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新加坡加强发育查计划的结果.

Sita Padmini Yeleswarapu1, Chui Mae Wong1, Yoke Hwee Chan2

  • 1Department of Child Development, KK Women's and Children's Hospital, Singapore.

Early human development
|February 25, 2025
PubMed
概括

新加坡的一项增强发育查 (EDS) 计划改善了对幼儿发育迟缓和自闭症的早期识别. 像较低的母亲教育等社会人口因素与积极的查有关,有助于有针对性的干预.

关键词:
自闭症 自闭症 自闭症发育迟缓的发展延迟发展查 发展查

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科学领域:

  • 儿科 儿科 儿科
  • 发展心理学 发展心理学
  • 公共卫生 公共卫生

背景情况:

  • 在新加坡,发育迟缓和自闭症的转诊率 (3-4%) 历史低.
  • 早期识别和干预对于最佳的儿童发展结果至关重要.
  • 实施了增强发育查 (EDS) 计划,以改善初级保健机构的检测.

研究的目的:

  • 使用EDS.评估18个月的积极发育迟缓/自闭症查的患病率.
  • 确定与积极查结果相关的社会人口风险因素.
  • 评估初级保健查工具与三级保健评估之间的相关性.

主要方法:

  • 在初级保健中,EDS使用了PEDS,PEDS:DM,ASQ-3和M-CHATR/F.
  • 同时收集社会人口统计数据.
  • 第三级护理包括DP-3查和发育儿科医生咨询.

主要成果:

  • 14%的查结果为发育迟缓;2%的自闭症在18个月.
  • 较低的母亲教育,少数民族地位和较低的社会经济地位与积极的查有关.
  • 在ASQ-3和DP-3的特定域之间发现了中度至强度的相关性.

结论:

  • 该EDS计划显著改善了发育迟缓和自闭症儿童的识别.
  • 识别社会人口风险因素有助于对处于风险的家庭进行早期干预.
  • 在初级医疗保健中,EDS有效地提高了早期检测.