Volume 42 Issue 7
Jul.  2021
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HAO Jinqi, FU Huiyuan, YANG Wenhan, HUO Jianxun, GAO Lei, YU Yanqin. Analysis of epidemic status and influencing factors of Mongolian children with autism in central and eastern Inner Mongolia[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(7): 1024-1028. doi: 10.16835/j.cnki.1000-9817.2021.07.015
Citation: HAO Jinqi, FU Huiyuan, YANG Wenhan, HUO Jianxun, GAO Lei, YU Yanqin. Analysis of epidemic status and influencing factors of Mongolian children with autism in central and eastern Inner Mongolia[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2021, 42(7): 1024-1028. doi: 10.16835/j.cnki.1000-9817.2021.07.015

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

doi: 10.16835/j.cnki.1000-9817.2021.07.015
  • Received Date: 2020-12-02
  • Rev Recd Date: 2021-03-09
  • Available Online: 2021-07-23
  • Publish Date: 2021-07-25
  •   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.
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  • [1]
    American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5[M]. 5th ed. Washington: American Psychiatric Association, 2013.
    [2]
    SUMIYA M, OKAMOTO Y, KOIKE T, et al. Attenuated activation of the anterior rostral medial prefrontal cortex on self-relevant social reward processing in individuals with Autism spectrum disorder[J]. Neuroimage Clin, 2020. DOI: 10.1016/j.nicl.2020.102249.
    [3]
    WILLIAMS J G, BRAYNE C E G. Systematic review of prevalence studies of Autism spectrum disorders[J]. Arch Dis Child, 2006, 91(1): 8-15. http://adc.bmj.com/content/91/1/8
    [4]
    HARRISON M J, O'HARE A, CAMBELL H, et al. Prevalence of autistic spectrum disorders in Lothian, Scotland: an estimate using the 'capture-recapture' technique[J]. Arch Dis Child, 2006, 91(1): 16. http://adc.bmj.com/content/91/1/16
    [5]
    CHERNOV A N. Pathophysiological mechanisms of Autism in children[J]. Zh Nevrol Psikhiatr Im S S Korsakova, 2020, 120(3): 97-108. doi: 10.17116/jnevro202012003197
    [6]
    ZAENGLEIN A, MARTIN A, CARLSON L, et al. Pellagra secondary to selective eating in a child with autism[J]. Pediatr Dermatol, 2020, 37(4). 698-700. doi: 10.1111/pde.14176
    [7]
    陶国泰. 儿童少年精神医学[M]. 南京: 江苏科学技术出版社, 1999: 123-125.

    TAO G T. Child and adolescent psychiatry[M]. Nanjing: Jiangsu Science and Technology Press, 1999: 123-125.
    [8]
    张道龙. 精神障碍诊断与统计手册(案头参考书)[M]. 5版. 北京: 北京大学出版社, 2014, 5(6): 22-25.

    ZHANG D L. Putting diagnostic and statistical manual of mental disorders[M]. 5 th ed. Beijiing: Peking University Press, 2014, 5(6): 22-25.
    [9]
    MAENNER M J. Prevalence of autism spectrum disorder among children aged 8 years autism and developmental disabilities monitoring network, 11 Sites, United States, 2016[J]. MMWR, 2020, 69(4): 1-12. http://europepmc.org/abstract/MED/29701730
    [10]
    戴琼, 徐海青, 汪鸿, 等. 2000-2016年中国儿童孤独症谱系障碍患病率Meta分析[J]. 中国儿童保健杂志, 2017, 25(12): 1243-1246. doi: 10.11852/zgetbjzz2017-25-12-16

    DAI Q, XU H Q, WANG H, et al. Meta-analysis on the prevalence of autism spectrum disorder in Chinese children from 2000 to 2016[J]. Chin J Child Health Care, 2017, 25(12): 1243-1246. doi: 10.11852/zgetbjzz2017-25-12-16
    [11]
    韦臻, 任路忠, 万国斌, 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. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201204023.htm

    WEI Z, REN L Z, WAN G B, et al. Early screening on autism spectrum disorders in 18-24minths old Children in Shenzhen: 3 years follow up study[J]. Chin J Child Health Care, 2012, 20(4): 354-357. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201204023.htm
    [12]
    刘贤, 林穗方, 陈文雄, 等. 中国儿童孤独症谱系障碍患病率Meta分析[J]. 中国儿童保健杂志, 2018, 26(4): 402-406, 429. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201804017.htm

    LIU X, LIN S F, CHEN W X, et al. Meta-analysis of the prevalence of autism spectrum disorder in Chinese children[J]. Chin J Child Health Care, 2018, 26(4): 402-406, 429. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201804017.htm
    [13]
    李玲, 吴维学, 蔡小凡, 等. 海南省0~6岁儿童孤独症谱系障碍的现况调查[J]. 中国儿童保健杂志, 2018, 26(3): 266-268, 272. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201803011.htm

    LI L, WU W X, CAI X F, et al. Investigation on the current situation of autism spectrum disorder in children aged 0-6 years in Hainan[J]. Chin J Child Health Care, 2018, 26(3): 266-268, 272. https://www.cnki.com.cn/Article/CJFDTOTAL-ERTO201803011.htm
    [14]
    林落. 美国儿童自闭症流行的背后[J]. 科学新闻, 2017, 12(5): 51-53.

    LI L. Behind the U.S. childhood autism epidemic[N]. Sci News, 2017, 12(5): 51-53.
    [15]
    ELLEFSEN A, KAMPMANN H, BILLSTEDT E, et al. Autism in the faroe Islands. An epidemiological study[J]. Autism Dev Disord, 2007, 37(3): 437-444. doi: 10.1007/s10803-006-0178-y
    [16]
    潘凯. 206例孤独症儿童发病的危险因素分析[D]. 郑州: 郑州大学, 2014.

    PAN K. Analysis of risk factors of 206 children with autism[D]. Zhengzhou: Zhengzhou University, 2014.
    [17]
    GARDENER H, STEPHEN L B. Prenatal risk factors for autism: comprehensive metaanalysis[J]. Br J Psychiatry, 2009, 195: 7-14. doi: 10.1192/bjp.bp.108.051672
    [18]
    孙凌, 周天红. 孤独症的病因学研究[J]. 临床精神医学杂志, 2005, 15(1): 99-105. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS200501041.htm

    SUN L, ZHOU T H. Research on the etiology of autism[J]. J Clin Psychiatry, 2005, 15(1): 99-105. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS200501041.htm
    [19]
    林宇, 邱小燕. 围生期危险因素与孤独症病因关系的研究[J]. 福建中医学院学报, 2005, 15(4): 14. doi: 10.3969/j.issn.1004-5627.2005.04.006

    LI Y, QIU X Y. Study on the relationship between perinatal risk factors and the etiology of autism[J]. J Fujian Coll Tradit Chin Med, 2005, 15(4): 14. doi: 10.3969/j.issn.1004-5627.2005.04.006
    [20]
    JOHNSON S, HOLLIS C, KOCHHAR P, et al. Psychiatric disorders in extremely preterm children: longitudinal finding at age 11 years in the EPI Cure study[J]. J Am Acad Child Adolesc Psychiatr, 2010, 49(5): 453-463. http://www.ncbi.nlm.nih.gov/pubmed/20431465
    [21]
    任路忠, 段枝宗. 学龄前孤独症行为危险因素的研究[J]. 中国预防医学杂志, 2002, 3(4): 32. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC200204013.htm

    REN L Z, DUAN Z Z. Research on risk factors of preschool autism behavior[J]. Chin J Prev Med, 2002, 3(4): 32. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYC200204013.htm
    [22]
    王馨. 广州市幼儿园儿童孤独症患病率和相关因素[J]. 中国心理卫生杂志, 2011, 25(6): 401-408. doi: 10.3969/j.issn.1000-6729.2011.06.001

    WANG X. The prevalence and related factors of autism among kindergarten children in Guangzhou[J]. Chin Ment Health J, 2011, 25(6): 401-408. doi: 10.3969/j.issn.1000-6729.2011.06.001
    [23]
    TSIS L Y. Neuro biological issues in autism[J]. Schopler Mesibov, 1987, 5(8): 179-189. doi: 10.1007/978-1-4899-1992-2_2.pdf
    [24]
    张雅丽, 牛小媛. 孤独症危险因素探讨[J]. 长治医学院学报, 2012, 26(3): 181-184. https://www.cnki.com.cn/Article/CJFDTOTAL-CZYX201203009.htm

    ZHANG Y L, NIU X Y. Discussion on the risk factors of autism[J]. J Changzhi Coll Med, 2012, 26(3): 181-184. https://www.cnki.com.cn/Article/CJFDTOTAL-CZYX201203009.htm
    [25]
    D'ALòG L, DE CRESCENZO F, MINOZZI S, et al. Equity, acceptability and feasibility of using polyunsaturated fatty acids in children and adolescents with autism spectrum disorder: a rapid systematic review[J]. Health Q Life Outcomes, 2020, 18(1): 101. doi: 10.1186/s12955-020-01354-8
    [26]
    GLADFELTER A, BARRON K L. How Children with Autism spectrum disorder, developmental language disorder, and typical language learn to produce global and local semantic features[J]. Brain Sci, 2020, 10(4): 231. doi: 10.3390/brainsci10040231
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