在儿童和成年人中记录的神经发育障碍的地理变化
Kathrine Bang Madsen1,2, Sussie Antonsen1,2, Rikke Thaarup Wesselhøft3,4
1NCRR - National Centre for Register-based Research, School of Business and Social Sciences, Aarhus University.
Danish medical journal
|January 3, 2025
概括
自闭症谱系障碍 (ASD) 和注意力缺陷多动症 (ADHD) 诊断的地理差异存在于丹麦的小社区内. 这些差异可能源于医疗保健获取和诊断实践的差异.
科学领域:
- 神经发育障碍 神经发育障碍
- 公共卫生 公共卫生
- 地理空间分析是什么?
背景情况:
- 已知自闭症谱系障碍 (ASD) 和注意力缺陷多动症障碍 (ADHD) 诊断中的大规模市政变异.
- 社区内的小规模的地理差异仍然没有得到充分的研究.
研究的目的:
- 描述丹麦小型地理数据区儿童和成人ASD和ADHD诊断率.
- 量化ASD和ADHD发病率的空间变化.
主要方法:
- 全国范围的研究包括1993-2020年出生的儿童和1977-2003年出生的成年人.
- 随访直到诊断,死亡,移民或2021年底.
- 多层日志线性波松回归和使用数据区的空间分析 (约. 这里有2500名居民.
主要成果:
- 在儿童和成人中观察到的ASD和ADHD诊断的相当大的地理差异.
- 在儿童高发病率区域,ASD的发病率高出44%,ADHD的发病率高出38%.
- 在成年人中发现两种疾病的相似变异 (MRR=1.44).
结论:
- 在丹麦,在社区层面上存在ASD和ADHD诊断的显著空间变化.
- 这些变化可能表明寻求治疗,转诊模式和诊断程序的差异.
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