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研究生:陳世鐘
研究生(外文):CHEN,SHIH-CHUNG
論文名稱:自閉症兒童的盛行率、發生率及共病現象相關因素的探討
論文名稱(外文):A Study on the Related Factors of Prevalence, Incidence and Comorbidity of Autistic Children
指導教授:林巾凱林巾凱引用關係郭煌宗郭煌宗引用關係
指導教授(外文):LIN,CHIN-KAIKUO,HUANG-TSUNG
口試委員:王欣宜李翊溱
口試委員(外文):WANG,HSIN-YILI,YI-JHEN
口試日期:2017-07-13
學位類別:碩士
校院名稱:國立臺中教育大學
系所名稱:幼兒教育學系早期療育碩士在職專班
學門:教育學門
學類:特殊教育學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:114
中文關鍵詞:自閉症發生率盛行率共病現象
外文關鍵詞:autismincidenceprevalencecomorbidity
相關次數:
  • 被引用被引用:11
  • 點閱點閱:2220
  • 評分評分:
  • 下載下載:10
  • 收藏至我的研究室書目清單書目收藏:0
近年來台灣針對自閉症兒童發生率、盛行率及其影響因素並未較大規模資料庫的統計估算,目前盛行率數據一直在修正中。本研究之目的為應用健保資料庫探討臺灣2001-2012年6歲以下的孩子,自閉症從2001-2012年的盛行率、發生率的情形、分析自閉症不同背景變項之盛行率、發生率之差異情形及分析不同共病現象對盛行率及發生率的影響。
本研究使用健保資料庫從1996到2012年每年二分之一的18歲以下小孩子抽樣檔,而我們選擇的研究族群是從2001年到2012年6歲以下小孩子的部分。
統計結果顯示發生率從2001年的萬分之1.70增長到2012的萬分之4.44;盛行率從2001年的萬分之3.2增長到2012的萬分之15.12;幾乎每個年齡層皆達到顯著的差異,自閉症發生率於3歲達到最高,自閉症盛行率於6歲達到最高;自閉症的發生率、盛行率皆是男生高於女生,發生率在男生比女生高出4.48倍,盛行率男性亦是女性的4.71倍;居住區域發生率最大者為臺北,發生率最小者為南部,盛行率最大者為台北,最小者為南部。在共病現象中發生率最大的為注意力缺陷過動症問題,最小的共病現象為聽力問題,依序為注意力缺陷過動症>智能障礙>發展遲緩>癲癇>聽力問題。盛行率最大的共病現象為注意力缺陷過動症問題,最小的共病現象為聽力問題,自閉症與五大共病狀況顯著,而自閉症伴隨注意力缺陷過動症、智能障礙在發生率及盛行率的比例差異較大。


In recent years, the incidence and prevalence of autistic children in Taiwan has not been statistically estimated by large-scale databases, and the current prevalence rate has been revised. Therefore, the purpose of this study is to explore the incidence and prevalence of autism, the factors to influence in different background of autism from 2001 to 2012, and the effect of comorbidityon the incidence and prevalence of autistic children.
This study uses the Healthcare Database data from 1996 to 2012, one half of the year's children under the age of 18, and we selected the study population from 2001 to 2012 under the age of 6 children.
The results show that the incidence increased from 1.70per 100,00in 2001 to 4.44 per 100,00in 2012; the prevalence rate increased from 3.2 per 100,00 in 2001 to 15.12 per 100,00in 2012; almost every age group achieved significant differences, The incidence of autism is the highest at 3 years of age and the prevalence of autism is the highest at 6 years of age, the incidence and prevalence of boys autism are higher than the girls, The incidence of boys is higher 4.48 times than girls. The prevalence rate of boy is 4.71 times higher than the girls.
The highest incidence of residential areas is in Taipei, the lowest incidence of is the south, the highest prevalence is Taipei, the lowest prevalence is the south.
According to the co-morbidity, the largest incidence is attention deficit hyperactivity disorder, the smallest co-morbid phenomenon is the hearing problems, followed by attention deficit hyperactivity disorder> mental retardation>developmental delay> epilepsy> hearing problems.
The largest prevalence is attention deficit hyperactivity disorder, the smallest co-morbid phenomenon is hearing problems.
Autism and five co-morbid phenomenon has a significant effect, autism with attention deficit hyperactivity disorder or mental retardation, The difference in the incidence and prevalence of mental retardation is large.

第一章 緒論..................................................1
第一節 研究背景與研究動機......................................1
第二節 研究目的、研究問題與研究假設.............................10
第三節 名詞解釋...............................................12
第二章 文獻探討................................................15
第一節 自閉症定義及特徵................... ....................15
第二節 自閉症共病現象..........................................35
第三節 自閉症盛行率、發生率的及其相關影響因素之研究...............40
第三章 研究方法.................................................49
第一節 研究架構...............................................49
第二節 研究對象...............................................50
第三節 研究過程...............................................50
第四節 資料處理...............................................51
第四章 研究結果與討論............................................53
第一節 台灣自閉症發生率,盛行率..................................53
第二節 發生率、盛行率的差異因素..................................57
第三節 綜合討論.................................................76
第五章 結論與建議.................................................85
第一節 研究結論..................................................85
第二節 研究限制..................................................86
第三節 未來研究建議..............................................88
參考文獻...........................................................90
中文部分...........................................................90
英文部分...........................................................91


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