【Objective】 To investigate the prevalence of vision,mental,audibility,language,psychiatry,extremity and multiple disability,and associated factors in the 0~14 year old children. 【Methods】 A total number of 15 787 aged 0~14 children living in Zhejiang province were investigated with tree-phase screening under the Chinese Standard of Evaluation in Disabilities. 【Results】 The prevalence of all disabilities was 10.95‰.The prevalence of different types of disabilities were:mental disability 4.37‰,multiple disability 3.55‰,psychiatric disability 1.20‰,physical disability 1.08‰,language disability 0.95‰,vision disability 0.44‰ and hearing disability 0.38‰.The prevalence of disabilities in males was significantly higher than that in females(χ2=5.86,P<0.05).The prevalence of disabilities in rural was significantly higher than that in urban(χ2=5.97,P<0.05).There was not different in different ages(χ2=1.04,P>0.05).Most disabled persons were categorized to grade 3 and 4 disabilities,The main risk factor leading to disability was genetics and maldevelopment. 【Conclusions】 The prevalence of disabilities in children of Zhejiang province is lower than that from national.The causes of disability needs further studying.
Key words
disabilities /
cross-sectional study /
children
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References
[1] 第二次全国残疾人抽样调查办公室.第二次全国残疾人抽样调查主要数据手册[M].北京:华夏出版社,2007:61,66-69,73-74,118-126.
[2] 邱红,刘莹.我国残疾儿童现状及其义务教育问题研究[J].医学与社会,2009,22(1):50-51.
[3] 马兴忠,赵志清,李春林,等.宁夏回族自治区0~14岁回族儿童残疾现况调查[J].中国妇幼保健杂志,2008,23:3461-3463.
[4] Newacheck PW,Strickland B,Shonkoff JP,et al.An epidemiologic profile of children with special health care needs[J].Pediatrics,1998,102:117-123.
[5] Andersen E,Fledelius HC,Fns M,et al.An epidemiological study of disability in 4-year-old children from a birth cohort in Frederiksborg County,Denmark[J].Dan Med Bull,1990,37:182-185.
[6] Nakada Y,Kamiya K,Takaesu E.Definitions of severely mentally and physically disabled children in Japan:do the differences affect the prevalence rates of these children?[J].Acta Pediatric Jpn,1996,38:229-232.
[7] 左启华,雷武,张致祥,等.全国0~14岁儿童智力低下的病因流行病学研究[J].中华医学杂志,1994,3(2):134-137.
[8] Larson S,Larkin KC,Anderson L,et al.Prevalence of mental retardation and developmental disabilities:estimates from the 1994-1995 National Health Interview Survey Disability Supplements[J].Am J Meant Retard,2001,106:231-252. [9] Gmenwald K.Mentally retarded children and young people in Sweden.Integration in society:The progress in the last decade[J].Acta Pediatric Scandinavia Supplemental,1979,275:75-84. [10] Haldin J.Prevalence of mental disorder in an urban population in central Sweden[J].Acta Psychiatry Scandinavia Iun,1984,69:503-508.
[11] Whitaker S,Porter J.Letter to the edited on valuing people,a new strategy for learning disability for the 21 century[J].British Journal of Learning Disability,2002,30:133-137.
[12] 王晓华,曲成毅,施继良,等. 北京市 0~6 岁儿童五类残疾现状和影响因素调查[J].中华流行病学杂志,2005,29(6):569-573.
[13] Ansari SA,Akhdar F.Prevalence of child disability in Saudi Arabia[J].Disability Rehabilitation,1998,20:25-28.
[14] Croen LA,Grether JK,Selvin S.The epidemiology of mental retardation of unknown cause[J].Pediatrics,2001,107:86-100.
[15] Harris SL,Handleman JS.Age and IQ at intake as predictors of placement for young children with autism:A four-to six-year follow-up[J].J Autism Dev Disorder,2000,30:138-142.