深圳市0～7岁儿童六类残疾现况调查

孙喜斌; 曲成毅; 杨磊; 颜家睦; 谢建文; 陈益青; 龙墨; 梁巍; 李苏沛; 高寿岩; 尹栋一; 周文培; 师帅; 华放; 周本利; 朱绍明; 汪立; 冯带好; 周琳

Abstract

孙喜斌,曲成毅,杨磊,颜家睦,谢建文,陈益青,龙墨,梁巍,李苏沛,高寿岩,尹栋一,周文培,师帅,华放,周本利,朱绍明,汪立,冯带好,周琳.深圳市0～7岁儿童六类残疾现况调查[J].Chinese journal of Epidemiology,2003,24(11):1016-1019

深圳市0～7岁儿童六类残疾现况调查

Study on the disabilities in aged 0-7 years children in Shenzhen, China

Received:January 29, 2002

DOI：

KeyWord: 残疾儿童现况调查

English Key Word: Disabilities Children Cross-sectional study

FundProject:

Author Name	Affiliation
SUN Xi-bin	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
QU Cheng-yi	山西医科大学公共卫生学院
YANG Lei	深圳市特殊需要儿童早期干预中心
YAN Jia-mu	深圳市特殊需要儿童早期干预中心
XIE Jian-wen	深圳市残疾人联合会
CHEN Yi-qing	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
LONG Mo	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
LIANG Wei	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
LI Su-pei	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
GAO Shou-yan	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
YIN Dong-yi	Centre of China Rehabilitation for Deaf Children, Beijing 100101, China
ZHOU Wen-pei	深圳市特殊需要儿童早期干预中心
SHI Shuai	深圳市特殊需要儿童早期干预中心
HUA Fang	深圳市特殊需要儿童早期干预中心
ZHOU Ben-li	深圳市特殊需要儿童早期干预中心
ZHU Shao-ming	深圳市残疾人联合会
WANG Li	深圳市罗湖区人民医院
FEN G Dai-hao	深圳市康宁医院
ZHOU Lin	深圳市眼科医院

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Abstract:

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77727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0.37‰,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,其原因有待进一步证实

English Abstract:

Objective To explore the prevalence of vision, mental, audibility, language, psychiatry, extremity, and influence factors in the 0-7 year olds. Methods A total number of 77 727 0-7 year old children living in Shenzhen city were tested with tree phase screening under the Chinese standard of evaluation in disabilities. Results The prevalence of all disabilities was 5. 59‰( adjusted rate was 8. 49‰ with a false negative of 3. 1‰).The prevalence of mental disease was the highesT( 1. 88‰, with adjusted rate 3. 43‰), the prevalence of language disability was 1.88‰( including retarded language development, with adjusted rate 3. 43‰).The prevalence rates of psychiatry, extremity and audibility disability were 1.59‰, 1.56‰, 1.11‰ respectively with of vision thelowest( 0. 37‰).The prevalence of all disabilities, audibility, language and mental was on the increase with age.The difference was statistically significant. Among all differenTage groups regarding psychiatric disease, the highesTfell in the 2-4 year olds.The prevalence of extremity was noTstatistically differencTamong age groups.The suspected agents of disease which occurred before or during pregnancy took up 45. 7%.Conclusion The prevalence of six kinds disabilities in Shenzhen was abouT10‰lower than tha T of the samples of the nation in 1989, buTtwo times higher than thaTof similar studies in Japan.The prevalence rates of language and psychiatric disease were higher than thaTof the nation in 1989.The causation should be further studied.

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