Li Wen-Hao, Hu Li-Fei, Yuan Li, Hao Grace, Zhu Zhi-Wei
Department of Developmental Behavioral Pediatric, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Kaixuan community health center, Hangzhou, China.
J Pediatr Nurs. 2019 Jan-Feb;44:e72-e78. doi: 10.1016/j.pedn.2018.11.004. Epub 2018 Nov 23.
The First Year Inventory (FYI) is a parent-report instrument, and is developed to assess behaviors of 12-month-old infants that could suggest risk for an eventual diagnosis of autism. This study was designed to examine the application of the FYI in the Chinese community.
FYIs were completed at a community health center by 541 families during the child's physical examination at 12 months of age from 2013 to 2015. The weighted risk scores used in this study were based on US norms, and compared the FYI differences between China and the U.S.
The total risk scores ranged from 5 to 42 points; the 95th percentile cutoff was 27.00(9.8 points higher than the 95th percentile cutoff in the US), the 98th percentile cutoff was 29.66(7.04 points higher than the 98th percentile cutoff in the US), and the 99th percentile cutoff was 31.83. Higher risk scores were found for boys than girls. Mothers with a junior college education reported significantly higher FYI risk scores than other three groups including high school, college graduates and post-graduates.
There were no significant effects of birth parity, investigator, or investigation year on risk scores. Large-scale longitudinal research is encouraged in the future to develop an early detection model of autism in China.
一岁婴儿行为量表（FYI）是一种由家长报告的工具，旨在评估12个月大婴儿的行为，这些行为可能暗示最终被诊断为自闭症的风险。本研究旨在探讨FYI在中国社区的应用情况。
2013年至2015年期间，541个家庭在社区卫生中心为12个月大的孩子进行体检时完成了FYI。本研究中使用的加权风险评分基于美国标准，并比较了中国和美国之间FYI的差异。
总风险评分范围为5至42分；第95百分位数的临界值为27.00（比美国第95百分位数的临界值高9.8分），第98百分位数的临界值为29.66（比美国第98百分位数的临界值高7.04分），第99百分位数的临界值为31.83。男孩的风险评分高于女孩。大专学历的母亲报告的FYI风险评分显著高于其他三组，包括高中、大学毕业生和研究生。
出生胎次、调查人员或调查年份对风险评分没有显著影响。鼓励未来开展大规模纵向研究，以建立中国自闭症早期检测模型。
