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Risk Factors for Autism: Perinatal Factors, Parental Psychiatric History, and Socioeconomic Status
Journal article   Open access   Peer reviewed

Risk Factors for Autism: Perinatal Factors, Parental Psychiatric History, and Socioeconomic Status

Heidi Jeanet Larsson, William W. Eaton, Kreesten Meldgaard Madsen, Mogens Vestergaard, Anne Vingaard Olesen, Esben Agerbo, Diana Schendel, Poul Thorsen and Preben Bo Mortensen
American journal of epidemiology, v 161(10), pp 916-925
15 May 2005
PMID: 15870155
url
https://doi.org/10.1093/aje/kwi123View
Published, Version of Record (VoR) Open

Abstract

autistic disorder Eighth Revision fetal growth retardation ICD-10 ICD-8 IDA Integrated Database for Longitudinal Labour Market Research International Classification of Diseases MBR Medical Birth Register mental disorders parturition PCR perinatology pregnancy outcome Psychiatric Central Register Tenth Revision
Research suggests that heredity and early fetal development play a causal role in autism. This case-control study explored the association between perinatal factors, parental psychiatric history, socioeconomic status, and risk of autism. The study was nested within a cohort of all children born in Denmark after 1972 and at risk of being diagnosed with autism until December 1999. Prospectively recorded data were obtained from nationwide registries in Denmark. Cases totaled 698 children with a diagnosis of autism; each case was individually matched by gender, birth year, and age to 25 controls. Analyses by conditional logistic regression produced risk ratios and 95% confidence intervals. Adjusted analyses showed that the risk of autism was associated with breech presentation (risk ratio (RR) = 1.63, 95% confidence interval (CI): 1.18, 2.26), low Apgar score at 5 minutes (RR = 1.89, 95% CI: 1.10, 3.27), gestational age at birth <35 weeks (RR = 2.45, 95% CI: 1.55, 3.86), and parental psychiatric history (schizophrenia-like psychosis: RR = 3.44, 95% CI: 1.48, 7.95; affective disorder: RR = 2.91, 95% CI: 1.65, 5.14). Analyses showed no statistically significant association between risk of autism and weight for gestational age, parity, number of antenatal visits, parental age, or socioeconomic status. Results suggest that prenatal environmental factors and parental psychopathology are associated with the risk of autism. These factors seem to act independently.

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