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自闭症"流行病":误解,错误信息和阴谋
1Oregon Health & Science University, Portland, OR, USA. fombonne@ohsu.edu.
European journal of epidemiology
|October 10, 2025
概括
美国卫生官员声称自闭症是流行病,但研究表明,患病率的增加是由于更好的诊断和意识,而不是环境毒素. 鉴于自闭症,发现特定的毒素不太可能.
科学领域:
- 神经发育障碍 神经发育障碍
- 公共卫生政策 公共卫生政策
- 环境毒理学环境毒理学
背景情况:
- 美国卫生与人类服务部 (HHSS) 声称,自闭症疫情是由环境毒素驱动的.
- 这一说法与有关自闭症患病率趋势的科学共识相矛盾.
- 医疗健康协会的说法与专家对自闭症患病率上升的意见形成了鲜明对比.
研究的目的:
- 解决和驳斥有关自闭症患病率上升的误解.
- 解释导致自闭症诊断率增加的因素.
- 批评HHSS关于自闭症流行病和环境毒素因果关系的断言.
主要方法:
- 对自闭症定义,诊断标准和确定的变化进行分析.
- 对影响自闭症检测和诊断的上下文因素的审查.
- 评估识别自闭症环境毒素的科学可信性.
主要成果:
- 自闭症患病率的增加归因于不断发展的诊断实践,提高认识和更好地获得服务.
- 由单一的环境毒素驱动的自闭症流行病的概念是误导性的.
- 自闭症的遗传复杂性和异质性使得确定特定的环境原因是不可能的.
结论:
- 自闭症患病率的上升是一个复杂的现象,由多种因素驱动,而不是流行病.
- 寻找单一的环境毒素在科学上是毫无根据的,并分散了人们对自闭症真正原因的理解.
- 忽视经验数据和专家共识可能会使自闭症病因学理论重新复活.
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