摘要
目的 了解深圳市 0～ 7岁儿童视力、智力、听力、言语、精神、肢体等六类残疾流行现状。方法 依据《中国残疾人实用评定标准》对户籍在深圳市的全部 7772 7名儿童采用三阶段筛查程序进行调查。结果 总现残率为 5.59‰ ,假阴性为 3 .1‰ ,以此推算的总现残率为 8.49‰ ,其中智力残疾最高 ,现残率为 1.88‰ ,言语残疾现患率为 1.88‰ (含言语发育滞后 ) ,精神残疾现患率为 1.59‰ ,肢体残疾现患率为 1.56‰ ,听力残疾现患率为 1.11‰ ,视力残疾最低 ,现患率 0 .3 7‰ ,随年龄增高总的残疾及听力、言语、智力残疾现患率增高 ,精神残疾无随年龄增加的趋势 ,但年龄别患病率差异有十分显著统计学意义 ,高峰在 2～ 4岁 ,肢体残疾 0～ 7岁现患率平稳变化不大 ,可疑致病因素中产前因素占45.7%。结论 深圳市六类残疾总的现患率低于 1987年全国抽样调查相同年龄段水平 ,下降约10‰ ,但仍高于日本同类研究结果 2倍 ,言语残疾、精神残疾现患率高于 1987年全国调查水平 。
ObjectiveTo explore the prevalence of vi si on, mental, audibility, language, psychiatry, extremity, and influence factors in the 0-7 year olds. MethodsA total number of 77 727 0- 7 year old children living in Shenzhen city were tested with tree phase screening under th e Chinese standard of evaluation in disabilities. ResultsThe prevalence of all disabilities was 5.59 ‰ (adjusted rate was 8.49 ‰ with a false negative of 3.1 ‰). The prevalen ce of mental disease was the highest ( 1.88 ‰,with adjusted rate 3.43 ‰ ), the prevalence of language disability was 1.88 ‰ (including retarded lang uage development,with adjusted rate 3.43 ‰). The prevalence rates of psych iatry, extremity and audibility disability were 1.59 ‰, 1.56 ‰, 1.11 ‰ respectively with of vision the lowest ( 0.37 ‰). The prevalence o f all disabilities, audibility, language and mental was on the increase with ag e. The difference was statistically significant. Among all different age groups regarding psychiatric disease, the highest fell in the 2-4 year olds. The prevalence of extr emity was not statistically differenct among age groups. The suspected agents of dise ase which occurred before or during pregnancy took up 45.7 %. ConclusionThe prevalence of six kinds disabilities in S henzhen was about 10‰ lower than that of the samples of the nation in 1989,but two times higher than that of similar studies in Japan. The prevalence rates of language and psychiatric disease were higher than that of the nation in 1989. T he causation should be further studied.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2003年第11期1016-1019,共4页
Chinese Journal of Epidemiology
