在经认可的社会卫生活动家（ASHAs）的协助下，对印度达克希纳邦农村地区存在自闭症谱系障碍（ASD）风险的幼儿进行筛查：一项横断面研究

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-07-01 DOI:10.1016/j.cegh.2025.102116

Y.M. Karuna , Ramya Shenoy , Sham Bhat , B.S. Suprabha , Sharanya B. Shetty , Kiran Baliga

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引用次数: 0

摘要

目的通过筛查自闭症谱系障碍（ASD），解决发展中国家自闭症谱系障碍的延迟诊断问题。本研究利用社区卫生保健工作者，即经认证的社会卫生活动家（ASHAs），针对可能有发展为ASD风险的儿童进行早期筛查。材料和方法本分析性横断面调查在印度卡纳塔克邦达克什纳邦坎纳达区随机选择的初级卫生中心的幼儿中进行。ASHA的工作人员接受过使用翻译成卡纳达语的幼儿自闭症修正检查表（M-CHAT）的培训，对有自闭症风险的幼儿进行筛查。在定期家访期间，ASHA工作人员根据家长的意见完成了M-CHAT问卷。调查人员收集了ASHA工作人员收集的数据，并进一步对数据进行统计分析。结果来自6phc的58名ASHA工作者完成了906次m - chat。根据数据分析，6名幼儿（0.7%）被发现有ASD的高风险，近一半的样本人群（42.23%）属于必要的随访类别。性别与每次M-CHAT计算的总分之间没有统计学上的显著关系。结论：在限制范围内，研究报告了0.7%的幼儿患有ASD的高风险，42.3%的幼儿在ASHA工作人员的协助下使用M-CHAT进行评估时需要随访。在培训结束时，ASHA的工作人员装备精良，能够在家访期间有效地进行ASD的早期筛查。

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Screening of toddlers at risk for autism spectrum disorder (ASD) in rural Dakshina Kannada, India, facilitated by accredited social health activists (ASHAs): a cross-sectional study

Objective

The purpose of screening for autism spectrum disorder (ASD) in the present study was to address delayed ASD diagnosis in developing countries. Using community healthcare workers, namely, accredited social health activists (ASHAs), this study targeted the early screening of kids who may have a risk of developing ASD.

Materials and methods

This analytical cross-sectional investigation was conducted among toddlers of randomly chosen primary health centers in Dakshina Kannada District, Karnataka, India. ASHA workers, trained in the use of the translated (to the Kannada language) Modified Checklist for Autism in Toddlers (M-CHAT), conducted screenings to detect toddlers at risk of ASD. During their regular home visits, the ASHA workers completed the M-CHAT questionnaire as per the input from the parents. The investigators collected the data collected by ASHA workers and further subjected the data to statistical analysis.

Results

Fifty-eight ASHA workers from 6PHCs completed 906 M-CHATs. According to the data analysis, six toddlers (0.7 %) were found to have a high risk for ASD, and nearly half of the sample population (42.23 %) belonged to the necessary follow-up category. There was no statistically significant relationship between sex and the total score calculated per M-CHAT.

Conclusion

Within the limitations, the study reported that 0.7 % of the toddlers had a high risk for ASD, and 42.3 % required follow-up when evaluated using the M-CHAT with the assistance of ASHA workers. By the end of the training, ASHA workers were well-equipped to contribute effectively to early screening of ASD during home visits.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.