在青少年中同时发生的自闭症谱系障碍和性别障碍症
Nicole F Kahn1,2, Gina M Sequeira1,2, Michelle M Garrison1,2
1Seattle Children's Research Institute, Seattle, Washington.
Pediatrics
|July 3, 2023
概括
患有自闭症谱系障碍 (ASD) 的年轻人患有性别失调症 (GD) 的患病率更高. 同时出现的诊断在女性和那些有私人保险的人群中更常见,但在有色人种的年轻人中不太常见.
科学领域:
- 儿科健康 儿科健康
- 心理健康研究 心理健康研究
- 青少年医学 青少年医学
背景情况:
- 自闭症谱系障碍 (ASD) 和性别障碍 (GD) 在青少年中经常同时发生.
- 之前关于ASD和GD同时发生的研究受到小样本大小的限制.
- 了解ASD和GD同时发生的人口变化对于有针对性的干预至关重要.
研究的目的:
- 确定美国青少年 (9-18岁) 中同时出现的ASD和GD诊断的患病率.
- 确定与ASD和GD同时发生相关的人口差异.
主要方法:
- 来自8家儿科医院机构的PEDSnet数据的二次分析.
- 使用了描述性统计和调整后勤复杂回归.
- 检查了ASD和GD诊断之间的关联和人口统计学相互作用.
主要成果:
- 患有ASD的年轻人中,与没有ASD的年轻人 (0.6%) 相比,GD诊断的发生率更高 (1.1%).
- 患有自闭症的年轻人患上GD诊断的几率明显更高 (aOR=3.00).
- 同时出现的ASD/GD诊断在女性和那些有私人保险的人群中更为常见,而在有色人种的年轻人中更为罕见.
结论:
- 同时出现的ASD和GD诊断在青少年女性和那些有私人保险的人中更为普遍.
- 颜色的年轻人显示,同时出现的ASD/GD诊断的患病率较低.
- 调查结果强调了需要服务来解决与ASD/GD同时发生的青少年的护理差异.
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