Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, 2006, Australia.
Brain and Mind Centre, Children's Hospital Westmead Clinical School, Faculty of Medicine and Health, University of Sydney, Camperdown, NSW, Australia.
J Autism Dev Disord. 2024 Apr;54(4):1558-1566. doi: 10.1007/s10803-022-05887-3. Epub 2023 Jan 18.
Routinely collected data help estimate the prevalence of autism spectrum disorder (ASD) in jurisdictions without active autism surveillance. We created a population-based cohort of 1,211,834 children born in 2002-2015 in New South Wales, Australia using data linkage. Children with ASD were identified in three datasets - disability services, hospital admissions, and ambulatory mental health data. The prevalence of ASD in the cohort was 1.3% by age 12 and prevalence at age 6 increased an average of 4.1% per year (95% Confidence Interval, 3.3%, 4.8%). Most children with ASD were identified in disability services data (87%), although data linkage identified 1,711 additional cases that were more likely female, older at first contact, and living in major cities and less disadvantaged areas.
常规收集的数据有助于估计在没有主动自闭症监测的司法管辖区中自闭症谱系障碍（ASD）的流行率。我们使用数据链接创建了一个基于人群的队列，该队列由 2002 年至 2015 年在澳大利亚新南威尔士州出生的 1,211,834 名儿童组成。在残疾服务、住院和门诊心理健康数据这三个数据集识别患有 ASD 的儿童。在该队列中，ASD 的患病率为 1.3%，在 6 岁时，每年平均增加 4.1%（95%置信区间，3.3%，4.8%）。大多数患有 ASD 的儿童是通过残疾服务数据识别出来的（87%），尽管数据链接还识别出了 1,711 例更多的病例，这些病例更可能是女性，首次接触时年龄更大，居住在主要城市和条件较差的地区。
