我国儿童和青少年孤独症归因残疾率及其分布的现况调查

发布时间：2018-05-29 17:05

本文选题：儿童 + 孤独症谱系障碍　；参考：《中国心理卫生杂志》2014年11期

【摘要】：目的:描述我国孤独症归因残疾率及其分布特征,为制定残疾康复相关的政策和防治措施提供依据。方法:对2006年第二次全国残疾人抽样调查获得的2~17岁儿童青少年585 679人的数据进行分析,其中2~3岁88 716人,4~6岁84 411人,7~17岁412 552人。采用描述性流行病学方法描述我国孤独症归因残疾率及其人群和地区分布特征。结果:共诊断孤独症患者124例,其中2~3岁17例,4~6岁46例,7~17岁61例。孤独症归因残疾率为2.12/10 000,2~3岁、4~6岁和7~17岁年龄组孤独症归因残疾率为1.92/10 000、5.45/10 000、1.48/10 000。男性孤独症归因残疾率显著高于女性(2.81/10 000vs.1.48/10 000,P0.001)。城镇与农村的孤独症归因残疾率(2.11/10 000 vs.2.13/10 000)、不同民族的孤独症归因残疾率差异无统计学意义(均P0.05)。2~17岁的精神残疾患者中,归因于孤独症者占11.8%。在2~3岁和4~6岁的精神残疾患者中,归因于孤独症者分别占22.1%和22.4%。结论:孤独症是我国学龄前期人群精神残疾的主要原因之一,应增加重视程度。
[Abstract]:Objective: to describe the attributable disability rate of autism and its distribution in China, and to provide evidence for the establishment of policies and preventive measures for disability rehabilitation. Methods: the data of 585 679 children and adolescents aged 17 years old from the second National sample Survey of disabled Persons in 2006 were analyzed. Among them, 88,716 persons aged 2 or 3 years, 84,411 persons aged 6 years old, 44,411 persons aged 6 years, 412,552 persons aged 17 years. Descriptive epidemiological method was used to describe the attributable disability rate of autism and its population and regional distribution in China. Results: a total of 124 autistic patients were diagnosed, of whom 17 cases were aged 2 or 3 years, 46 cases were 6 years old, and 61 cases were 7 17 years old. The disability rate for autism is 2.12 / 10, 000, 2, 000, 3, 4, 6, and 7, 17. The disability is 1.92 / 10, 000, 5. 45, 10, 000, 1. 48, 10, 000. The incidence of disability attributable to autism in men was significantly higher than that in women (2.81 / 10 000vs.1.48/10 / 0.001). The attributable disability rate of autism in urban and rural areas was 2.11 / 10 000 vs.2.13/10 / 000, and there was no significant difference in disability attributable to autism among different nationalities (all P 0.05%.) of 17 years old patients with mental disability, 11.8% were ascribed to autism. Of the patients with mental disability aged 2 to 3 and 4 to 6, 22. 1% and 22. 4% were attributed to autism, respectively. Conclusion: autism is one of the main causes of mental disability in preschool population in China.
【作者单位】：北京大学第六医院北京大学精神卫生研究所卫生部精神卫生学重点实验室(北京大学);
【基金】：2009年度国家社会科学基金重大项目——中国残疾预防对策研究(09&ZD072)
【分类号】：R749.94;R181.32

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