Effect of relative age on diagnosis of autism spectrum disorder in children: a nationwide study in Taiwan
Autor: | Kai Lin Huang, Ya Mei Bai, Mu Hong Chen, Shih-Jen Tsai, Ju Wei Hsu, Tung Ping Su, Tzeng Ji Chen |
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Rok vydání: | 2021 |
Předmět: |
Male
medicine.medical_specialty Adolescent Databases Factual Autism Spectrum Disorder Taiwan Logistic regression 03 medical and health sciences 0302 clinical medicine Odds Ratio Developmental and Educational Psychology medicine Child and adolescent psychiatry Humans 0501 psychology and cognitive sciences Child business.industry 05 social sciences General Medicine Odds ratio medicine.disease Confidence interval 030227 psychiatry Psychiatry and Mental health National health insurance Autism spectrum disorder Pediatrics Perinatology and Child Health Autism Female business Neurocognitive 050104 developmental & child psychology Demography |
Zdroj: | European Child & Adolescent Psychiatry. 31:1565-1571 |
ISSN: | 1435-165X 1018-8827 |
Popis: | The annual cut-off birthdate for entry into school in Taiwan is August 31. Thus, children and adolescents born in August are typically the youngest in their grades. The potential effect of relative age on the diagnosis of autism spectrum disorder (ASD) remains uncertain. A total of 9,548,393 individuals aged 3–17 years during the study period (from September 1, 2001, to August 31, 2011) identified from the Taiwan National Health Insurance Research Database were enrolled into our study. Logistic regression analysis was used to examine the likelihood of receiving ASD diagnosis for those who were born in August (the youngest) compared with those who were born in September (the oldest). Both boys and girls born in August had a higher likelihood of being diagnosed with ASD (odds ratio [OR]: 1.24, 95% confidence interval [CI]: 1.16–1.32; OR: 1.23, 95% CI 1.06–1.42) than did those born in September. Sensitivity analysis conducted over different periods revealed consistent findings. Relative age, as an indicator of neurocognitive maturity, is a crucial contributor to the risk of being diagnosed with ASD among children and adolescents. Our findings highlight the importance of considering the age of a child within a grade when diagnosing ASD. |
Databáze: | OpenAIRE |
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