Prevalence and associated factors of autism among children in central and eastern Inner Mongolia
10.16835/j.cnki.1000-9817.2021.12.024
- VernacularTitle:内蒙古中东地区儿童孤独症流行情况及影响因素
- Author:
HAO Jinqi, FU Huiyuan, YANG Wenhan,HUO Jianxun, GAO Lei, YU Yanqin
1
Author Information
1. Public Health College, Baotou Medical College, Inner Mongolia University of Science Technology, Baotou (014060), Inner Mongolia, China
- Publication Type:Journal Article
- Keywords:
Autistic disorder;
Prevalence;
Mental health;
Regression analysis;
Child
- From:
Chinese Journal of School Health
2021;42(12):1859-1862
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the prevalence and influencing factors of children with ASD in central and eastern Inner Mongolia, and to provide theoretical basis for disease prevention and prevalence of ASD.
Methods:Sixteen primary schools and kindergartens were selected from 5 cities in central and eastern Inner Mongolia through random cluster sampling. A total of 15 817 children aged 3-14 years were selected. Children who were positive using Clancy Autism Behavior Scale were further diagnosed according to the teacher s nomination form and the Autism Behavior Checklist, as well as the diagnostic criteria of the fifth edition of the American Diagnostic & Statistical Manual of Mental Disorders by 2 professionals.
Results:The prevalence of ASD was 0.27% (42/15 817), with prevalence in urban areas (0.16%, 15/9 231) higher than that of rural areas (0.41%, 27/6 586) ( χ 2=8.89, P <0.01). Logistic regression analysis showed that maternal education and language development were negatively associated with ASD in urban children [ OR =0.29(95% CI =0.12-0.69) and 0.18(95% CI =0.05-0.60), P <0.05]. ASD in rural children were positively associated with enuresis and introverted family members [ OR =7.09(95% CI =1.60-32.27) and 8.63(95% CI =3.10- 24.01 ), P <0.05].
Conclusion:High prevalence of ASD is found in urban area of central and eastern Inner Mongolia. Unhealthy habits, neonatal diseases, low parental education, delayed language development and poor exercise performance are primary factors associated with ASD in both urban and rural areas.
