Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: A multisite collaboration
Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: A multisite collaboration
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DOI：
10.1542/peds.2007-1270
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发表时间：
2008-03-01
期刊：
影响因子：
8
通讯作者：
Durkin, Maureen S.
中科院分区：
文献类型：
--
作者：
Yeargin-Allsopp, Marshalyn;Braun, Kim Van Naarden;Durkin, Maureen S.
目标。目标是使用基于人群的监测系统来评估美国3个地区的脑瘫和脑瘫亚型的患病率。方法：使用疾病控制和预防中心大都会亚特兰大发育障碍监测项目开发的方法，来自自闭症和发育障碍监测网络的研究人员于2002年对居住在阿拉巴马州北部、大都市亚特兰大和威斯康星州东南部的8岁儿童进行了脑性瘫痪的监测(N=114 897)。横断面数据是通过回顾记录从多个来源收集的。病例与出生证明和人口普查档案相联系，以获得更多信息。结果：3个地点脑性瘫痪的平均患病率为3.6/1000，与特定地点的患病率非常相似(威斯康星州为3.3/1000，阿拉巴马州为3.7/1000，佐治亚州为3.8/1000)。在所有地点，男孩的患病率都高于女孩(总体男孩与女孩的比率为1.4：1)。此外，在所有地点，脑瘫的患病率在非西班牙裔黑人儿童中最高，在西班牙裔儿童中最低。在所有地点，居住在低收入和中等收入社区的儿童的患病率都高于生活在高收入社区的儿童。痉挛型脑瘫是最常见的亚型(占所有病例的77%)，其中以双侧痉挛型脑瘫为主(70%)。结论：这些发现为美国脑性瘫痪的流行病学提供了新的认识。在3个地理位置不同的地点报告的8岁儿童脑性瘫痪的患病率和模式相似，这证明了自闭症和发育障碍监测网使用的监测方法的可靠性。
OBJECTIVE. The goal was to estimate the prevalence of cerebral palsy and cerebral palsy subtypes among children in 3 areas of the United States by using a population-based surveillance system.METHODS. Using methods developed by the Centers for Disease Control and Prevention Metropolitan Atlanta Developmental Disabilities Surveillance Program, investigators from the Autism and Developmental Disabilities Monitoring Network conducted surveillance of cerebral palsy among 8-year-old children living in northern Alabama, metropolitan Atlanta, and southeastern Wisconsin in 2002 (N = 114 897). Crosssectional data were collected through retrospective record review from multiple sources. Cases were linked to birth certificate and census files to obtain additional information. Period prevalence estimates were calculated per 1000 children 8 years of age.RESULTS. The average prevalence of cerebral palsy across the 3 sites was 3.6 cases per 1000, with notably similar site-specific prevalence estimates (3.3 cases per 1000 in Wisconsin, 3.7 cases per 1000 in Alabama, and 3.8 cases per 1000 in Georgia). At all sites, prevalence was higher in boys than girls ( overall boy/girl ratio: 1.4:1). Also, at all sites, the prevalence of cerebral palsy was highest in black non-Hispanic children and lowest in Hispanic children. At all sites, the prevalence among children living in low- and middle-income neighborhoods was higher than that among children living in high-income neighborhoods. Spastic cerebral palsy was the most common subtype (77% of all cases), with bilateral spastic cerebral palsy dominating the spastic group (70%).CONCLUSION. These findings contribute new knowledge to the epidemiology of cerebral palsy in the United States. The similarities in prevalence rates and patterns of cerebral palsy reported for 8-year-old children at 3 geographically distinct sites provide evidence of the reliability of the surveillance methods used by the Autism and Developmental Disabilities Monitoring Network.