Autism Spectrum Disorder and Associated Factors in Children in Spain, 2017: Population-Based Cross-Sectional Study.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI:10.1007/s10995-024-04007-0

José Antonio Quesada, Francisco Sánchez-Ferrer, Adriana López-Pineda

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引用次数: 0

Abstract

Objectives: Autism spectrum disorder (ASD) is a neurodevelopmental disorder with biological, multicausal and polygenic origins. The true prevalence of ASD has not been clearly established. The aim of this study was to estimate the prevalence of ASD in children aged 3 to 14 years in Spain and to analyze the factors associated with it.

Methods: A cross-sectional observational study using data from the 2017 National Survey of Health in Minors in Spain. Primary outcome was the diagnosis of ASD, and sociodemographic, behavioral, health-related, the use of health services, household and medication use variables was analyzed. Multivariable logistic regression model with a correction for modelling rare events was fitted. Complex sampling was undertaken, using the survey elevation factor in the analysis.

Results: A total of 4409 children were included, and there were 26 children with ASD, for a prevalence of 0.59%, representing 29,143 children with ASD. Factors significantly associated were male sex, having visited a psychologist, and/or a speech therapist in the past year, presenting probable problems with peers, antisocial behavior, taking antibiotics and taking other medications.

Conclusion: The findings of this study may be useful to inform health policies and develop strategic plans to identify and address the needs of children with ASD.

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2017 年西班牙儿童自闭症谱系障碍及相关因素：基于人口的横断面研究。

目的：自闭症谱系障碍（ASD）是一种神经发育障碍，具有生物学、多病因和多基因起源。自闭症谱系障碍的真实发病率尚未明确确定。本研究旨在估算西班牙 3 至 14 岁儿童中 ASD 的患病率，并分析与之相关的因素：这是一项横断面观察性研究，使用的数据来自 2017 年西班牙全国未成年人健康调查。主要结果为ASD诊断，并分析了社会人口、行为、健康相关、医疗服务使用、家庭和药物使用等变量。采用多变量逻辑回归模型，并对罕见事件建模进行了校正。分析中使用了调查升高因子，进行了复杂抽样：共纳入 4409 名儿童，其中有 26 名儿童患有 ASD，患病率为 0.59%，代表 29 143 名患有 ASD 的儿童。与之明显相关的因素包括：男性、过去一年曾就诊于心理学家和/或言语治疗师、与同伴相处可能出现问题、反社会行为、服用抗生素和其他药物：这项研究的结果可能有助于制定卫生政策和战略计划，以确定和满足患有自闭症的儿童的需求。

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

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.