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西班牙语裔和非西班牙语裔人群中的自闭症谱系障碍。

Autism spectrum disorders in Hispanics and non-Hispanics.

机构信息

Department of Public Health Sciences, University of California, Davis, CA 95618, USA.

出版信息

Autism. 2012 Jul;16(4):381-97. doi: 10.1177/1362361311434787. Epub 2012 Mar 7.

Abstract

OBJECTIVES

To compare differences in autism between Hispanic and non-Hispanics. We also examined the relationship between multiple language exposure and language function and scores of children.

METHODS

The Childhood Autism Risks from Genetics and the Environment (CHARGE) study is an ongoing population-based case-control study with children sampled (n=1061) from three strata: those with autism (AU) or autism spectrum disorder (ASD); developmental delay (DD); or the general population (GP).

RESULTS

Non-Hispanic cases demonstrated higher cognitive composite scores for the Mullen Scales of Early Learning (MSEL). There were significant associations between multiple language exposure and MSEL subscales for receptive language and expressive language, in both cases (AU/ASD) and TD controls, but not DD controls. Results of multivariate regression analyses suggest several predictors to be associated with lower Mullen expressive language scores including: diagnosis of ASD/AU, speaking to the child in a second language 25-50% of the time and Hispanic ethnicity; while maternal college education was associated with higher scores.

CONCLUSION

Overall, the CHARGE Hispanic group displayed more similarities than differences compared to non-Hispanics in terms of autistic phenotypes and maladaptive & adaptive scores for cases. The relationship between multiple language use and cognitive scores warrants a closer look.

摘要

目的

比较西班牙裔和非西班牙裔人群之间自闭症的差异。我们还研究了多种语言接触与儿童语言功能和分数之间的关系。

方法

儿童遗传和环境自闭症风险(CHARGE)研究是一项正在进行的基于人群的病例对照研究,从三个层次抽取儿童样本(n=1061):自闭症(AU)或自闭症谱系障碍(ASD);发育迟缓(DD);或一般人群(GP)。

结果

非西班牙裔病例的 Mullen 早期学习量表(MSEL)认知综合评分较高。在自闭症/ASD 病例和 TD 对照组中,多种语言接触与接受性语言和表达性语言的 MSEL 子量表之间存在显著关联,但在 DD 对照组中没有。多元回归分析的结果表明,多种语言使用与较低的 Mullen 表达性语言分数相关的预测因素包括:ASD/AU 诊断、与孩子用第二语言交谈的时间占 25-50%、西班牙裔种族;而母亲的大学教育与较高的分数相关。

结论

总体而言,与非西班牙裔人群相比,CHARGE 西班牙裔组在自闭症表型和病例的适应和适应不良分数方面更相似。多种语言使用与认知分数之间的关系值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8752/4776658/037044a6a899/nihms762523f1.jpg

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