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The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China

BACKGROUND: Autism spectrum disorder (ASD) is a highly disabling neurodevelopmental disorder, and the burden is high. Data on the burden of ASD are limited in China, especially in the southwest. Therefore, the aims of this study were to investigate the intervention status and burden of children with...

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Autores principales: Liu, Ye, Zhou, Fang, Qin, Jixuan, Lin, Yong, Li, Tonghuan, Zhu, Chengyong, Long, Fang, Wang, Xike, Hu, Xiao, Zhou, Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666780/
https://www.ncbi.nlm.nih.gov/pubmed/36405893
http://dx.doi.org/10.3389/fpsyt.2022.929833
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author Liu, Ye
Zhou, Fang
Qin, Jixuan
Lin, Yong
Li, Tonghuan
Zhu, Chengyong
Long, Fang
Wang, Xike
Hu, Xiao
Zhou, Hao
author_facet Liu, Ye
Zhou, Fang
Qin, Jixuan
Lin, Yong
Li, Tonghuan
Zhu, Chengyong
Long, Fang
Wang, Xike
Hu, Xiao
Zhou, Hao
author_sort Liu, Ye
collection PubMed
description BACKGROUND: Autism spectrum disorder (ASD) is a highly disabling neurodevelopmental disorder, and the burden is high. Data on the burden of ASD are limited in China, especially in the southwest. Therefore, the aims of this study were to investigate the intervention status and burden of children with ASD in Southwest China. MATERIALS AND METHODS: Families of children with ASD were recruited from hospitals, special education schools, and private rehabilitation centers; they participated in the survey and completed the questionnaire. Descriptive analysis was conducted on the questionnaire results, which included basic demographic characteristics, rehabilitation status, and burden. Multivariate analysis was used to analyze the association of basic family demographic characteristics, rehabilitation status, and costs of ASD. RESULTS: A total of 231 families of children with ASD participated in this survey, and 78.35% (181/231) of the children with ASD were male. The mean age was 4.34 ± 2.09 years. A total of 55.84% (129/231) of the children with ASD had an intellectual disability. Only 46.32% (107/231) started receiving intervention within 1 month after diagnosis. The institutions for rehabilitation interventions for children with ASD were mainly tertiary hospitals (39.39%), special education schools (29.87%) and private rehabilitation institutions (21.64%). For a total of 42.86% (99/231) of the children with ASD, the duration of the intervention was less than 10 h per week. A total of 74.89% (173/231) of the children with ASD received a rehabilitation intervention at home. A total of 66.67% of the parents were satisfied with the treatment. The monthly cost of medical intervention for the patients of children with autism was 7,225 ± 474 RMB ($1,134 ± 74), and the non-medical intervention cost was 2,133 ± 107 RMB ($334 ± 17). The annual burden of patients with autism was 86,700 ± 5,688 RMB ($13,596 ± 892). The estimated total annual burden of ASD was 5.548 billion RMB ($870 million) in Guizhou province. CONCLUSION: The results revealed that rehabilitation resources are limited and that the burden of ASD is high in Guizhou province; therefore, improving the rehabilitation status and easing the burden of children with ASD is urgent in these regions.
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spelling pubmed-96667802022-11-17 The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China Liu, Ye Zhou, Fang Qin, Jixuan Lin, Yong Li, Tonghuan Zhu, Chengyong Long, Fang Wang, Xike Hu, Xiao Zhou, Hao Front Psychiatry Psychiatry BACKGROUND: Autism spectrum disorder (ASD) is a highly disabling neurodevelopmental disorder, and the burden is high. Data on the burden of ASD are limited in China, especially in the southwest. Therefore, the aims of this study were to investigate the intervention status and burden of children with ASD in Southwest China. MATERIALS AND METHODS: Families of children with ASD were recruited from hospitals, special education schools, and private rehabilitation centers; they participated in the survey and completed the questionnaire. Descriptive analysis was conducted on the questionnaire results, which included basic demographic characteristics, rehabilitation status, and burden. Multivariate analysis was used to analyze the association of basic family demographic characteristics, rehabilitation status, and costs of ASD. RESULTS: A total of 231 families of children with ASD participated in this survey, and 78.35% (181/231) of the children with ASD were male. The mean age was 4.34 ± 2.09 years. A total of 55.84% (129/231) of the children with ASD had an intellectual disability. Only 46.32% (107/231) started receiving intervention within 1 month after diagnosis. The institutions for rehabilitation interventions for children with ASD were mainly tertiary hospitals (39.39%), special education schools (29.87%) and private rehabilitation institutions (21.64%). For a total of 42.86% (99/231) of the children with ASD, the duration of the intervention was less than 10 h per week. A total of 74.89% (173/231) of the children with ASD received a rehabilitation intervention at home. A total of 66.67% of the parents were satisfied with the treatment. The monthly cost of medical intervention for the patients of children with autism was 7,225 ± 474 RMB ($1,134 ± 74), and the non-medical intervention cost was 2,133 ± 107 RMB ($334 ± 17). The annual burden of patients with autism was 86,700 ± 5,688 RMB ($13,596 ± 892). The estimated total annual burden of ASD was 5.548 billion RMB ($870 million) in Guizhou province. CONCLUSION: The results revealed that rehabilitation resources are limited and that the burden of ASD is high in Guizhou province; therefore, improving the rehabilitation status and easing the burden of children with ASD is urgent in these regions. Frontiers Media S.A. 2022-11-02 /pmc/articles/PMC9666780/ /pubmed/36405893 http://dx.doi.org/10.3389/fpsyt.2022.929833 Text en Copyright © 2022 Liu, Zhou, Qin, Lin, Li, Zhu, Long, Wang, Hu and Zhou. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Liu, Ye
Zhou, Fang
Qin, Jixuan
Lin, Yong
Li, Tonghuan
Zhu, Chengyong
Long, Fang
Wang, Xike
Hu, Xiao
Zhou, Hao
The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China
title The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China
title_full The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China
title_fullStr The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China
title_full_unstemmed The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China
title_short The intervention dilemma and high burden of children with autism in Guizhou province, Southwest China
title_sort intervention dilemma and high burden of children with autism in guizhou province, southwest china
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666780/
https://www.ncbi.nlm.nih.gov/pubmed/36405893
http://dx.doi.org/10.3389/fpsyt.2022.929833
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