Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study

Galvan, Jo Ann Andoy and Ramalingam, Prabhagari Nair and Patil, Sapna Shridhar and Shobri, Muhammad Aminul Syahmi and Chidambaram, Kumarappan and Sahrir, Muhammad Sabri and Chinna, Karuthan (2019) Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study. In: 7th Asian Congress of Health Psychology (ACHP 2019), 19 - 21 Sept 2019, Sabah, Malaysia.

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Abstract

A rise in the prevalence of autism spectrum disorders in the last decades led recent research to focus on the diagnosis comparing environmental and genetic factors. This paper sought for possible factors that put children at risk for ASD. We investigated the association of ASD with the following independent factors: parental ages, parental age gaps, and birth order and birth delivery method among the Malaysian population. We recruited 929 children from primary national schools enrolled during the academic year 2017-2018 that with 465 cases and 464 controls. Questionnaires were distributed to the parents of these children and data analysed using SPSS version 20. Significant associations were found on three variables: mode of delivery (p <0.01), birth order (p < 0.001) and parental age gap (p<0.05). Emergency Caesarean section (OR = 1.55, 95% CI [1.13, 2.26]), earlier order of birth in the family (OR = 1.45, 95% CI [1.28-1.61]) and increasing gap in parental ages (OR = 1.04, 95% CI [1.001, 1.07]) were positively associated with ASD. This study concludes that emergency Caesarean section, earlier order of birth in the family and increasing gap in parental age are independent risk factors in the development of autism among primary school children in Malaysia.

Item Type:	Conference or Workshop Item (Plenary Papers)
Additional Information:	3267/80309
Uncontrolled Keywords:	Autism spectrum disorder; Malaysia; parental age; birth delivery; birth order; parental age gap
Subjects:	L Education > LC Special aspects of education R Medicine > RD Surgery > RD93 Emergency Surgery. Wounds and Injuries
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Education Kulliyyah of Education > Department of Language & Literacy
Depositing User:	Prof Dr Muhammad Sabri Sahrir
Date Deposited:	03 Jun 2020 09:00
Last Modified:	13 Jul 2020 11:42
URI:	http://irep.iium.edu.my/id/eprint/80309

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