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社区中口吃在整个生命周期的流行病学。

Epidemiology of stuttering in the community across the entire life span.

作者信息

Craig Ashley, Hancock Karen, Tran Yvonne, Craig Magali, Peters Karen

机构信息

Department of Health Sciences, University of Technology, Sydney, New South Wales, Australia.

出版信息

J Speech Lang Hear Res. 2002 Dec;45(6):1097-105. doi: 10.1044/1092-4388(2002/088).

Abstract

A randomized and stratified investigation was conducted into the epidemiology of stuttering in the community across the entire life span. Persons from households in the state of New South Wales, Australia, were asked to participate in a telephone interview. Consenting persons were given a brief introduction to the research, and details were requested concerning the number and age of the persons living in the household at the time of the interview. Interviewees were then given a description of stuttering. Based on this description, they were asked if any person living in their household stuttered (prevalence). If they answered "yes," a number of corroborative questions were asked, and permission was requested to tape over the telephone the speech of the person who stutters. Confirmation of stuttering was based on (a) a positive detection of stuttering from the tape and (b) an affirmative answer to at least one of the corroborative questions supporting the diagnosis. Results showed that the prevalence of stuttering over the whole population was 0.72%, with higher prevalence rates in younger children (1.4-1.44) and lowest rates in adolescence (0.53). Male-to-female ratios ranged from 2.3:1 in younger children to 4:1 in adolescence, with a ratio of 2.3:1 across all ages. The household member being interviewed was also asked whether anyone in the household had ever stuttered. If the answer was "yes," the same corroborative questions were asked. These data, along with the prevalence data, provided an estimate of the incidence or risk of stuttering, which was found to range from 2.1% in adults (21-50 years) to 2.8% in younger children (2-5 years) and 3.4% in older children (6-10 years). Implications of these results are discussed.

摘要

针对社区中全生命周期口吃的流行病学情况进行了一项随机分层调查。澳大利亚新南威尔士州家庭中的人员被邀请参与电话访谈。同意参与的人员会得到关于该研究的简要介绍,并被要求提供访谈时居住在该家庭中的人员数量及年龄等详细信息。然后向受访者描述口吃的情况。基于此描述,询问他们家中是否有口吃的人(患病率)。如果回答“是”,则会提出一些确证性问题,并请求获得在电话中录制口吃者讲话的许可。口吃的确认基于:(a)从录音中阳性检测到口吃;(b)对至少一个支持该诊断的确证性问题给出肯定回答。结果显示,整个人口中口吃的患病率为0.72%,年幼儿童的患病率较高(1.4 - 1.44),青少年的患病率最低(0.53)。男女比例从年幼儿童的2.3:1到青少年的4:1不等,各年龄段的比例为2.3:1。还询问接受访谈的家庭成员家中是否有人曾经口吃。如果回答“是”,则会提出相同的确证性问题。这些数据与患病率数据一起,提供了口吃发病率或风险的估计值,发现其范围从成年人(21 - 50岁)的2.1%到年幼儿童(2 - 5岁)的2.8%以及大龄儿童(6 - 10岁)的3.4%。讨论了这些结果的意义。

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