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Age of Diagnosis and Demographic Factors Associated with Autism Spectrum Disorders in Chinese Children: A Multi-Center Survey

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单位: [1]Chongqing Med Univ, Childrens Hosp,Chongqing Key Lab Child Nutr & Hlt, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Key Lab Child Dev & Disorders, Chongqing, Peoples R China [2]First Hosp Jilin Univ, Dept Dev & Behav Pediat, Changchun, Peoples R China [3]Harbin Med Univ, Res Ctr Child Dev & Behav, Harbin, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Pediat, Wuhan, Peoples R China [5]Hainan Women & Childrens Med Ctr, Dept Children Rehabil, Haikou, Hainan, Peoples R China [6]Xian Childrens Hosp, Children Hlth Care Ctr, Xian, Peoples R China [7]Nanjing Med Univ, Affiliated Brain Hosp, Nanjing, Peoples R China [8]Qingdao Univ, Affiliated Hosp, Dept Child Hlth Care, Qingdao, Peoples R China [9]Maternal & Child Hlth Hosp Baoan, Shenzhen, Peoples R China [10]Shanghai Childrens Hosp, Dept Child Hlth Care, Shanghai, Peoples R China [11]Zhengzhou Univ, Childrens Hosp, Dept Child Hlth Care, Zhengzhou, Peoples R China [12]Hunan Prov Maternal & Child Hlth Hosp, Natl Hlth Commiss, Key Lab Birth Defect Res & Prevent, Changsha, Peoples R China [13]Deyang Maternal & Child Hlth Hosp, Deyang, Peoples R China [14]Capital Inst Pediat, Dept Children Hlth Care, Beijing, Peoples R China
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关键词: autism spectrum disorders children age influencing factors multicenter

摘要:
Purpose: The present study investigated the age of diagnosis, treatment and demographic factors of Chinese children with autism spectrum disorders (ASD), to provide a scientific basis for the early detection, diagnosis, and intervention of ASD. Patients and Methods: A total of 1500 ASD children aged 2-7 years old from 13 cities in China were administered questionnaires to examine their diagnosis, treatment, and basic family information. The Childhood Autism Rating Scale (CARS) was used to measure the symptoms and severity of ASD children, and the Children Neuropsychological and Behavior Scale-Revision 2016 (CNBS-R2016) was utilized to measure neurodevelopmental levels of ASD children. Results: We found that for children with ASD, the median (p25, p75) age for the initial detection of social behavioral developmental delay was 24 (18, 30) months, while the age for the initial diagnosis was 29 (24, 36) months and the age for the beginning of intervention was 33 (27, 42) months. Multiple linear regression (MLR) analysis suggested that in children with ASD whose parents were divorced, separated, or widowed, or whose mothers were engaged in physical work, the initial detection of social behavioral developmental delay happened later. For the children with ASD who lived in urban areas, had higher levels of ASD symptom severity or whose parents were not divorced or separated, the age for the initial diagnosis was earlier. For the children with ASD who lived in urban areas or whose mothers had received higher level of education, the earlier age for the beginning of intervention was observed, while for those with ASD whose mothers were engaged in physical work, the age for the beginning of training was later. Conclusion: It is recommended to actively carry out health education of ASD and strengthen the support for ASD families to enhance their rehabilitation level.

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出版当年[2021]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 精神病学
最新[2025]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学 4 区 精神病学
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出版当年[2020]版:
Q3 PSYCHIATRY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q2 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Chongqing Med Univ, Childrens Hosp,Chongqing Key Lab Child Nutr & Hlt, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Key Lab Child Dev & Disorders, Chongqing, Peoples R China
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通讯机构: [1]Chongqing Med Univ, Childrens Hosp,Chongqing Key Lab Child Nutr & Hlt, Natl Clin Res Ctr Child Hlth & Disorders, Minist Educ,Key Lab Child Dev & Disorders, Chongqing, Peoples R China [*1]Chongqing Med Univ, Childrens Hosp, Chongqing 400014, Peoples R China
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