How Many Autistic Children are there in Colombia? A Nationwide Examination of Autism Through Health System Data

IF 3.2 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Journal of Autism and Developmental Disorders Pub Date : 2024-09-10 DOI:10.1007/s10803-024-06534-9

Sebastián García-Zambrano, Raúl Hernán Pinto-Ocampo

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引用次数: 0

Abstract

Purpose

Accurate healthcare data is indispensable for monitoring the epidemiology of autism spectrum disorders (ASD) and improving the quality of care for individuals on the spectrum. In Colombia, the Ministry of Health has developed the social protection information system (SISPRO) as a comprehensive registry, drawing data from the healthcare system with close to universal coverage (approximately 95%). This study utilizes data gathered by SISPRO to estimate the prevalence and specific characteristics of autistic children registered between January 2020 and December 2022.

Method

A descriptive epidemiological approach was employed, using the International Statistical Classification of Diseases as search terms for ASD within the SISPRO dataset.

Results

The study revealed a prevalence of 13.788 cases per 10,000 children in 2022 among aged 4 to 14. Regarding healthcare coverage types in 2022, the majority of autistic children served were under the contributory regime (68.28%), followed by the subsidized regime (25.36%). Geographic analysis indicated a non-uniform distribution of ASD prevalence in Colombia. The regions with the highest GDP, such as Antioquia, Atlántico, Bogotá, Cundinamarca, and Valle del Cauca, exhibited the highest prevalence (M = 17.90; SD = 14.3). In contrast, areas with the lowest GDP, including Amazonas, Guainía, Vaupés, Vichada, and Guaviare, showed the lowest prevalence among children (M = 2.6; SD = 2.5).

Conclusion

The estimation of ASD prevalence in Colombia represents an ongoing initiative to inform public policy actions. During the COVID-19 pandemic, there was a decrease in the number of autistic children served by the healthcare sector; however, the prevalence of ASD changed to higher levels in 2022. These findings contribute to strategies aimed at improving the quality of life for autistic individuals and mitigating the economic burden on their families.

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哥伦比亚有多少自闭症儿童？通过医疗系统数据对全国自闭症患者进行调查

目的准确的医疗保健数据对于监测自闭症谱系障碍（ASD）的流行病学和提高对自闭症谱系障碍患者的护理质量是不可或缺的。在哥伦比亚，卫生部开发了社会保护信息系统 (SISPRO)，作为一个综合登记系统，从医疗保健系统中提取数据，其覆盖率接近全民（约 95%）。本研究利用 SISPRO 收集的数据来估算 2020 年 1 月至 2022 年 12 月期间登记的自闭症儿童的患病率和具体特征。研究采用了描述性流行病学方法，将国际疾病统计分类作为 SISPRO 数据集中 ASD 的搜索条件。关于 2022 年的医疗保险类型，大多数自闭症儿童接受缴费制度（68.28%），其次是补贴制度（25.36%）。地域分析表明，哥伦比亚的自闭症患病率分布不均。国内生产总值最高的地区，如安蒂奥基亚、大西洋、波哥大、昆迪纳马卡和考卡山谷的患病率最高（M = 17.90；SD = 14.3）。与此相反，国内生产总值最低的地区，包括亚马孙、瓜伊尼亚、沃佩斯、维查达和瓜维亚雷，儿童患病率最低（M = 2.6; SD = 2.5）。在 COVID-19 大流行期间，医疗保健部门服务的自闭症儿童人数有所减少；然而，到 2022 年，自闭症患病率有所上升。这些发现有助于制定旨在提高自闭症患者生活质量和减轻其家庭经济负担的战略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Autism and Developmental Disorders PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

8.00

自引率

10.30%

发文量

433

期刊介绍： The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.

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