AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL

ABSTRACT Objective: To estimate the magnitude of the association between Autism Spectrum Disorder (ASD) and postnatal factors in a Brazilian population. Methods: A case-control study was performed with 253 individuals diagnosed with ASD and 886 individuals without signs of the disorder. A semi-structured questionnaire and the multiple logistic regression model were adopted in the data analysis. To estimate the magnitude of associations, the crude and adjusted Odds Ratio (OR) was used. Results: An association with the following factors was found: having been born with congenital malformation (OR 4.24; confidence interval of 95% - 95%CI 1.92-9.34), neonatal jaundice (OR 1.43; 95%CI 1.01-2.02), absence of crying at birth and seizure episode in childhood (OR 5.75; 95%CI 3.37-9.81). The magnitude of the association was higher in the children/adolescents who had two or more postnatal complications (OR 6.39; 95%CI 4.10-10.00). Conclusions: The findings of the present study suggest that malformation, neonatal jaundice, absence of crying at birth and seizure episodes in childhood are important factors to be considered when studying the etiology of ASD.

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Main Authors: Maia,Fernanda Alves, Oliveira,Liliane Marta Mendes, Almeida,Maria Tereza Carvalho, Alves,Maria Rachel, Saeger,Vanessa Souza de Araújo, Silva,Victor Bruno da, Oliveira,Victória Spínola Duarte de, Martelli Junior,Hercílio, Brito,Maria Fernanda Santos Figueiredo, Silveira,Marise Fagundes da
Format: Digital revista
Language:English
Published: Sociedade de Pediatria de São Paulo 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000400398
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spelling oai:scielo:S0103-058220190004003982019-10-07AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZILMaia,Fernanda AlvesOliveira,Liliane Marta MendesAlmeida,Maria Tereza CarvalhoAlves,Maria RachelSaeger,Vanessa Souza de AraújoSilva,Victor Bruno daOliveira,Victória Spínola Duarte deMartelli Junior,HercílioBrito,Maria Fernanda Santos FigueiredoSilveira,Marise Fagundes da Autistic disorder Risk factors Child Infant, newborn ABSTRACT Objective: To estimate the magnitude of the association between Autism Spectrum Disorder (ASD) and postnatal factors in a Brazilian population. Methods: A case-control study was performed with 253 individuals diagnosed with ASD and 886 individuals without signs of the disorder. A semi-structured questionnaire and the multiple logistic regression model were adopted in the data analysis. To estimate the magnitude of associations, the crude and adjusted Odds Ratio (OR) was used. Results: An association with the following factors was found: having been born with congenital malformation (OR 4.24; confidence interval of 95% - 95%CI 1.92-9.34), neonatal jaundice (OR 1.43; 95%CI 1.01-2.02), absence of crying at birth and seizure episode in childhood (OR 5.75; 95%CI 3.37-9.81). The magnitude of the association was higher in the children/adolescents who had two or more postnatal complications (OR 6.39; 95%CI 4.10-10.00). Conclusions: The findings of the present study suggest that malformation, neonatal jaundice, absence of crying at birth and seizure episodes in childhood are important factors to be considered when studying the etiology of ASD.info:eu-repo/semantics/openAccessSociedade de Pediatria de São PauloRevista Paulista de Pediatria v.37 n.4 20192019-12-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000400398en10.1590/1984-0462/;2019;37;4;00006
institution SCIELO
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libraryname SciELO
language English
format Digital
author Maia,Fernanda Alves
Oliveira,Liliane Marta Mendes
Almeida,Maria Tereza Carvalho
Alves,Maria Rachel
Saeger,Vanessa Souza de Araújo
Silva,Victor Bruno da
Oliveira,Victória Spínola Duarte de
Martelli Junior,Hercílio
Brito,Maria Fernanda Santos Figueiredo
Silveira,Marise Fagundes da
spellingShingle Maia,Fernanda Alves
Oliveira,Liliane Marta Mendes
Almeida,Maria Tereza Carvalho
Alves,Maria Rachel
Saeger,Vanessa Souza de Araújo
Silva,Victor Bruno da
Oliveira,Victória Spínola Duarte de
Martelli Junior,Hercílio
Brito,Maria Fernanda Santos Figueiredo
Silveira,Marise Fagundes da
AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL
author_facet Maia,Fernanda Alves
Oliveira,Liliane Marta Mendes
Almeida,Maria Tereza Carvalho
Alves,Maria Rachel
Saeger,Vanessa Souza de Araújo
Silva,Victor Bruno da
Oliveira,Victória Spínola Duarte de
Martelli Junior,Hercílio
Brito,Maria Fernanda Santos Figueiredo
Silveira,Marise Fagundes da
author_sort Maia,Fernanda Alves
title AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL
title_short AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL
title_full AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL
title_fullStr AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL
title_full_unstemmed AUTISM SPECTRUM DISORDER AND POSTNATAL FACTORS: A CASE-CONTROL STUDY IN BRAZIL
title_sort autism spectrum disorder and postnatal factors: a case-control study in brazil
description ABSTRACT Objective: To estimate the magnitude of the association between Autism Spectrum Disorder (ASD) and postnatal factors in a Brazilian population. Methods: A case-control study was performed with 253 individuals diagnosed with ASD and 886 individuals without signs of the disorder. A semi-structured questionnaire and the multiple logistic regression model were adopted in the data analysis. To estimate the magnitude of associations, the crude and adjusted Odds Ratio (OR) was used. Results: An association with the following factors was found: having been born with congenital malformation (OR 4.24; confidence interval of 95% - 95%CI 1.92-9.34), neonatal jaundice (OR 1.43; 95%CI 1.01-2.02), absence of crying at birth and seizure episode in childhood (OR 5.75; 95%CI 3.37-9.81). The magnitude of the association was higher in the children/adolescents who had two or more postnatal complications (OR 6.39; 95%CI 4.10-10.00). Conclusions: The findings of the present study suggest that malformation, neonatal jaundice, absence of crying at birth and seizure episodes in childhood are important factors to be considered when studying the etiology of ASD.
publisher Sociedade de Pediatria de São Paulo
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822019000400398
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