在美国大都市地区的自闭症患病率
Marshalyn Yeargin-Allsopp1, Catherine Rice, Tanya Karapurkar
1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention (F-15), 4770 Buford Hwy NE, Atlanta, GA 30341, USA. mxy1@cdc.gov
JAMA
|December 31, 2002
概括
大都会亚特兰大的自闭症患病率为每1000名儿童中3.4人,种族群体的患病率相似. 这项研究强调了教育来源在识别自闭症谱系障碍 (ASD) 病例中的关键作用.
科学领域:
- 流行病学 流行病学
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 人们越来越担心自闭症患病率可能增加.
- 美国有限的基于人口的自闭症研究.
研究的目的:
- 确定美国主要大都市地区的自闭症患病率.
- 描述受影响儿童人口的人口统计和临床特征.
主要方法:
- 在大都会亚特兰大310岁儿童的基于人口的研究 (1996).
- 通过多个医疗和教育记录来识别病例.
- 基于DSM-IV标准的病例状况确定专家审查.
主要成果:
- 每1000名儿童中自闭症患病率为3.4 (95% CI,3.2-3.6),男性与女性的比例为4:1.
- 在黑人 (1000人中3.4) 和白人 (1000人中3.4) 儿童中观察到相似的患病率.
- 有测试结果的68%儿童存在认知障碍;教育来源确定了40%的病例,特别是在特定的人口群体.
结论:
- 这项研究中的自闭症率与最近的发现一致,超过了美国20世纪80年代和90年代初的自闭症率.
- 教育系统在识别自闭症谱系障碍 (ASD) 中发挥着重要作用.
- 了解人口和认知特征对于有针对性的干预和支持至关重要.
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