Revisiting the Prevalence of Autism Spectrum Disorder among Omani Children: A multicentre study.
Revisiting the Prevalence of Autism Spectrum Disorder among Omani Children: A multicentre study.
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DOI：
10.18295/squmj.2019.19.04.005
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发表时间：
2019-11-01
影响因子：
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通讯作者：
Islam, M Mazharul
中科院分区：
文献类型：
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作者：
Al-Mamri, Watfa;Idris, Ahmed B;Islam, M Mazharul
目的：本研究的目的是提供一个更新的估计的患病率自闭症谱系障碍（ASD）阿曼children.METHODS：这项回顾性描述性研究进行了2011年12月至2018年12月。数据来自阿曼的三个主要自闭症诊断中心：苏丹卡布斯大学医院、皇家医院和Al-Massarah医院。ASD的诊断是由经验丰富的临床医生根据第五版精神疾病诊断和统计手册（DSM-5）做出的。使用中期人口数据的分母计算阿曼0-14岁儿童每10，000人的总体人口患病率估计值。结果：共确定了1，705例ASD病例，其中大多数病例为男性（78.1%）。2012年至2018年间，自闭症谱系障碍的总体患病率估计为每10，000名儿童中有20.35人（95%置信区间：19.39-21.32）。男孩的ASD患病率是女孩的3.4倍（31.23/10，000对9.07/10，000）。从地区来看，大多数病例发生在首都麝香，那里的患病率最高，为每10，000名儿童36.51例。结论：阿曼儿童ASD的患病率是2011年估计值的15倍。这一增长可归因于诊断服务的改善、对ASD认识的提高、更好的筛查方案和诊断标准的变化。此外，患病率的增加表明，阿曼需要对发育残疾进行登记，并提供更广泛的诊断和康复服务。
OBJECTIVES: This study aimed to provide an updated estimate of the prevalence of autism spectrum disorder (ASD) among Omani children.METHODS: This retrospective descriptive study was conducted from December 2011 to December 2018. Data were retrieved from the three main autism diagnostic centres in Oman: Sultan Qaboos University Hospital, Royal Hospital and Al-Massarah Hospital. The ASD diagnosis was made by experienced clinicians based on the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The overall population prevalence estimates per 10,000 children aged 0-14 years old in Oman were calculated using the denominator of the mid-period population data.RESULTS: A total of 1,705 ASD cases were identified with the majority of cases being male (78.1%). The overall prevalence rate of ASD was estimated at 20.35 per 10,000 children (95% confidence interval: 19.39-21.32) between 2012-2018. Boys were found to have a 3.4-fold higher prevalence of ASD than girls (31.23/10,000 versus 9.07/10,000). Regionally, the majority of cases were found in the capital, Muscat, where the highest prevalence was 36.51 cases per 10,000 children.CONCLUSION: The prevalence of ASD among Omani children is 15-fold higher than estimates from 2011. This increase can be attributed to improvements in diagnostic services, increased awareness of ASD, better screening programmes and changes in diagnostic criteria. In addition, this increase in prevalence suggests a need for a registry of developmental disabilities and more extensive diagnostic and rehabilitation services in Oman.