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Le portail documentaire DOCautisme
Le portail documentaire DOCautisme se donne l'ambition d’être une référence francophone sur les publications et ressources nationales et internationales consacrées aux Troubles du Spectre de l’Autisme.
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| Titre : | Progress and Disparities in Early Identification of Autism Spectrum Disorder : Autism and Developmental Disabilities Monitoring Network, 2002-2016 (2022) |
| Auteurs : | Kelly A. SHAW, Auteur ; Dedria MCARTHUR, Auteur ; Michelle M. HUGHES, Auteur ; Amanda V. BAKIAN, Auteur ; Li-Ching LEE, Auteur ; Sydney PETTYGROVE, Auteur ; Matthew J. MAENNER, Auteur |
| Type de document : | Article : Texte imprimé et/ou numérique |
| Dans : | Journal of the american academy of child and adolescent psychiatry (61(7), juillet 2022) |
| Article en page(s) : | p. 905-914 |
| Langues: | Anglais |
| Concepts : | Trouble du spectre de l'autisme ; Epidémiologie ; Diagnostic précoce ; Repérage précoce ; Enfant ; Déficience intellectuelle ; Etats-Unis ; Analyse statistique des données ; Age au diagnostic |
| Index. décimale : | AUT.30 (Epidémiologie) |
| Résumé : |
OBJECTIVE : Early identification can improve outcomes for children with autism spectrum disorder (ASD). We sought to assess changes in early ASD identification over time and by co-occurring intellectual disability (ID) and race/ethnicity.
METHOD : Using data for 2002-2016 from a biennial population-based ASD surveillance program among 8-year-old children in the United States, we defined identification as a child’s earliest recorded ASD diagnosis or special education eligibility. Unidentified children had characteristics meeting the ASD surveillance case definition but no recorded identification by age 8 years. We calculated median age at identification among identified children, median age at identification including unidentified children, and cumulative incidence of identification by age 48 months. RESULTS : ASD identification by age 48 months was 4 times (95% CI: 3.6-4.3) as likely in 2016 as in 2002, with the largest increases among children without ID. Median age at ASD identification among identified children decreased 3 months during this time. Children of every race/ethnicity were more likely to be identified over time. There were racial disparities stratified by ID: in 2016, Black and Hispanic children without ID were less likely to be identified with ASD than were White children (both groups risk ratio: 0.7; 95% CI: 0.5-0.8), but Black children were 1.5 times (95% CI: 1.3-1.9) as likely as White children to be identified with ASD and ID. CONCLUSION : Substantial progress has been made to identify more children with ASD early, despite minimal decrease in median age at diagnosis. Considerable disparities remain in early ASD identification by race/ethnicity and co-occurring intellectual disability. [résumé d'auteur] |
| Sous-type : | Article |
| Consulter : | https://doi.org/10.1016/j.jaac.2021.11.019 |
| Est accompagné de : |
