自闭症谱系障碍患病率中的种族差异:系统性审查
Zachary Gallin1, Ana M Kolevzon2, Abraham Reichenberg3,4,5
1Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Journal of autism and developmental disorders
|June 28, 2024
概括
自2010年以来,自闭症谱系障碍 (ASD) 在美国的患病率发生了变化,自2010年以来,黑人,西班牙裔和亚裔/太平洋岛民儿童的患病率比白人儿童高.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 神经发育障碍 神经发育障碍
背景情况:
- 在美国观察到自闭症谱系障碍 (ASD) 患病率的种族差异.
- 历史数据显示,白人儿童中自闭症患病率较高.
研究的目的:
- 审查美国不同种族群体中自闭症患病率的变化.
- 确定可能导致自闭症诊断种族模式变化的因素.
主要方法:
- 一个系统的审查17个美国的流行病学出生队列研究ASD患病率.
- 纳入标准:2023年6月之前发表的研究包括种族作为变量,并且至少有1000例自闭症病例.
主要成果:
- 在2010年之前,白人儿童的自闭症患病率最高.
- 从2010年的出生队列开始,自闭症患病率在黑人,西班牙裔和亚洲/太平洋岛民 (API) 儿童中超过了白人儿童.
- 黑人,西班牙裔和API儿童的患病率分别为每1000人中有22.3,22.5和22.2,而2010年队列中白人儿童的患病率为每1000人中有21.2.
结论:
- 在美国,2010年以后,跨种族群体的自闭症患病率发生了显著的逆转.
- 诸如查,诊断,医疗保险,移民政策和少数民族教育程度的变化等因素可能推动这种重新设计.
- 在自闭症患病率中持续存在的种族差异需要进一步调查对社会和系统因素的贡献.
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