PDF(Pubmed)
Abstract：
UNASSIGNED: Estimates of the prevalence of intellectual disability or autism spectrum disorder (ASD) may vary depending on the methodology, geographical location, and sources of ascertainment. The National Disability Insurance Scheme (NDIS) in Australia was introduced progressively from 2016 to provide individualized funding for eligible people with a significant and permanent disability.
UNASSIGNED: Its recent inclusion as a source of ascertainment in the population-based Intellectual Disability Exploring Answers (IDEA) database in Western Australia has allowed comparisons of the prevalence of intellectual disability and ASD before and after its introduction.
UNASSIGNED: Prevalence of intellectual disability in 2020 was 22.5 per 1,000 (/1,000) live births compared with previous estimates in 2010 of 17/1,000, and for ASD, the estimate was 20.7/1,000 in 2020 compared with 5.1 /1,000 in 2010. Whilst the prevalence of ASD in Aboriginal individuals was about two-thirds that of non-Aboriginals, there was an increased prevalence of ASD in Aboriginal children under 10 years compared with non-Aboriginal children.
UNASSIGNED: The concurrent relaxation of ASD diagnostic practice standards in Western Australia associated with the administration of access to the NDIS and the release of the National Guidelines empowering single diagnosticians to determine the appropriateness of engaging additional diagnosticians to form a multidisciplinary team on ASD diagnosis, appear to be important factors associated with the increase in ASD diagnoses both with and without intellectual disability.
UNASSIGNED: Its recent inclusion as a source of ascertainment in the population-based Intellectual Disability Exploring Answers (IDEA) database in Western Australia has allowed comparisons of the prevalence of intellectual disability and ASD before and after its introduction.
UNASSIGNED: Prevalence of intellectual disability in 2020 was 22.5 per 1,000 (/1,000) live births compared with previous estimates in 2010 of 17/1,000, and for ASD, the estimate was 20.7/1,000 in 2020 compared with 5.1 /1,000 in 2010. Whilst the prevalence of ASD in Aboriginal individuals was about two-thirds that of non-Aboriginals, there was an increased prevalence of ASD in Aboriginal children under 10 years compared with non-Aboriginal children.
UNASSIGNED: The concurrent relaxation of ASD diagnostic practice standards in Western Australia associated with the administration of access to the NDIS and the release of the National Guidelines empowering single diagnosticians to determine the appropriateness of engaging additional diagnosticians to form a multidisciplinary team on ASD diagnosis, appear to be important factors associated with the increase in ASD diagnoses both with and without intellectual disability.
摘要：
■智力障碍或自闭症谱系障碍（ASD）患病率的估计可能因方法而异，地理位置,和确定的来源。澳大利亚的国家残疾保险计划（NDIS）从2016年开始逐步推出，为符合条件的严重和永久性残疾人士提供个性化资金。
■最近将其纳入西澳大利亚州基于人群的智力残疾探索答案（IDEA）数据库中，可以比较智力残疾和ASD引入前后的患病率。
■2020年的智力残疾患病率为22.5/1,000活产，而2010年的估计为17/1,000，2020年的估计值为20.7/1,000，而2010年为5.1/1,000。虽然土著个体的ASD患病率约为非土著个体的三分之二，与非土著儿童相比,10岁以下土著儿童的ASD患病率增加.
同时放宽了西澳大利亚州的ASD诊断实践标准，这与NDIS的访问管理以及国家指南的发布有关，该指南授权单个诊断医师确定聘请其他诊断医师组成多学科团队的适当性ASD诊断，似乎是与有或无智力残疾的ASD诊断增加相关的重要因素。
■最近将其纳入西澳大利亚州基于人群的智力残疾探索答案（IDEA）数据库中，可以比较智力残疾和ASD引入前后的患病率。
■2020年的智力残疾患病率为22.5/1,000活产，而2010年的估计为17/1,000，2020年的估计值为20.7/1,000，而2010年为5.1/1,000。虽然土著个体的ASD患病率约为非土著个体的三分之二，与非土著儿童相比,10岁以下土著儿童的ASD患病率增加.
同时放宽了西澳大利亚州的ASD诊断实践标准，这与NDIS的访问管理以及国家指南的发布有关，该指南授权单个诊断医师确定聘请其他诊断医师组成多学科团队的适当性ASD诊断，似乎是与有或无智力残疾的ASD诊断增加相关的重要因素。
