Windham Gayle C, Smith Karen S, Rosen Nila, Anderson Meredith C, Grether Judith K, Coolman Richard B, Harris Stephen
Division of Environmental and Occupational Disease Control, California Department of Public Health, 850 Marina Bay Parkway, Building P, Richmond, CA, 94804, USA,
J Autism Dev Disord. 2014 Jul;44(7):1621-32. doi: 10.1007/s10803-014-2032-y.
We implemented screening of children 16-30 months of age (n = 1,760) from a typically under-served, primarily Hispanic, population, at routine pediatric appointments using the modified checklist for autism in toddlers (M-CHAT) and Ages and Stages Questionnaire. Screen positive rates of 26 and 39%, respectively, were higher than previous reports. Hispanics were more likely to score M-CHAT positive than non-Hispanics (adjusted OR 1.7, 95% CI 1.2-2.4), as were those screened in Spanish. About 30% of screen-positive children were referred for further assessment, but only half were seen. Thus screening in this population is feasible, but may require additional resources. Attention to the cultural applicability of screening instruments, as well as to explaining the results or need for additional services to parents, is critical to serve the growing Hispanic population.
我们对年龄在16至30个月的儿童（n = 1760）进行了筛查，这些儿童来自一个服务通常不足、主要为西班牙裔的人群，在常规儿科预约时使用改良版幼儿自闭症检查表（M-CHAT）和年龄与发育阶段问卷。筛查阳性率分别为26%和39%，高于之前的报告。西班牙裔比非西班牙裔更有可能在M-CHAT中得阳性结果（调整后的比值比为1.7，95%置信区间为1.2 - 2.4），用西班牙语进行筛查的儿童也是如此。约30%筛查呈阳性的儿童被转介进行进一步评估，但只有一半接受了检查。因此，在该人群中进行筛查是可行的，但可能需要额外的资源。关注筛查工具的文化适用性，以及向家长解释结果或额外服务的必要性，对于服务不断增长的西班牙裔人群至关重要。
