父母接触职业溶剂与自闭症谱系障碍之间的关系

Miada Elmetwaly, Fahmy M, E. A, E. A, Sonbol M
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摘要

导言:自闭症谱系障碍(ASD)是一组异质性疾病,目前尚无单一的解释理论,但可归因于多种风险因素。这些疾病会影响大脑发育、沟通和社会交往。父母的年龄、吸烟状况、健康状况、药物摄入量、工作类型和职业暴露是 ASD 风险因素的一个持续研究领域。工作目标研究父母职业溶剂暴露与子女 ASD 发生之间的关联。材料与方法:这是一项病例对照研究,在曼苏拉大学医院精神病学和儿童门诊进行,包括 75 名 ASD 病例和 75 名因其他健康问题就诊的对照组病例。数据是通过与儿童的照顾者进行面对面访谈收集的。研究结果父亲的年龄、吸烟、体力劳动、化学和溶剂暴露是 ASD 的独立预测因素(OR 分别为 1.94、2.13、2.28、2.32 和 4.44)。母亲工作三年或三年以上与 ASD 呈正相关(OR = 12.92)。这些关联在统计学上有显著意义。结论和建议:根据双变量分析,父母在妊娠前 12 个月和妊娠期间接触化学品和溶剂是 ASD 的风险因素之一。有效的环境控制和个人防护措施是降低 ASD 发生风险的必要条件。
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ASSOCIATION BETWEEN PARENTAL OCCUPATIONAL SOLVENTS EXPOSURES AND AUTISM SPECTRUM DISORDERS
Introduction: Autism Spectrum Disorders (ASD) is a heterogenous group of conditions for which there is no single explaining theory, however, might be attributed to many risk factors. These conditions affect brain development, communication, and social interactions. Parents’ age, smoking status, health conditions, medications intake, type of work, and occupational exposures represent an ongoing area of research as risk factors of ASD. Aim of Work: To study the association between parental occupational solvents exposures and the occurrence of ASD in their children. Materials and Methods: This is a case control study that was performed in Psychiatry and Children’s outpatient clinic, Mansoura University Hospital including 75 cases with ASD and 75 controls attending for other health problems.Both groups were subjected to a structured questionnaire including personal and medical histories of the study participants and their parents, pregnancy related data, and parental occupational history. Data were collected through a face-to-face interview with the children’s caregivers. Results: Paternal age, smoking, manual work, chemical, and solvents exposures were independent predictors of ASD (OR = 1.94, 2.13, 2.28, 2.32, and 4.44 respectively). Maternal work duration three years or more was positively related to ASD (OR = 12.92). These associations were statistically significant. Conclusion and Recommendations: Parental occupational exposure to chemicals and solvents in the 12 months before and during the index pregnancy are among the risk factors of ASD on bivariate analysis. Effective environmental control and personal protective measures are necessary to decrease the risk of ASD occurrence
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