Center for Leadership in Disability, School of Public Health, Georgia State University, 75 Piedmont Rd., Atlanta, GA, 30303, USA.
Population Health Sciences, School of Public Health, Georgia State University, Atlanta, USA.
J Autism Dev Disord. 2022 Jan;52(1):203-218. doi: 10.1007/s10803-021-04943-8. Epub 2021 Mar 5.
National Surveys of Children's Health (NSCH, 2016-2018) data were analyzed to determine if conjoint monitoring and screening showed stronger associations with children under 5 identified with ASD compared to monitoring alone, screening alone or no monitoring or screening; and investigate relationships between monitoring and screening across racial/ethnic subgroups. 86 of 332 children with ASD received their diagnosis in a timeframe suggesting potential monitoring and screening for identification purposes. Analyses showed that conjoint monitoring and screening and monitoring alone, but not screening alone, was associated with early identified ASD cases across race groups. Caution is warranted as interpreting NSCH monitoring and screening items solely for identification purposes is inaccurate in many cases. More research on monitoring with screening is needed.
对《全国儿童健康调查》（NSCH，2016-2018 年）的数据进行了分析，以确定联合监测和筛查与 5 岁以下被诊断为自闭症谱系障碍（ASD）的儿童之间的关联是否强于单独监测、单独筛查或不进行监测或筛查；并调查跨种族/族裔亚组的监测和筛查之间的关系。在有时间范围提示可能出于识别目的进行监测和筛查的情况下，332 名自闭症谱系障碍儿童中有 86 名被确诊。分析表明，联合监测和筛查以及单独监测，但不是单独筛查，与不同种族群体中早期确诊的自闭症谱系障碍病例有关。需要谨慎，因为仅出于识别目的解释 NSCH 监测和筛查项目在许多情况下是不准确的。需要对监测与筛查的关系进行更多研究。
