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Screening Effects of the National Health Screening Program on Developmental Disorders

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Abstract

As the prevalence of developmental disorders (DDs) has increased, many OECD countries provide a national screening examination for early detection and intervention for DDs. This study examined effects of the National Health Screening Program in Korea. 65,334 children (39%) were DD-screened and 35,466 children (21%) received a false negative among the 167,050 study subjects. The DD-screened rate had increased from 3208 (27.2%) in 2008 to 8471 (47.3%) in 2012, then decreased to 5544 (29.8%) in 2017. Changes in the false negative rates increased from 2.7% in 2008 to 23.8% in 2017 were one of the most influential factors in these fluctuations. The DD-screened rate was influenced by demo-geographic and economic factors as well as by age-related characteristics of the subconditions.

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Acknowledgments

We thank Mr. Sejin Bae for assistance with the data extraction process.

Funding

No funding was secured for this study.

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Authors and Affiliations

  1. College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

    Sung Sil Rah

  2. Division of Child and Adolescent Psychiatry, Department of Psychiatry, College of Medicine, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

    Soon-Beom Hong

  3. Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea

    Ju Young Yoon

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  1. Sung Sil Rah
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All authors made substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data; or the creation of new software used in the work; All authors drafted the work or revised it critically for important intellectual content; All authors approved the version to be published; and All authors agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SSR conceptualized and designed the study, analyzed the data, and drafted, reviewed and revised the manuscript. S-BH provided expertise, supervised data analysis and interpretation of the results, and critically reviewed and revised the manuscript for intellectual content. JYY conceptualized and designed the study, coordinated and supervised data analysis, and critically reviewed the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

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Correspondence to Ju Young Yoon.

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The authors declare that they have no conflict of interest.

Ethical Approval

This study was done after approval of the Institutional Review Board of Seoul National University (IRB No. E1811/002-001). This article does not contain any studies with human participants or animals performed by any of the authors.

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Table 3 The incident cases of DDs in subconditions, categorised by case groups and stratified by demo-geographic and economic factors
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Rah, S.S., Hong, SB. & Yoon, J.Y. Screening Effects of the National Health Screening Program on Developmental Disorders. J Autism Dev Disord 51, 2461–2474 (2021). https://doi.org/10.1007/s10803-020-04712-z

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