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2018-2021 年美国 3-17 岁儿童和青少年发育障碍的流行率和趋势。

Prevalence and trends of developmental disabilities among US children and adolescents aged 3 to 17 years, 2018-2021.

机构信息

Department of Child and Adolescent Health, School of Public Health, Guangdong Pharmaceutical University, Guangzhou, 510006, Guangdong Province, China.

Department of Child Health, Maternity and Child Health Hospital of Baiyun District, Guangzhou, 510400, China.

出版信息

Sci Rep. 2023 Oct 12;13(1):17254. doi: 10.1038/s41598-023-44472-1.

Abstract

Developmental disabilities prevalence seem to be high in countries around the world. It's worth understanding the most recent prevalence and trends of developmental disabilities. The objective of this study is to examine the prevalence and trends of developmental disabilities of US children and adolescents. A total of 26,422 individuals aged 3-17 years were included. Annual data were examined from the National Health Interview Survey (2018-2021). Weighted prevalence for each of the selected developmental disabilities were calculated. The prevalence of any developmental disabilities in individuals was 16.65% (95% CI 16.03-17.26%), prevalence of attention deficit/hyperactivity disorder (ADHD), learning disability (LD), autism spectrum disorder (ASD), intellectual disability (ID), and other developmental delay were 9.57% (95% CI 9.09-10.06%), 7.45% (95% CI 7.00-7.89%), 2.94% (95% CI 2.67-3.21%), 1.72% (95% CI 1.51-1.93%), and 5.24% (95% CI 4.89-5.59%), respectively. Significant increases were observed for other developmental delay (4.02-6.05%) and co-occurring LD & ID (1.03-1.82%). Findings form this study highlight a high prevalence of any developmental disabilities, although no significant increase was observed. The prevalence of other developmental delay and co-occurring LD & ID were significantly increased. Further investigation is warranted to assess potentially modifiable risk factors and causes of developmental disabilities.

摘要

发展障碍的患病率在世界各国似乎都很高。了解发展障碍的最新患病率和趋势是值得的。本研究的目的是检查美国儿童和青少年发展障碍的患病率和趋势。共纳入了 26422 名 3-17 岁的个体。从国家健康访谈调查(2018-2021 年)中检查了年度数据。计算了每一种选定的发育障碍的加权患病率。任何发育障碍在个体中的患病率为 16.65%(95%CI 16.03-17.26%),注意缺陷多动障碍(ADHD)、学习障碍(LD)、自闭症谱系障碍(ASD)、智力障碍(ID)和其他发育迟缓的患病率分别为 9.57%(95%CI 9.09-10.06%)、7.45%(95%CI 7.00-7.89%)、2.94%(95%CI 2.67-3.21%)、1.72%(95%CI 1.51-1.93%)和 5.24%(95%CI 4.89-5.59%)。其他发育迟缓(4.02-6.05%)和同时存在的 LD 和 ID(1.03-1.82%)的发生率显著增加。本研究结果强调了任何发育障碍的高患病率,尽管没有观察到显著增加。其他发育迟缓以及同时存在的 LD 和 ID 的患病率显著增加。需要进一步调查,以评估发展障碍的潜在可改变风险因素和病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8a0/10570352/6693b0588a8e/41598_2023_44472_Fig1_HTML.jpg

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