在低中等收入国家中,为学龄前儿童制定基于人口的社会发育迟缓的代理分数
Solveig A Cunningham1, Michaela Bonnett2, Catherine Rice3
1Netherlands Interdisciplinary Demographic Institute, Lange Houtstraat 19, The Hague, the Netherlands; Hubert Department of Global Health, Emory University, 1518 Clifton Road, Atlanta, GA, 30322, United States.
Disability and health journal
|May 4, 2025
概括
一个新的尺度估计,洪都拉斯4.6%的4岁儿童经历了社会发展延迟,这是自闭症谱系障碍 (ASD) 的关键问题. 这一发现凸显了现有调查对跟踪低资源环境中早期发育迟缓的有用性.
科学领域:
- 全球儿童发展全球儿童发展
- 发育儿科 发育儿科
- 自闭症谱系障碍研究研究
背景情况:
- 在低收入和中等收入国家,早期社会发展延迟的记录不足.
- 自闭症谱系障碍 (ASD) 通常与早期的社会延迟有关.
- 联合国儿童基金会的多指标集群调查 (MICS) 提供了人口代表性的儿童健康数据.
研究的目的:
- 为学龄前儿童开发社会发育迟缓量表.
- 估计与ASD相关的基于人口的早期社会延迟患病率.
- 确定与低中等收入国家社会发展迟缓相关的特征.
主要方法:
- 利用了来自洪都拉斯2019年MICS6调查的数据.
- 创建了一个10分的社会发育迟缓代理分数 (SDDPS),分数≥3表明可能的延迟.
- 分析了1723名年龄在48-59个月的儿童的数据,使用回归模型来评估与社会人口因素的关联.
主要成果:
- 据估计,洪都拉斯4.6%的4岁儿童表现出社会发育迟缓 (≥3个关注领域).
- 学习行为和社会互动领域最常受到影响.
- 在多变量分析中,在延迟和性别,年龄,城市化或社会经济地位之间没有发现显著的关联.
结论:
- 现有的人口调查可以提供有关社会发展延迟的有价值的数据,在没有专门措施的情况下.
- 该SDDPS提供了拉丁美洲中低收入国家社会发育迟缓患病率的初步估计.
- 建议对SDDPS进行进一步验证,以便在洪都拉斯和其他人群中使用.
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