Prevalence of Autism risk among children undergoing regular Psychophysical Development Screening in Kazakhstan

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Epidemiology and Global Health Pub Date : 2024-07-01 DOI:10.1016/j.cegh.2024.101703

Karina Nukeshtayeva , Bauyrzhan Omarkulov , Marina Lyubchenko , Nailya Delellis , Olzhas Zhamantayev , Zhaniya Dauletkaliyeva , Gulmira Zhanalina , Nurzhamal Shintayeva , Gulden Karshalova , Maira Kenzhekeyeva

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Abstract

Background

Information about the situation with autism in Kazakhstan is extremely limited due to the lack of research on autism in both Kazakhstan and Central Asia. The prevalence of autism spectrum disorder risk among young children during routine screening was assessed using the M-CHAT-R/F tool.

Methods

This study took place in the offices of pediatric neurologists and family doctors in three primary healthcare organizations in the Karaganda, Kazakhstan. The researchers offered participation in the study and M-CHAT-R checklist completion during visits by parents and children to pediatric neurologists and family doctors for the purpose of screening for psychophysical development. Linear regression analysis was used to determine risk factors for the development of autism spectrum disorder.

Results

The results of an analysis of 526 study participants showed the prevalence of high-risk autism spectrum disorders to be 27.4 %. Factors associated with a high risk of autism spectrum disorder in this study were child age, gender, parental age, and a diagnosis of developmental disorder.

Conclusions

The use of specific tools to screen for developmental disorders by primary care organizations is recommended. Primary care providers have regular contact with children before they reach school age and can provide family-centered, comprehensive, and coordinated care, including more comprehensive medical assessments.

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哈萨克斯坦定期接受心理物理发展筛查的儿童中自闭症风险的患病率

背景由于哈萨克斯坦和中亚地区缺乏对自闭症的研究，有关哈萨克斯坦自闭症情况的信息极为有限。本研究在哈萨克斯坦卡拉干达三个初级医疗机构的儿科神经科医生和家庭医生办公室进行。研究人员让家长和儿童在儿科神经学家和家庭医生处就诊时参与研究并填写 M-CHAT-R 检查表，目的是筛查儿童心理生理发育情况。研究人员使用线性回归分析来确定自闭症谱系障碍的风险因素。结果对 526 名研究参与者的分析结果显示，高风险自闭症谱系障碍的患病率为 27.4%。在这项研究中，与自闭症谱系障碍高风险相关的因素包括儿童年龄、性别、父母年龄和发育障碍诊断。初级保健提供者在儿童达到入学年龄之前与他们有定期接触，可以提供以家庭为中心、全面、协调的护理，包括更全面的医疗评估。

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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.