Prevalence of Autism Spectrum Disorder in China: A Nationwide Multi-center Population-based Study Am

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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.
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