摘要
目的:探讨武汉市学龄前儿童孤独症流行状况及其影响因素。方法:采用随机整群抽样方法,用克氏孤独症行为量表和自行设计的儿童及家长有关情况问卷,对武汉市8 695名3～7岁幼儿园儿童进行横断面调查,结果:孤独症筛查阳性率为5.26%,男童(6.52%)检出率高于女童(3.73%)。Logistic回归分析显示,父母文化程度高、教育态度一致、说服教育、母亲孕期情绪良好是儿童孤独症的保护因素(OR值分别为0.75、0.71、0.61、0.49、0.70),男童、胎膜早破、贫血是儿童孤独症的危险因素(OR值分别为1.77、1.47、1.35)。结论:儿童孤独症的发生与诸多因素相关,已经成为需要迫切解决的公共卫生问题,早期发现、早期诊断、早期干预对孤独症儿童的预后至关重要。
Objective：To explore the prevalence and influencing factors of autism in preschool children in Wuhan city.Methods：Random cluster sampling method was used to select 8 695 children aged 3-7 years old from kindergartens in Wuhan city,Clancy Autism Behavior Scale（CABS） and a self-designed questionnaire was used to conduct cross-sectional investigation among the children and their parents.Results：The positive rate of autism was 5.26%,the positive rates of autism in boys was 6.52%,which was higher than that in girls.The results of logistic regression analysis showed that the protective factors of autism in children included high educational levels of parents,consistency of parental educational attitude,persuasion education,and good maternal emotion,the OR values were 0.75,0.71,0.61,0.49,and 0.70,respectively;male,premature rupture of fetal membrane,and anemia were risk factors of autism in children.Conclusion：The occurrence of autism in children was related to many factors,which is an emergent public health problem;early detection,early diagnosis,and early intervention are important to prognosis of children with autism.
出处
《中国妇幼保健》
CAS
北大核心
2013年第10期1613-1616,共4页
Maternal and Child Health Care of China
关键词
孤独症
影响因素
学龄前儿童
Autism
Influencing factor
Preschool child
