Sociodemographic Barriers to Early Detection of Autism: Screening and Evaluation Using the M-CHAT, M-CHAT-R, and Follow-Up.
Sociodemographic Barriers to Early Detection of Autism: Screening and Evaluation Using the M-CHAT, M-CHAT-R, and Follow-Up.
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DOI：
10.1007/s10803-014-2339-8
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发表时间：
2015-06
影响因子：
3.9
通讯作者：
Robins, Diana L.
中科院分区：
文献类型：
--
作者：
Khowaja, Meena K.;Hazzard, Ann P.;Robins, Diana L.
家长 (n = 11,845) 在儿科就诊时填写了幼儿自闭症修订清单（或其最新修订版）。使用母亲教育和种族的社会人口预测因素，利用二元逻辑回归来检查自闭症筛查、诊断评估参与率和结果以及不参与原因的差异。孕产妇受教育程度较低和少数族裔的家庭表现出较高的初始筛查阳性率和较低的随访参与度，尽管在评估时并未如此。无效电话号码等经济挑战被认为是联系这些家庭的障碍。受过高等教育的家庭和白人家庭更有可能拒绝参与评估。结果表明，需要加强有关儿童发展的公共教育，以提高认识、减少耻辱并简化筛查。
Parents (n = 11,845) completed the Modified Checklist for Autism in Toddlers (or its latest revision) at pediatric visits. Using sociodemographic predictors of maternal education and race, binary logistic regressions were utilized to examine differences in autism screening, diagnostic evaluation participation rates and outcomes, and reasons for non-participation. Families of lower maternal education and racial minorities exhibited inflated initial screen positive rates and lower participation at Follow-Up, although not at evaluation. Economic challenges, such as invalid phone numbers, were identified as barriers to reaching these families. Families of higher education and White race were more likely to decline participation in evaluation. Results suggest the need for increased public education about childhood development to enhance awareness, reduce stigma, and streamline screening.
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通讯作者：
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