Striley Catherine, Black Kevin J, Chichetto Natalie E, Vagelakos Lauren
Department of Epidemiology, University of Florida, 2004 Mowry Road, PO Box 100231, Gainesville, FL 32610.
Washington University School of Medicine, MSC 8134-70-2205, 660 S. Euclid Ave., St. Louis, Missouri, USA 63110-1010.
Evid Based Pract Child Adolesc Ment Health. 2024;9(2):281-295. doi: 10.1080/23794925.2023.2253544. Epub 2023 Sep 29.
Tourette syndrome (TS) affects about 0.5% of the population worldwide, but only sparse and conflicting data exist on TS prevalence among minority samples. Here we used VISIT-TS (a survey preceded by a short video showing tic phenomenology) and community outreach to provide estimates of tic disorder prevalence in African Americans. Community health workers (CHWs) left flyers at households in a predominantly minority neighborhood and approached people at a community health fair. Of 606 such contacts, 222 individuals agreed to discuss the study. Of these, 70% enrolled, of whom 82% identified as Black and 64% female. The VISIT-TS was well received. Lifetime prevalence of TS or another chronic tic disorder (TS/CTD) was 3.2%, and 31% endorsed any lifetime simple tic. The number of enrolled Black participants is remarkable compared to earlier TS studies, allowing one of the first prevalence estimates in this population (TS 2.3%, TS/CTD 3.9%). Tic disorders were endorsed only by Black respondents, though the small White sample precluded statistical comparison. Women had higher rates than men of TS (M:F = 0:1) and of any lifetime simple tic (M:F = 0.85), differing significantly from the expected 4:1 ratio ( = .009 and < .001, respectively). For TS/CTD the ratio was 1.2:1 ( > .15). We conclude that VISIT-TS is a feasible tic screening tool in a minority population, that CHW community outreach increases enrollment of Black participants, that TS/CTD is no less common in this population, and that tics were as common in female as in male respondents.
抽动秽语综合征（TS）影响着全球约0.5%的人口，但关于少数族裔样本中TS患病率的数据却稀少且相互矛盾。在此，我们使用了VISIT - TS（一项先播放一段展示抽动现象学的短视频的调查）以及社区外展活动来估计非裔美国人中抽动障碍的患病率。社区卫生工作者（CHWs）在一个以少数族裔为主的社区的家庭中留下传单，并在社区健康博览会上与人们接触。在这606次接触中，有222人同意讨论这项研究。其中，70%的人登记参加，其中82%的人认定为黑人，64%为女性。VISIT - TS受到了广泛欢迎。TS或其他慢性抽动障碍（TS/CTD）的终生患病率为3.2%，31%的人认可有任何终生性简单抽动。与早期的TS研究相比，登记的黑人参与者数量相当可观，从而能够首次对该人群进行患病率估计（TS为2.3%，TS/CTD为3.9%）。尽管白人样本数量较少无法进行统计学比较，但只有黑人受访者认可存在抽动障碍。女性的TS患病率（男:女 = 0:1）以及任何终生性简单抽动的患病率（男:女 = 0.85）均高于男性，这与预期的4:1比例显著不同（分别为P = .009和P < .001）。对于TS/CTD，该比例为1.2:1（P > .15）。我们得出结论，VISIT - TS是一种在少数族裔人群中可行的抽动筛查工具，社区卫生工作者的社区外展活动增加了黑人参与者的登记人数，该人群中TS/CTD同样常见，并且女性受访者中的抽动情况与男性一样普遍。
