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Screening for Tics Among School-Going Children in Nepal: A Community-Based Cross-Sectional Study
Utkarsh Karki1,2, Roshni Khatri1,2, Dipesh Bhattarai2
1Child Workers in Nepal Concerned Centre (CWIN-Nepal), Kathmandu, Nepal.
Abstract:
BackgroundTic disorders are one of the common neurodevelopmental disorders seen worldwide. In Nepal, however, data on it are lacking. Hence, this research aimed (1) to screen for tics among school-going children, (2) to estimate the approximate prevalence of tics in school-going children, and (3) to explore the sociodemographic profile of children with tics.MethodsThis study is a cross-sectional and descriptive study. Five schools based on a simple random sampling technique were selected. Children from grades 1 to 8 of the selected schools were recruited for the study. Semi-structured proforma and the Motor or Vocal Inventory of Tics (MOVeIT-14) screening tool were used to collect data.ResultsOf 1116 children, 633 responded, resulting in a response rate of 56.72%. Thirty-two children (n = 32) screened positive for tics, yielding an estimated prevalence of 5.1%. The mean age of children who screened positive was 10.92 ± 2.60 years. The male-to-female ratio was 1.2:1. A family history of tics was reported in 28.1% (n = 9) of the tic-positive cases. No significant correlation was found between age and the tic screening score. Although boys had a higher mean screening score (18) compared with girls (14), the difference was not statistically significant. Children with a positive family history of tics had higher screening scores than those without.ConclusionA significant number of children in the community were found to have tics, with a slight predominance among males. Children with a positive family history showed higher tic severity scores.
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