Prevalence of autism spectrum disorders among children in China:a systematic review and meta-analysis

LIU Xian, LIN Sui-fang, CHEN Wen-xiong, CHAN Fan-fan, SHEN Song-ying, QIU Xiu

Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (4) : 402-406.

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Chinese Journal of Child Health Care ›› 2018, Vol. 26 ›› Issue (4) : 402-406. DOI: 10.11852/zgetbjzz2018-26-04-15

Prevalence of autism spectrum disorders among children in China:a systematic review and meta-analysis

  • LIU Xian, LIN Sui-fang, CHEN Wen-xiong, CHAN Fan-fan, SHEN Song-ying, QIU Xiu
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Abstract

Objective To systematically review the findings of Chinese epidemiological studies in the past 16 years by a meta-analysis,to estimate the prevalence for autism spectrum disorder (ASD) in Chinese,and to extract its epidemiological characteristics as well as to further explore the differences of the prevalence of ASD between China and foreign countries. Method Databases such as Chinese Web of Knowledge,WeiPu,WanFang were searched for literatures published from January,2000 to December,2016 about the prevalence of ASD/autism in China. Results Totally thirty studies were included in meta-analysis.The prevalence of ASD was 26.50/10 000,and prevalence of autism was 14.00/10 000.There was a significant difference on the ASD prevalence among the following sub-factors including gender,age,screening criteria and so on except northern and southern China. Conclusions Although prevalence of ASD in Chinese children showed an increasing trend,it is still lower than that in foreign countries.The prevalence of ASD in China is clearly underestimated due to the limitation of the following influential factors,such as investigation population,monitoring methods,screening and diagnostic tools.

Key words

autism spectrum disorders / autism / prevalence / meta-analysis

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LIU Xian, LIN Sui-fang, CHEN Wen-xiong, CHAN Fan-fan, SHEN Song-ying, QIU Xiu. Prevalence of autism spectrum disorders among children in China:a systematic review and meta-analysis[J]. Chinese Journal of Child Health Care. 2018, 26(4): 402-406 https://doi.org/10.11852/zgetbjzz2018-26-04-15

References

[1] 杨友.美国精神障碍诊断和统计手册第五版对儿童孤独症谱系障碍诊治的影响[J].中国儿童保健杂志,2015,23(12):1278-1280,1283.
[2] 万玉美.中国儿童孤独症谱系障碍患病率的系统综述[J].上海精神医学,2013,25(2):70-80.
[3] 刘靖,杨晓玲,贾美香,等.2004年北京市2~6岁儿童广泛性发育障碍的现况调查[J].中国心理卫生杂志,2007,21(5):290-293.
[4] 陈英才,黄慧桃,赵亚茹,等.大庆市让胡路区2~6岁孤独症谱系障碍儿童流行病学现况调查[J].中国儿童保健杂志,2010,18(4):331-333.
[5] 于聪,夏薇,孙彩虹,等.哈尔滨市2~6岁儿童孤独症谱系障碍的现况调查[J].中国儿童保健杂志,2010,18(10):750-753.
[6] 王馨,杨文翰,金宇,等.广州市幼儿园儿童孤独症谱系障碍患病率和相关因素[J].中国心理卫生杂志,2011,25(6):401-408.
[7] 韦臻,任路忠,翁丽芬,等.深圳市18~24月龄婴幼儿孤独症谱系障碍筛查及3年随访研究[J].中国儿童保健杂志,2012,20(4):354-357.
[8] 陈强,黄丽霞,徐文娟,等.珠海市1.5~3岁孤独症谱系障碍患病率及危险因素研究[J].中国儿童保健杂志,2014,22(6):649-651.
[9] 邓琪玮.衡阳市学龄前儿童孤独症谱系障碍患病率及相关因素研究[D].衡阳:南华大学,2014.
[10] Huang JP,Cui SS,Han Y,et al.Prevalence and early signs of autism spectrum disorder (ASD) among 18-36 month-old children of Tianjin in China[J].Biomed Environ Sci,2014,27(6):453-461.
[11] 姜凌霄,李改智,郝丽丽,等.上海市公立幼儿园4~6岁儿童孤独谱系障碍现况调查[J].中华流行病学杂志,2015,36(12):1365-1368.
[12] 王光霞,李霞,方鲁阳,等.枣庄市2~6岁儿童孤独症谱系障碍的现况调查及相关因素分析[J].中国儿童保健杂志,2015,23(12):1322-1325.
[13] 程薇,吕兰秋,钱莹莹,等.宁波市1~6岁儿童孤独症谱系障碍调查[J].预防医学,2016,28(11):1168-1171.
[14] 田金来,王丽英,张向葵.公立小学儿童孤独症谱系障碍患病率及其影响因素[J].中国临床心理学杂志,2016,24(2):277-281,292.
[15] 陆爱军.上海市松江区幼儿孤独谱系障碍流行病学特征调查[J].神经疾病与精神卫生,2016,16(1):24-26.
[16] 蒋陆平,李蕊,李银宽,等.洛阳地区儿童精神卫生调查[J].健康心理学杂志,2000,8(1):27-28.
[17] 罗维武,林力,陈榕,等.福建省儿童孤独症流行病学调查[J].上海精神医学,2000,12(1):3-5.
[18] 汪卫华,翟灵伟,郑丽,等.常州市儿童孤独症的流行病学调查[J].临床精神医学杂志,2002,12(3):148-149.
[19] 汪卫华,翟灵伟,郑丽,等.江苏省儿童孤独症的流行病学调查[J].中国行为医学科学,2003,12(2):58-59.
[20] 郭荣.天津市5000名0~6岁儿童中儿童孤独症的流行病学调查[J].中国临床康复,2004,8(6):1122-1123.
[21] 郭朝霞.定西县2—6岁精神残疾儿童流行病学调查[J].中国康复理论与实践,2004,10(2):58-59.
[22] 张欣,季成叶,李金水,等.天津市2~6岁儿童孤独症调查[J].中国生育健康杂志,2004,15(4):206-208.
[23] 杨曙光.儿童孤独症的流行病学调查分析[J].实用儿科临床杂志,2007,22(24):1872-1873.
[24] 张枫,眭茜,王洁,等.无锡市1~6岁儿童孤独症患病现状调查[J].中国妇幼保健,2008,23(27):3878-3880.
[25] 张国云,徐远容,黄信初,等.贵阳市云岩区儿童孤独症的流行病学调查[J].贵阳医学院学报,2009,34(4):463-465.
[26] 李爱月.天津市1.5~3岁儿童孤独症现状调查及早期征象研究[D].天津:天津医科大学,2010.
[27] 吴晓庆,卢云,王艳娟,等.连云港市婴幼儿孤独症患病情况调查[J].现代医药卫生,2010,26(24):3724-3726.
[28] 苏媛嫒,张欣,李爱月,等.天津市婴幼儿孤独症患病率与危险因素[J].中国妇幼保健,2011,26(32):5004-5007.
[29] 刘静.孤独症谱系障碍的早期筛查和孤独症患儿临床资料研究[D].上海:复旦大学,2011.
[30] 李秋燕.社区18~24月龄儿童孤独症早期筛查及个案研究[D].广州:广州医科大学,2015.
[31] 李知,赵丽丽,钟沿风.长春市0~6岁儿童孤独症的流行病学调查[J].社区医学杂志,2014,12(18):11-13.
[32] 蒲焱.贵阳市云岩区2~6岁儿童孤独症现况调查[J].中国公共卫生,2014:30(1):89-91.
[33] 詹思延.第三讲:如何报告观察性流行病学研究——国际报告规范STROBE解读[J].中国循证儿科杂志,2010,5(3):223-227.
[34] Sun X,Allison C,Matthews FE,et al.Prevalence of autism in mainland China,Hong Kong and Taiwan:a systematic review and meta-analysis[J].Mol autism,2013,4(1):7.1186/2040-2392-4-7.
[35] Wan Y,Hu Q,Li T,et al.Prevalence of autism spectrum disorders among children in China:a systematic review[J].Shanghai Arch Psychiatry,2013,25(2):70-80.
[36] 郝小会.中国大陆地区儿童孤独症谱系障碍患病率meta分析[D].重庆:重庆医科大学,2015.
[37] Christensen DL,Baio J,Van Naarden Braun K,et al.Prevalence and characteristics of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network,11 sites,United States,2012[J].MMWR Surveill Summ,2016,65(3):1-23.
[38] Baron-Cohen S,Scott FJ,Allison C,et al.Prevalence of autism-spectrum conditions:UK school-based population study[J].The British journal of psychiatry :Br J Psychiatry,2009,194(6):500-509.
[39] Kim YS,Fombonne E,Koh YJ,et al.A comparison of DSM-IV pervasive developmental disorder and DSM-5 autism spectrum disorder prevalence in an epidemiologic sample[J].J Am Acad Child Adolesc Psychiatry,2014,53(5):500-508.
[40] 李洪华.孤独症谱系障碍流行病学研究现状[J].中华临床医师杂志,2014,24(8):4471-4474.
[41] Scott FJ,Baron-Cohen S,Bolton P,et al.Brief report:prevalence of autism spectrum conditions in children aged 5-11 years in Cambridgeshire,UK[J].Autism,2002,6(3):231-237.
[42] Dumont-Mathieu T,Fein D.Screening for autism in young children:The Modified Checklist for Autism in Toddlers (M-CHAT) and other measures[J].Ment Retard Dev Disabil Res Rev,2005,11(3):253-262.
[43] Wong V,Hui LH,Lee WC,et al.A modified screening tool for autism (Checklist for Autism in Toddlers[CHAT-23]) for Chinese children.Pediatrics,2004,114 (2):e166-e176.
[44] 邬方彦,徐秀,刘静,等.孤独症筛查量表(CHAT-23)的应用研究[J].中国儿童保健杂志,2010,18(4):288-291.
[45] 任爽,麻宏伟,胡曼,等.孤独症筛查量表M-CHAT与CHAT-23的临床应用研究[J].中国当代儿科杂志,2012,14(12):946-950.
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