Risk of Autism Spectrum Disorder (ASD) Among 18 to 48 Month Old Children: A Multi-Center Study in Qatar.

IF 1.4 Q3 PEDIATRICS Global Pediatric Health Pub Date : 2024-09-22 eCollection Date: 2024-01-01 DOI:10.1177/2333794X241284476

Aisha Abdulraheem Sameea, Ekram Wassim Abd El-Wahab, Sherif Omar Osman

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Abstract

Background. Little is known about autism spectrum disorder (ASD) in Qatar. The lack of consensus in ASD screening has led to differences in the reported prevalence with escalating rates over time. Objective(s). To screen for ASD and to identify associate factors among Qatary children aged 18 to 48 months. Methods. A cross-sectional study included 600 eligible children at 10 Primary Health Care Centers (PHCCs) in Qatar. Identification of ASD was based on the M-CHAT™ criteria. Results. The number of ASD screen-positive children in the M-CHAT™ was 25.13 per 10.000, and was significantly associated with older maternal age (10.5%) and history of neonatal hyperbilirubinemia (20.0%) [AOR] = 4.88; 95%[CI]: 1.50-16.30)]. The Odds of detecting ASD was lower in children below 2 years of age (AOR = 0.92; 95% CI: 0.87-0.98]). Conclusion. This study demonstrates the utility of M-CHAT™ for ASD screening in PHCCs. Identification of the factors associated with positive ASD screening can highlight areas suitable for future intervention.

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18 至 48 个月儿童患自闭症谱系障碍 (ASD) 的风险：卡塔尔的一项多中心研究。

背景。人们对卡塔尔的自闭症谱系障碍（ASD）知之甚少。由于在自闭症筛查方面缺乏共识，导致报告的患病率存在差异，并且随着时间的推移患病率不断上升。目标：筛查自闭症谱系障碍在 18 到 48 个月的卡塔尔儿童中筛查 ASD 并确定相关因素。方法：横断面研究。这项横断面研究包括卡塔尔 10 家初级卫生保健中心 (PHCC) 的 600 名符合条件的儿童。根据 M-CHAT™ 标准确定 ASD。研究结果M-CHAT™筛查出的 ASD 阳性患儿人数为 25.13/10.000，与高龄产妇（10.5%）和新生儿高胆红素血症病史（20.0%）显著相关[AOR] = 4.88; 95%[CI]：1.50-16.30)].两岁以下儿童检出 ASD 的几率较低（AOR = 0.92；95% CI：0.87-0.98]）。结论本研究证明了 M-CHAT™ 在初级保健中心筛查 ASD 的实用性。确定与 ASD 筛查阳性结果相关的因素可突出适合未来干预的领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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