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自闭症谱系障碍:社区为基础的筛查计划评估。

Autism spectrum disorder: evaluation of community-based screening program.

机构信息

Epidemiology Program, Institute of Health Sciences, İstanbul Medipol University, İstanbul, Turkiye.

Department of Public Health, School of Medicine, İstanbul Medipol University, İstanbul, Turkiye.

出版信息

Turk J Med Sci. 2024 Jan 24;54(3):555-562. doi: 10.55730/1300-0144.5822. eCollection 2024.

Abstract

BACKGROUND/AIM: This study was conducted to evaluate the results of autism spectrum disorder (ASD) screenings conducted in a region of İstanbul between 2018 and 2023.

MATERIALS AND METHODS

This descriptive study was conducted between April 2018 and February 2023 among 25,839 children aged between 18-36 months who had been screened for autism spectrum disorder in Sultanbeyli, İstanbul. Children between 18-36 months are examined and a form consisting of 5 questions and typical symptoms of ASD is filled. Each question is answered as yes or no. Answering yes to at least one of the questions is sufficient to direct them to child psychiatry.

RESULTS

Between 2018 and 2023, a total of 25,839 children were screened for autism spectrum disorders, 1449 children were found to be at risk, and 88 were diagnosed with autism spectrum disorder. According to the sex distribution of the children, the male:female ratio is 3.6:1. The 5-year prevalence was found to be 0.9%. With the effect of the pandemic between 2020 and 2021, screening rates have decreased and the number of diagnoses has decreased. The most common symptom among those diagnosed is delay in speaking, and the second is inability to make eye contact.

CONCLUSION

Autism spectrum disorder is a developmental disorder whose prevalence is increasing globally and for which early diagnosis is important. To recognize this disease, it is necessary to increase screening and raise awareness among families. This study will also shed light on future studies on this subject.

摘要

背景/目的:本研究旨在评估 2018 年至 2023 年期间在伊斯坦布尔某地区进行的自闭症谱系障碍(ASD)筛查结果。

材料与方法

这是一项描述性研究,于 2018 年 4 月至 2023 年 2 月期间在伊斯坦布尔苏丹贝伊利进行,共对 25839 名 18-36 个月的儿童进行了 ASD 筛查。对 18-36 个月的儿童进行检查,并填写一份由 5 个问题和 ASD 典型症状组成的表格。每个问题都回答是或否。只要对至少一个问题回答是,就足以将他们转介给儿童精神病学。

结果

2018 年至 2023 年,共对 25839 名儿童进行了自闭症谱系障碍筛查,发现 1449 名儿童存在风险,88 名儿童被诊断为自闭症谱系障碍。根据儿童的性别分布,男女比例为 3.6:1。发现 5 年患病率为 0.9%。由于 2020 年至 2021 年的大流行,筛查率下降,诊断数量减少。在被诊断出的儿童中,最常见的症状是语言发育迟缓,其次是无法进行眼神接触。

结论

自闭症谱系障碍是一种发育障碍,其患病率在全球范围内呈上升趋势,早期诊断很重要。为了识别这种疾病,有必要增加筛查并提高家庭的意识。这项研究也将为该主题的未来研究提供启示。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5297/11265902/8fb69c2b91f3/tjmed-54-03-555f1.jpg

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