后来被诊断为自闭症的儿童的先前诊断和诊断年龄
Maire C Diemer1, Emily Gerstein2
1Medical University of South Carolina, 171 Ashley Ave, Charleston, SC, 29425, USA. diemerm@musc.edu.
Journal of autism and developmental disorders
|November 25, 2024
概括
种族,性别和位置影响自闭症诊断年龄和先前诊断的数量. 白人儿童和城市儿童的诊断时间较晚,而农村儿童的诊断时间较早.
科学领域:
- 儿科健康 儿科健康
- 神经发育障碍 神经发育障碍
- 健康 公平 卫生 公平
背景情况:
- 人们对自闭症谱系障碍 (ASD) 的认识越来越高,与诊断的持续差异形成鲜明对比.
- 健康的社会决定因素显著地影响了ASD儿童的诊断年龄和诊断负载.
- 不平等的诊断率表明医疗保健系统中的潜在系统偏见.
研究的目的:
- 调查种族,性别和地理因素与自闭症诊断年龄和诊断负载之间的关联.
- 为了检查先前的诊断 (ADHD,行为,调整,焦虑,情绪,智力障碍) 与这些人口和地理变量之间的关系,在后来被诊断为自闭症的儿童中.
主要方法:
- 分析了13,850名2-10岁儿童的样本,这些儿童在2015-2019年期间通过密苏里州医疗补助计划被诊断患有自闭症.
- 利用后勤回归来评估种族 (白人),性别 (男性) 和地理因素 (城市与农村) 对诊断年龄和先前诊断的影响.
- 研究了人口因素与六种特定的先前诊断之间的关联:ADHD,行为,调整,焦虑,情绪和智力障碍.
主要成果:
- 白人儿童,城市地区的儿童和更多先前诊断的儿童与晚年自闭症诊断有关.
- 白人增加了除智力障碍外所有先前疾病的诊断可能性.
- 男孩显示ADHD诊断的可能性较高,但智力障碍诊断的可能性较低.
- 农村生活与更早的诊断和更高的ADHD和行为诊断的患病率有关.
结论:
- 人口和地理因素显著影响自闭症诊断过程,突出了医疗保健系统潜在的不平等.
- 获得提供者和医疗保健利用的机会可能会解释一些种族和地理差异的诊断年龄.
- 需要进一步的研究来了解诊断障碍和诊断负载的影响.
关键词:
自闭症 自闭症 自闭症自闭症女孩自闭症女孩黑色 黑色 黑色诊断负载的诊断负载是什么性别 性别 性别 性别医疗补助公司 (Medicaid) 的医疗补助.种族 种族 种族 种族农村 农村 农村 农村更多相关视频
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