越来越多的妇女和年轻人被诊断患有自闭症

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摘要

一项对十多年来自闭症谱系障碍诊断的大型分析发现,一些种族或族裔群体中的年轻成年人、妇女和儿童的自闭症谱系障碍诊断率显著上升。该研究由 Kaiser Permanente 的研究人员领导,发表在《美国医学会杂志网络版》(JAMA Network Open)上。据凯泽研究部 10 月 30 日报道,该分析涵盖了 2011 年至 2022 年参加心理健康研究网络的 8 个医疗系统的 12 个综合交付站点,覆盖多达 1200 万人。研究发现,在整个研究期间,所有群体的自闭症诊断率都有所上升,某些群体的上升速度更快。自闭症诊断率在 5 至 8 岁儿童中最高,在研究期间从 2011 年的千分之 2.3 上升到 2022 年的千分之 6.3。按种族划分,西班牙裔儿童的诊断率增幅(315%)高于非西班牙裔儿童(146%)。按种族划分,夏威夷原住民/太平洋岛民儿童(428%)、黑人/非洲裔美国人儿童(307%)和亚裔儿童(259%)的增幅高于白人儿童(161%)。在成人中,从 2011 年到 2022 年,白人成人诊断率的增幅(275%)高于其他任何群体。研究报告的作者说,这些发现可能反映了自闭症筛查的增加以及其他潜在因素,这些因素应在未来的研究中加以探讨。
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More women, young adults being diagnosed with autism

A large analysis of autism spectrum disorder diagnoses over more than 10 years finds significant increases in young adults, women, and children in some racial or ethnic groups. Led by Kaiser Permanente researchers, the study was published in JAMA Network Open. The analysis covered the years 2011 to 2022 at 12 integrated delivery sites of the eight health systems that participate in the Mental Health Research Network, covering up to 12 million people, Kaiser's Division of Research reported Oct. 30. The study found increases in autism diagnosis across the study period for all groups, and faster increases among certain groups. The autism diagnosis rate was highest among 5- to 8-year-olds and rose during the study period, from 2.3 per 1,000 in 2011 to 6.3 per 1,000 in 2022. Increases in diagnosis in children by ethnicity were higher among Hispanic children (315% increase) than non-Hispanic children (146%). By race, increases were greater among Native Hawaiian/Pacific Islander (428%), Black/African American (307%), and Asian (259%) children compared to white children (161%). Among adults, increases in diagnosis rates from 2011 to 2022 were greater among white adults (275%) than any other group. The study authors said the findings likely reflect both increased screening for autism along with other potential factors that should be explored in future research.

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