沙特阿拉伯儿童自闭症谱系障碍诊断年龄相关因素的横断面研究。
Factors associated with age of diagnosis of autism spectrum disorder among children in Saudi Arabia: new insights from a cross-sectional study.
机构信息
Department of Special Education, Taif University, Taif, Saudi Arabia.
Autism Center of Excellence, Riyadh, Saudi Arabia.
出版信息
BMC Res Notes. 2022 May 10;15(1):161. doi: 10.1186/s13104-022-06035-x.
OBJECTIVES
Research examining the age of diagnosis of autism spectrum disorder (ASD) and its influencing factors mostly originate from developed Western countries, providing little to no systematic information about the understanding and management of ASD in the rest of the world. The present exploratory study examined the influence of child and family characteristics on the age of ASD diagnosis in Saudi Arabia.
RESULTS
The median age at diagnosis was 3.0 years and was associated with some child and family characteristics. A 1 year increase in child's age was associated with a 0.1 year increase in age of diagnosis (95% CI 0.05, 0.12). Children who did not respond to their name were diagnosed 0.3 years earlier than other children (95% CI - 0.60, - 0.05), and engaging in challenging behavior was associated with a 0.5 year increase in age of diagnosis (95% CI 0.20, 0.81). A lack of comorbidity was associated with a 0.6 year increase in the age of diagnosis compared to the diagnosis age of children with comorbidity (95% CI 0.13, 1.01). Finally, those residing outside of Saudi Arabia were diagnosed with ASD 0.9 years earlier than those residing in Saudi Arabia (95% CI - 0.171, - 0.11).
目的
研究自闭症谱系障碍（ASD）的诊断年龄及其影响因素的研究主要来自发达的西方国家，对世界其他地区对 ASD 的理解和管理几乎没有提供系统信息。本探索性研究考察了儿童和家庭特征对沙特阿拉伯 ASD 诊断年龄的影响。
结果
诊断的中位数年龄为 3.0 岁，与一些儿童和家庭特征有关。儿童年龄每增加 1 岁，诊断年龄就会增加 0.1 岁（95%CI 0.05，0.12）。对自己的名字没有反应的儿童比其他儿童早诊断 0.3 岁（95%CI -0.60，-0.05），具有挑战性的行为与诊断年龄增加 0.5 岁有关（95%CI 0.20，0.81）。与患有共病的儿童相比，无共病的儿童的诊断年龄增加了 0.6 岁（95%CI 0.13，1.01）。最后，与居住在沙特阿拉伯的儿童相比，居住在沙特阿拉伯以外的儿童的 ASD 诊断年龄早 0.9 岁（95%CI -0.171，-0.11）。
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