Childhood vision impairment, hearing loss and co-occurring autism spectrum disorder.
Childhood vision impairment, hearing loss and co-occurring autism spectrum disorder.
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儿童视力障碍，听力损失和自闭症谱系障碍。
DOI：
10.1016/j.dhjo.2013.05.003
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发表时间：
2013-10
影响因子：
4.5
通讯作者：
Yeargin-Allsopp M
中科院分区：
文献类型：
--
作者：
Kancherla V;Van Naarden Braun K;Yeargin-Allsopp M
关于儿童视力障碍（VI）和听力损失（HL）的患病率以及它们与自闭症谱系障碍（ASD）共现情况的基于人群的数据有限。
旨在调查2000 - 2008年亚特兰大大都市区8岁儿童中视力障碍、听力损失以及共患自闭症谱系障碍的患病率和特征。
我们使用了基于人群的亚特兰大大都市区发育障碍监测项目的数据。按是否共患自闭症谱系障碍，对有视力障碍和听力损失的儿童检查了患病率、出生和父母特征、其他共患发育障碍的存在及严重程度以及自闭症谱系障碍最早被识别的年龄。
视力障碍和听力损失的患病率在每1000名8岁儿童中分别为1.2和1.3。大约6 - 7%有视力障碍或听力损失的儿童共患自闭症谱系障碍。有视力障碍或听力损失且共患自闭症谱系障碍的儿童与不共患自闭症谱系障碍的儿童在某些出生特征以及其他共患发育障碍的存在方面有所不同。有视力障碍且患自闭症谱系障碍的儿童最早已知的自闭症诊断年龄中位数明显晚于无视力障碍的自闭症儿童（79个月对56个月）。有听力损失且患自闭症谱系障碍的儿童首次由社区医疗服务提供者评估的时间明显早于无听力损失的自闭症儿童（40个月对50个月）。
视力障碍和听力损失共患自闭症谱系障碍的频率高于自闭症谱系障碍在人群中的患病率。有视力障碍的儿童自闭症诊断的显著延迟以及有听力损失的儿童尽管评估较早但自闭症缺乏早期诊断，凸显了开发筛查工具以便在有视力障碍和听力损失的儿童中早期识别自闭症的重要性。
Limited population-based data on prevalence of childhood vision impairment (VI) and hearing loss (HL), and their co-occurrence with autism spectrum disorder (ASD) exists. To examine prevalence and characteristics of VI, HL and co-occurring ASD among 8-year-olds in metropolitan Atlanta 2000–2008. We used data from the population-based Metropolitan Atlanta Developmental Disabilities Surveillance Program. Prevalence, birth and parental characteristics, presence and severity of other co-occurring developmental disabilities, and age of earliest identification of ASD, were examined for children with VI and HL, by co-occurring ASD. VI and HL prevalences were 1.2 and 1.3 per 1000 8-year-olds, respectively. Approximately 6–7% of children with VI or HL had co-occurring ASD. Children with VI or HL with co-occurring ASD differed from those without co-occurring ASD by select birth characteristics and the presence of other co-occurring DDs. The median age of earliest known ASD diagnosis was significantly later among children with VI and ASD compared to children with ASD without VI (79 vs. 56 months). Children with HL and ASD were first evaluated by a community provider significantly earlier than those with ASD without HL (40 vs. 50 months). The frequency of co-occurring ASD with VI and HL is higher than the population prevalence of ASD. The significant delays in diagnosis of ASD in children with VI and lack of earlier diagnosis of ASD among children with HL despite earlier evaluation highlight the importance of developing screening tools for early identification of ASD among children with VI and HL.
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影响因子：
3.8
作者：
Ek, U;Fernell, E;Jacobson, L
通讯作者：
Jacobson, L
影响因子：
12.7
作者：
DREWS, CD;YEARGINALLSOPP, M;DECOUFLE, P
通讯作者：
DECOUFLE, P
影响因子：
7.7
作者：
EDMONDS, LD;LAYDE, PM;OAKLEY, GP
通讯作者：
OAKLEY, GP
影响因子：
4.1
作者：
Crofts, BJ;King, R;Johnson, A
通讯作者：
Johnson, A
影响因子：
0.5
作者：
FRAIBERG, S;FREEDMAN, DA
通讯作者：
FREEDMAN, DA