The co-occurrence of autism and birth defects: prevalence and risk in a population-based cohort.

AIM :To estimate the prevalence of major birth defects among children with autism, the prevalence of autism in children with birth defects, and the risk for autism associated with having birth defects. METHOD: Retrospective cohort including all children born in Atlanta, GA, USA, 1986 to 1993, who su...

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Publicado en:Developmental Medicine & Child Neurology Vol. 51; no. 10; pp. 779 - 787
Autores principales: Schendel DE, Autry A, Wines R, Moore C
Formato: research Journal Article
Publicado: Wiley-Blackwell Oct2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2009
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      pub: Wiley-Blackwell
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        10.1111/j.1469-8749.2009.03310.x
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        atl: The co-occurrence of autism and birth defects: prevalence and risk in a population-based cohort.
      aug:
        au:
          Schendel DE
          Autry A
          Wines R
          Moore C
        affil: Division of Birth Defects and Developmental Disabilities, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. dschendel@cdc.gov
      sug:
        subj:
          Abnormalities Epidemiology
          Autism Spectrum Disorder Epidemiology
          Child
          Child, Preschool
          Developmental Disabilities Epidemiology
          Disability Evaluation
          Female
          Georgia
          Health and Welfare Planning
          Male
          Prevalence
          Prospective Studies
          Retrospective Design
          Risk Factors
          Human
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: AIM :To estimate the prevalence of major birth defects among children with autism, the prevalence of autism in children with birth defects, and the risk for autism associated with having birth defects. METHOD: Retrospective cohort including all children born in Atlanta, GA, USA, 1986 to 1993, who survived to age 3 years and were identified through Georgia vital records. Children with autism and other developmental disabilities residing in Atlanta at ages 3 to 10 years in 1996 were identified through the Metropolitan Atlanta Developmental Disabilities Surveillance Program. Children with major birth defects through age 6 years were identified by the Metropolitan Atlanta Congenital Defects Program. RESULTS: Birth defects were found among 6% of children with autism (total n=617; 488 males, 129 females) and was associated with a near twofold increased risk for autism overall. However, the risk magnitude and statistical significance varied by type of birth defect. With any type of birth defect, the risk for autism accompanied by intellectual disability or other developmental disabilities was typically higher than the risk for autism alone. A 6:1 to 8:1 male bias was observed among children with autism and a birth defect. INTERPRETATION: Investigation of the association between autism and birth defects is warranted, especially for the role of birth defects in autism among sex-specific or autism subgroups.
      pubtype: Academic Journal
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        research
        Journal Article
      ougenre: Article
    language: English
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