内蒙古中东部蒙古族儿童孤独症流行现状及影响因素分析

目的 了解内蒙古中东部蒙古族儿童孤独症(ASD)流行病现状及其影响因素,为促进内蒙古ASD儿童的康复和救治提供依据.方法 采用随机整群抽样的方法,在内蒙古赤峰市、乌兰察布市、通辽市、呼伦贝尔市、锡林郭勒盟5个盟市内抽取16所幼儿园及小学,对7 108名3～14岁蒙古族儿童进行问卷调查;首先用克氏孤独症行为量表(CABS...

Analysis of epidemic status and influencing factors of Mongolian children with autism in central and eastern Inner Mongolia

  Objective  To understand the epidemic status and influencing factors of Mongolian children with ASD in central and eastern Inner Mongolia, so as to provide data support for formulating prevention and intervention strategies and improving the overall epidemiological investigation of ASD in Inner Mongolia.  Methods  Sixteen kindergartens and primary schools were selected from Chifeng City, Ulanqab City, Tongliao City, Hulunbuir City and Xilingol League cities in Inner Mongolia by means of random cluster sampling. Firstly, 7 108 children aged 3-14 were initially screened with the Kirschner Autism Behavior Scale(CABS), and then the children with ASD positive were given the autism behavior test scale (ABC). According to the diagnostic criteria, the professionals, including chief physicians and associate chief physicians from the major of child psychiatry, diagnosed ASD with the total score of ABC scale ≥62. Univariate and Logistic regression multivariate analysis were carried out among Mongolian children to find out the influencing factors related to the occurrence of Mongolian ASD in Inner Mongolia.  Results  The prevalence of Mongolian children was 0.37%. Mongolian ASD group and Mongolian normal children series in the household register, habitual twitch, hyperactivity, bite lips, families have extreme introverts, mothers age, father's cultural level, cultural degree of mother, father mother mild character, irritable, neonatal diseases, fetal gestational age distribution had statistical significance(χ2/Z=12.58, 16.68, 14.93, 64.43, -3.76, -2.86, 4.57, 11.12, 12.33, 16.66, P < 0.05).  Conclusion  Measures such as shaping a healthy growth environment, adjusting parental style, paying attention to the level of early childhood language development, and preventing neonatal diseases might lower the risk of ASD in children.