Abstract:Objective To investigate the prevalence, distribution and differences of autism spectrum disorders(ASD) children aged 0-6 years old in China. Methods A total of 89,475 children were selected from Shandong, Hubei, Hebei during 2020 to 2021, including children aged 0-6 who participated in health examination of 4 maternal and child health care hospitals and 1 pediatric care department of children's hospital, and those aged 3-5 in 136 kindergartens of Anqiu, Weifang City, Shandong Province. Early warning signs were used for screening. If the results of early warning signs were suspicious, M-CHAT scale, ABC scale and CABS scale were used for further screening. The participants were diagnosed with autism if their positive results were further screened by CARS scale and ADOS scale, combined with the comprehensive judgment of doctors with unified training and clinical work experience. Results The prevalence of the participants was 1.8%(95% CI:1.7%-2.0%). The prevalence was 2.6%(95% CI:2.4-2.8)in boys, 0.9%(95% CI:0.8%-1.0%)in girls, and the sex ratio was 2.9∶1. The prevalence in children aged 0-3 was 1.6%(95% CI:1.4%-1.7%), and that in children aged 4-6 was 2.5%(95% CI:2.2%-2.7%). Conclusion Chinese children had a high prevalence of ASD. There was statistical significance in the prevalence of ASD among children with different sex and age groups.
赵亚楠, 李智文, 李琳, 关春荣, 殷玉芳, 杨逸凡, 刘静, 张燕, 彭旦媛, 贾美香. 中国0~6岁儿童孤独症谱系障碍筛查患病现状[J]. 中国生育健康杂志, 2023, 34(5): 423-428.
ZHAO Yanan, LI Zhiwen, LI Lin, GUAN Chunrong, YIN Yufang, YANG Yifan, LIU Jing, ZHANG Yan, PENG Danyuan, JIA Meixiang. The prevalence of ASD screening in children aged 0-6 years old in China. Chinese Journal of Reproductive Health, 2023, 34(5): 423-428.
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