Prevalence and Trends of Developmental Disabilities among Children in the United States: 2009-2017
Prevalence and Trends of Developmental Disabilities among Children in the United States: 2009-2017
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DOI：
10.1542/peds.2019-0811
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发表时间：
2019-10-01
期刊：
影响因子：
8
通讯作者：
Boyle, Coleen A.
中科院分区：
文献类型：
--
作者：
Zablotsky, Benjamin;Black, Lindsey, I;Boyle, Coleen A.
目的：研究美国3至17岁儿童中10种发育障碍的全国患病率，并使用全国健康访谈调查，通过相关人口统计学和社会经济学特征探索随时间的变化。方法：数据来自2009年至2017年的全国健康访谈调查，这是一项对平民非机构化人口的全国代表性调查。父母报告医生或其他医疗保健专业人员诊断为注意力缺陷/多动障碍;自闭症谱系障碍;失明;脑瘫;中度至重度听力损失;学习障碍;智力障碍;癫痫发作;口吃或口吃;和其他发育迟缓。根据人口统计学和社会经济学特征，计算每种选定的发育障碍和任何发育障碍的加权百分比。研究结果：从2009年到2011年和2015年到2017年，任何发育障碍的患病率总体上都有显著增加。（16.2%-17.8%，P < .001），注意缺陷/多动障碍（8.5%-9.5%，P < .01），自闭症谱系障碍（1.1%-2.5%，P < .001），智力残疾（0.9%-1.2%，P <0.05），但任何其他发育延迟显著降低（4.7%-4.1%，P <0.05）。在男孩、年龄较大的儿童、非西班牙裔白色和西班牙裔儿童、只有私人保险的儿童、出生体重>= 2 500 g的儿童以及生活在城市地区和母亲受教育程度较低的儿童中，任何发育残疾的患病率都有所增加。结论：2009年至2017年间，美国3至17岁儿童的发育障碍患病率有所增加。人口和社会经济亚群体的变化可能与提高认识和获得保健有关。
OBJECTIVES: To study the national prevalence of 10 developmental disabilities in US children aged 3 to 17 years and explore changes over time by associated demographic and socioeconomic characteristics, using the National Health Interview Survey. METHODS: Data come from the 2009 to 2017 National Health Interview Survey, a nationally representative survey of the civilian noninstitutionalized population. Parents reported physician or other health care professional diagnoses of attention-deficit/hyperactivity disorder; autism spectrum disorder; blindness; cerebral palsy; moderate to profound hearing loss; learning disability; intellectual disability; seizures; stuttering or stammering; and other developmental delays. Weighted percentages for each of the selected developmental disabilities and any developmental disability were calculated and stratified by demographic and socioeconomic characteristics. RESULTS: From 2009 to 2011 and 2015 to 2017, there were overall significant increases in the prevalence of any developmental disability (16.2%-17.8%, P < .001), attention-deficit/hyperactivity disorder (8.5%-9.5%, P < .01), autism spectrum disorder (1.1%-2.5%, P < .001), and intellectual disability (0.9%-1.2%, P < .05), but a significant decrease for any other developmental delay (4.7%-4.1%, P < .05). The prevalence of any developmental disability increased among boys, older children, non-Hispanic white and Hispanic children, children with private insurance only, children with birth weight >= 2500 g, and children living in urban areas and with less-educated mothers. CONCLUSIONS: The prevalence of developmental disability among US children aged 3 to 17 years increased between 2009 and 2017. Changes by demographic and socioeconomic subgroups may be related to improvements in awareness and access to health care.