College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Division of Child and Adolescent Psychiatry, Department of Psychiatry, College of Medicine, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
J Autism Dev Disord. 2021 Jul;51(7):2461-2474. doi: 10.1007/s10803-020-04712-z.
As the prevalence of developmental disorders (DDs) has increased, many OECD countries provide a national screening examination for early detection and intervention for DDs. This study examined effects of the National Health Screening Program in Korea. 65,334 children (39%) were DD-screened and 35,466 children (21%) received a false negative among the 167,050 study subjects. The DD-screened rate had increased from 3208 (27.2%) in 2008 to 8471 (47.3%) in 2012, then decreased to 5544 (29.8%) in 2017. Changes in the false negative rates increased from 2.7% in 2008 to 23.8% in 2017 were one of the most influential factors in these fluctuations. The DD-screened rate was influenced by demo-geographic and economic factors as well as by age-related characteristics of the subconditions.
随着发育障碍(DD)的患病率不断上升,许多经合组织国家都提供了全国性的筛查检查,以早期发现和干预 DD。本研究考察了韩国国家健康筛查计划的效果。在 167050 名研究对象中,有 65334 名儿童(39%)接受了 DD 筛查,35466 名儿童(21%)的筛查结果为假阴性。DD 筛查率从 2008 年的 3208 人(27.2%)上升到 2012 年的 8471 人(47.3%),随后在 2017 年下降到 5544 人(29.8%)。假阴性率的变化从 2008 年的 2.7%增加到 2017 年的 23.8%,是这些波动的最主要影响因素之一。DD 筛查率受到人口统计学和经济因素以及子条件的年龄相关特征的影响。