Prevalence of Autism Spectrum Disorder in China: A Nationwide Multi-center Population-based Study Among Children Aged 6 to 12 Years
This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster sampling. The Modified Chinese Autism Spectrum Rating Sca...
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| Published in | Neuroscience bulletin Vol. 36; no. 9; pp. 961 - 971 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Singapore
Springer Singapore
01.09.2020
Springer |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1673-7067 1995-8218 1995-8218 |
| DOI | 10.1007/s12264-020-00530-6 |
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| Abstract | This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster sampling. The Modified Chinese Autism Spectrum Rating Scale was used for the screening process. Of the target population of 142,086 children, 88.5% (
n
= 125,806) participated in the study. A total of 363 children were confirmed as having ASD. The observed ASD prevalence rate was 0.29% (95% CI: 0.26%–0.32%) for the overall population. After adjustment for response rates, the estimated number of ASD cases was 867 in the target population sample, thereby achieving an estimated prevalence of 0.70% (95% CI: 0.64%–0.74%). The prevalence was significantly higher in boys than in girls (0.95%; 95% CI: 0.87%–1.02%
versus
0.30%; 95% CI: 0.26%–0.34%;
P
< 0.001). Of the 363 confirmed ASD cases, 43.3% were newly diagnosed, and most of those (90.4%) were attending regular schools, and 68.8% of the children with ASD had at least one neuropsychiatric comorbidity. Our findings provide reliable data on the estimated ASD prevalence and comorbidities in Chinese children. |
|---|---|
| AbstractList | This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster sampling. The Modified Chinese Autism Spectrum Rating Scale was used for the screening process. Of the target population of 142,086 children, 88.5% (n = 125,806) participated in the study. A total of 363 children were confirmed as having ASD. The observed ASD prevalence rate was 0.29% (95% CI: 0.26%-0.32%) for the overall population. After adjustment for response rates, the estimated number of ASD cases was 867 in the target population sample, thereby achieving an estimated prevalence of 0.70% (95% CI: 0.64%-0.74%). The prevalence was significantly higher in boys than in girls (0.95%; 95% CI: 0.87%-1.02% versus 0.30%; 95% CI: 0.26%-0.34%; P < 0.001). Of the 363 confirmed ASD cases, 43.3% were newly diagnosed, and most of those (90.4%) were attending regular schools, and 68.8% of the children with ASD had at least one neuropsychiatric comorbidity. Our findings provide reliable data on the estimated ASD prevalence and comorbidities in Chinese children. This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster sampling. The Modified Chinese Autism Spectrum Rating Scale was used for the screening process. Of the target population of 142,086 children, 88.5% ( n = 125,806) participated in the study. A total of 363 children were confirmed as having ASD. The observed ASD prevalence rate was 0.29% (95% CI: 0.26%–0.32%) for the overall population. After adjustment for response rates, the estimated number of ASD cases was 867 in the target population sample, thereby achieving an estimated prevalence of 0.70% (95% CI: 0.64%–0.74%). The prevalence was significantly higher in boys than in girls (0.95%; 95% CI: 0.87%–1.02% versus 0.30%; 95% CI: 0.26%–0.34%; P < 0.001). Of the 363 confirmed ASD cases, 43.3% were newly diagnosed, and most of those (90.4%) were attending regular schools, and 68.8% of the children with ASD had at least one neuropsychiatric comorbidity. Our findings provide reliable data on the estimated ASD prevalence and comorbidities in Chinese children. This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster sampling. The Modified Chinese Autism Spectrum Rating Scale was used for the screening process. Of the target population of 142,086 children, 88.5% (n = 125,806) participated in the study. A total of 363 children were confirmed as having ASD. The observed ASD prevalence rate was 0.29% (95% CI: 0.26%-0.32%) for the overall population. After adjustment for response rates, the estimated number of ASD cases was 867 in the target population sample, thereby achieving an estimated prevalence of 0.70% (95% CI: 0.64%-0.74%). The prevalence was significantly higher in boys than in girls (0.95%; 95% CI: 0.87%-1.02% versus 0.30%; 95% CI: 0.26%-0.34%; P < 0.001). Of the 363 confirmed ASD cases, 43.3% were newly diagnosed, and most of those (90.4%) were attending regular schools, and 68.8% of the children with ASD had at least one neuropsychiatric comorbidity. Our findings provide reliable data on the estimated ASD prevalence and comorbidities in Chinese children.This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6 to 12-year-old children for this prevalence study by multistage convenient cluster sampling. The Modified Chinese Autism Spectrum Rating Scale was used for the screening process. Of the target population of 142,086 children, 88.5% (n = 125,806) participated in the study. A total of 363 children were confirmed as having ASD. The observed ASD prevalence rate was 0.29% (95% CI: 0.26%-0.32%) for the overall population. After adjustment for response rates, the estimated number of ASD cases was 867 in the target population sample, thereby achieving an estimated prevalence of 0.70% (95% CI: 0.64%-0.74%). The prevalence was significantly higher in boys than in girls (0.95%; 95% CI: 0.87%-1.02% versus 0.30%; 95% CI: 0.26%-0.34%; P < 0.001). Of the 363 confirmed ASD cases, 43.3% were newly diagnosed, and most of those (90.4%) were attending regular schools, and 68.8% of the children with ASD had at least one neuropsychiatric comorbidity. Our findings provide reliable data on the estimated ASD prevalence and comorbidities in Chinese children. |
| Audience | Academic |
| Author | Zou, Xiaobing Sun, Zhongsheng Li, Chunpei Jiang, Yong-hui Zhang, Lili Xu, Xiu Luo, Xuerong Li, Tingyu Mao, Meng Xia, Kun Fombonne, Eric Shih, Andy Zhang, Xudong Ding, Ding Yan, Weili Zhang, Lan Zheng, Yi Huang, Yi Li, Erzhen Wu, Lijie Chen, Xiang Ge, Xiaoling Wang, Yi Zhou, Hao Han, Jisheng Guan, Hongyan Zhou, Yuanfeng |
| Author_xml | – sequence: 1 givenname: Hao orcidid: 0000-0002-7269-545X surname: Zhou fullname: Zhou, Hao organization: Department of Neurology, Children’s Hospital of Fudan University – sequence: 2 givenname: Xiu surname: Xu fullname: Xu, Xiu organization: Child Health Care, Children’s Hospital of Fudan University – sequence: 3 givenname: Weili surname: Yan fullname: Yan, Weili organization: Department of Clinical Epidemiology, Children’s Hospital of Fudan University – sequence: 4 givenname: Xiaobing surname: Zou fullname: Zou, Xiaobing organization: Child Development Behavior Center, The Third Affiliated Hospital, Sun Yat-Sen University – sequence: 5 givenname: Lijie surname: Wu fullname: Wu, Lijie organization: Department of Children and Adolescent Health, School of Public Health, Harbin Medical University – sequence: 6 givenname: Xuerong surname: Luo fullname: Luo, Xuerong organization: Department of Psychiatry, The Second Xiangya Hospital of Central South University – sequence: 7 givenname: Tingyu surname: Li fullname: Li, Tingyu organization: Child Health Care, Children’s Hospital of Chongqing Medical University – sequence: 8 givenname: Yi surname: Huang fullname: Huang, Yi organization: Department of Psychiatry, West China Hospital of Sichuan University – sequence: 9 givenname: Hongyan surname: Guan fullname: Guan, Hongyan organization: Capital Institute of Pediatrics – sequence: 10 givenname: Xiang surname: Chen fullname: Chen, Xiang organization: The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University – sequence: 11 givenname: Meng surname: Mao fullname: Mao, Meng organization: Child Health Care, Chengdu Women and Children’s Hospital – sequence: 12 givenname: Kun surname: Xia fullname: Xia, Kun organization: Center for Medical Genetics, School of Life Sciences, Central South University – sequence: 13 givenname: Lan surname: Zhang fullname: Zhang, Lan organization: Child Health Care, Chengdu Women and Children’s Hospital – sequence: 14 givenname: Erzhen surname: Li fullname: Li, Erzhen organization: Capital Institute of Pediatrics – sequence: 15 givenname: Xiaoling surname: Ge fullname: Ge, Xiaoling organization: Children’s Hospital of Fudan University – sequence: 16 givenname: Lili surname: Zhang fullname: Zhang, Lili organization: Department of Neurology, Children’s Hospital of Fudan University – sequence: 17 givenname: Chunpei surname: Li fullname: Li, Chunpei organization: Department of Neurology, Children’s Hospital of Fudan University – sequence: 18 givenname: Xudong surname: Zhang fullname: Zhang, Xudong organization: Children’s Hospital of Fudan University – sequence: 19 givenname: Yuanfeng surname: Zhou fullname: Zhou, Yuanfeng organization: Department of Neurology, Children’s Hospital of Fudan University – sequence: 20 givenname: Ding surname: Ding fullname: Ding, Ding organization: Huashan Hospital of Fudan University – sequence: 21 givenname: Andy surname: Shih fullname: Shih, Andy organization: Autism Speaks – sequence: 22 givenname: Eric surname: Fombonne fullname: Fombonne, Eric organization: Oregon Health and Science University – sequence: 23 givenname: Yi surname: Zheng fullname: Zheng, Yi organization: Beijing Anding Hospital, Capital Medical University – sequence: 24 givenname: Jisheng surname: Han fullname: Han, Jisheng organization: Neuroscience Research Institute, Peking University – sequence: 25 givenname: Zhongsheng surname: Sun fullname: Sun, Zhongsheng organization: Beijing Institutes of Life Science, Chinese Academy of Sciences – sequence: 26 givenname: Yong-hui surname: Jiang fullname: Jiang, Yong-hui organization: Department of Genetics and Pediatrics, Yale School of Medicine – sequence: 27 givenname: Yi surname: Wang fullname: Wang, Yi email: yiwang@shmu.edu.cn organization: Department of Neurology, Children’s Hospital of Fudan University |
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| Snippet | This study aimed to obtain the first national estimate of the prevalence of autism spectrum disorder (ASD) in Chinese children. We targeted the population of 6... |
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| SubjectTerms | Anatomy Anesthesiology Autism Biomedical and Life Sciences Biomedicine Children's furniture Human Physiology Neurology Neurosciences Original Original Article Pain Medicine |
| Title | Prevalence of Autism Spectrum Disorder in China: A Nationwide Multi-center Population-based Study Among Children Aged 6 to 12 Years |
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