[article]
| Titre : |
Current situation and influencing factors of Chinese children's diagnosis delay in autism |
| Type de document : |
texte imprimé |
| Auteurs : |
Feng-Lei ZHU, Auteur ; Yue JI, Auteur ; Lu WANG, Auteur ; Min XU, Auteur ; Xiao-Bing ZOU, Auteur |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Child Child, Preschool Female Humans Infant Male Autistic Disorder/diagnosis China/epidemiology Delayed Diagnosis/statistics & numerical data Risk Factors Adolescent East Asian People Age of diagnosis (AOD) Age of first concern (AOC) Autism Children Diagnostic delay The Cox proportional hazard model methods were carried out in accordance with the Declaration of Helsinki. Ethical approval for this study was obtained from the Medical Ethics Committee of the Third Affiliated Hospital of Sun Yat-sen University. The ethical approval number: [2019] 02-013-01. All participants provided informed consent and were fully informed that their participation was voluntary and confidential. Informed consent was obtained from the guardians. Competing interests: The authors declare no competing interests. Clinical trial: Not applicable. |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: Although experienced clinicians are capable of diagnosing autism in children before they reach the age of 2, the average age of diagnosis reported internationally is between 4 and 5 years, indicating a significant delay. This study aimed to determine the factors influencing the diagnostic delay time (DDT) in Chinese autistic children. METHODS: We employed the Cox proportional hazard model to examine the effects of individual, family, sociodemographic, and healthcare system indicators on DDT in 480 Chinese autistic children (age range: 16.10-190.16 months; male-to-female ratio: 5.67:1) recruited from a tertiary hospital between 2021 and 2023. RESULTS: The median DDT was 9.58 months (IQR = 15.01). Independent risk factors for delayed diagnosis included normal language competence (RR = 1.747, p < 0.001), non-core symptoms as first concerns (RR = 1.642, p = 0.013), school attendance (RR = 1.941, p < 0.001), irregular well-child visits (RR = 1.264, p = 0.028), and misdiagnosis history (RR = 0.648, p = 0.001). CONCLUSIONS: Diagnosis delay in Chinese autistic children is heterogeneous. Early monitoring for children with normal language skills and school-aged children, alongside improved healthcare system practices, is critical. |
| En ligne : |
https://dx.doi.org/10.1186/s11689-025-09636-2 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=576 |
in Journal of Neurodevelopmental Disorders > 17 (2025)
[article] Current situation and influencing factors of Chinese children's diagnosis delay in autism [texte imprimé] / Feng-Lei ZHU, Auteur ; Yue JI, Auteur ; Lu WANG, Auteur ; Min XU, Auteur ; Xiao-Bing ZOU, Auteur. Langues : Anglais ( eng) in Journal of Neurodevelopmental Disorders > 17 (2025)
| Mots-clés : |
Child Child, Preschool Female Humans Infant Male Autistic Disorder/diagnosis China/epidemiology Delayed Diagnosis/statistics & numerical data Risk Factors Adolescent East Asian People Age of diagnosis (AOD) Age of first concern (AOC) Autism Children Diagnostic delay The Cox proportional hazard model methods were carried out in accordance with the Declaration of Helsinki. Ethical approval for this study was obtained from the Medical Ethics Committee of the Third Affiliated Hospital of Sun Yat-sen University. The ethical approval number: [2019] 02-013-01. All participants provided informed consent and were fully informed that their participation was voluntary and confidential. Informed consent was obtained from the guardians. Competing interests: The authors declare no competing interests. Clinical trial: Not applicable. |
| Index. décimale : |
PER Périodiques |
| Résumé : |
BACKGROUND: Although experienced clinicians are capable of diagnosing autism in children before they reach the age of 2, the average age of diagnosis reported internationally is between 4 and 5 years, indicating a significant delay. This study aimed to determine the factors influencing the diagnostic delay time (DDT) in Chinese autistic children. METHODS: We employed the Cox proportional hazard model to examine the effects of individual, family, sociodemographic, and healthcare system indicators on DDT in 480 Chinese autistic children (age range: 16.10-190.16 months; male-to-female ratio: 5.67:1) recruited from a tertiary hospital between 2021 and 2023. RESULTS: The median DDT was 9.58 months (IQR = 15.01). Independent risk factors for delayed diagnosis included normal language competence (RR = 1.747, p < 0.001), non-core symptoms as first concerns (RR = 1.642, p = 0.013), school attendance (RR = 1.941, p < 0.001), irregular well-child visits (RR = 1.264, p = 0.028), and misdiagnosis history (RR = 0.648, p = 0.001). CONCLUSIONS: Diagnosis delay in Chinese autistic children is heterogeneous. Early monitoring for children with normal language skills and school-aged children, alongside improved healthcare system practices, is critical. |
| En ligne : |
https://dx.doi.org/10.1186/s11689-025-09636-2 |
| Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=576 |
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