Association of Risk Factors with At-Risk Cases of Autism

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Journal of Health and Allied Sciences NU Pub Date : 2023-09-05 DOI:10.1055/s-0043-1774287
Reena Ravi, T. Mendonca
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Abstract

Abstract A neurological condition known as autism spectrum disorder (ASD) first manifests before the age of 3. Numerous factors may have an impact on the development of autism; however, its precise causes are yet unknown. The research aims to identify certain risk factors that associate with children at a higher risk of developing autism. This study is a descriptive analysis of 80 children who were identified as being at risk for autism and meeting the requirements of the Modified Checklist for Autism in Toddlers at the community health center. A semistructured proforma was used to collect the baseline data from the mother and the child. Through the use of a thoughtfully created checklist, each child enrolled in the study had a thorough history completed, including the suspected prenatal, intranatal, neonatal, and infant risk factors with the help of their mothers. Descriptive statistics with frequency percentages were adopted for the demographic data of the participants. To find the association between possible risk factors and at-risk cases of ASD, an independent t -test was used. Fisher's exact test and Pearson's chi-squared test ( p  = 0.05, confidence interval = 95%) were used to find how the risks (odds ratios) of the factors studied affect the incidence of ASD. It was discovered that prenatal risk factors, such as pregnancy-related infections and medication use, were statistically significantly linked to an increased risk for autism. Significant intranatal risk factors for autism risk included a breech presentation, cesarean section, forced labor, and resuscitation at birth. Similar to this, the neonatal risk factors included maternal hemorrhage, Rh or ABO incompatibility, birth injuries, and feeding problems. Poor socioeconomic status and seizures were the baby risk variables, both of which were statistically significant and linked to an increased chance of autism. The results of the study support an array of perinatal, intranatal, neonatal, and infant risk factors linked to the likelihood of developing autism.
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危险因素与自闭症高危病例的关系
摘要一种被称为自闭症谱系障碍(ASD)的神经系统疾病在3岁前首次出现。许多因素可能对自闭症的发展产生影响;然而,其确切原因尚不清楚。这项研究旨在确定与自闭症风险较高的儿童相关的某些风险因素。这项研究是对80名儿童的描述性分析,这些儿童被确定为有患自闭症的风险,并符合社区卫生中心幼儿自闭症改良检查表的要求。使用半结构形式表来收集母亲和孩子的基线数据。通过使用精心编制的检查表,参与研究的每个孩子都完成了一份完整的病史,包括在母亲的帮助下疑似产前、产前、新生儿和婴儿的风险因素。参与者的人口统计数据采用了频率百分比的描述性统计。为了找出可能的危险因素与ASD高危病例之间的相关性,使用了独立的t检验。Fisher精确检验和Pearson卡方检验(p = 0.05,置信区间 = 95%)用于了解所研究因素的风险(比值比)如何影响ASD的发生率。研究发现,产前风险因素,如妊娠相关感染和药物使用,在统计学上与自闭症风险增加显著相关。自闭症风险的重要产前风险因素包括臀位、剖宫产、强迫分娩和出生时复苏。与此类似,新生儿的危险因素包括母亲出血、Rh或ABO血型不合、出生伤害和喂养问题。不良的社会经济地位和癫痫发作是婴儿的风险变量,这两个变量都具有统计学意义,并与患自闭症的几率增加有关。这项研究的结果支持了一系列与患自闭症的可能性相关的围产期、产前、新生儿和婴儿风险因素。
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来源期刊
Journal of Health and Allied Sciences NU
Journal of Health and Allied Sciences NU MEDICINE, GENERAL & INTERNAL-
自引率
33.30%
发文量
85
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