FYI in the Chinese community.
  • To compare FYI risk scores between Chinese and US infants.

Main Methods:

  • 541 families completed the FYI during their child's 12-month physical examination between 2013 and 2015.
  • US-based weighted risk scores were applied to the Chinese sample for comparative analysis.

Main Results:

  • Chinese infants exhibited higher FYI risk scores compared to US norms, with notable differences at the 95th, 98th, and 99th percentiles.
  • Boys and infants of mothers with a junior college education showed significantly higher risk scores.
  • Birth parity, investigator, and year of investigation did not significantly impact risk scores.

Conclusions:

  • The FYI demonstrates potential for use in China, but cultural adaptations may be needed.
  • Higher risk scores in certain subgroups warrant further investigation.
  • Large-scale longitudinal studies are recommended to develop a culturally relevant early detection model for autism in China.
Abstract

Keywords:
ASDChinaCommunityFirst year inventoryScreening

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