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

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 ind...

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Main Authors: Galvan, Jo Ann Andoy, Ramalingam, Prabhagari Nair, Patil, Sapna Shridhar, Shobri, Muhammad Aminul Syahmi, Chidambaram, Kumarappan, Sahrir, Muhammad Sabri, Chinna, Karuthan
Format: Proceeding Paper
Language:English
Published: Universiti Malaysia Sabah 2019
Subjects:
Online Access:http://irep.iium.edu.my/80309/
http://irep.iium.edu.my/80309/1/PROCEEDINGS%20ACHP%202019.pdf
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author Galvan, Jo Ann Andoy
Ramalingam, Prabhagari Nair
Patil, Sapna Shridhar
Shobri, Muhammad Aminul Syahmi
Chidambaram, Kumarappan
Sahrir, Muhammad Sabri
Chinna, Karuthan
author_facet Galvan, Jo Ann Andoy
Ramalingam, Prabhagari Nair
Patil, Sapna Shridhar
Shobri, Muhammad Aminul Syahmi
Chidambaram, Kumarappan
Sahrir, Muhammad Sabri
Chinna, Karuthan
author_sort Galvan, Jo Ann Andoy
building IIUM Repository
collection Online Access
description 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.
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format Proceeding Paper
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institution International Islamic University Malaysia
institution_category Local University
language English
last_indexed 2025-11-14T17:48:43Z
publishDate 2019
publisher Universiti Malaysia Sabah
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spelling iium-803092020-07-13T03:42:14Z http://irep.iium.edu.my/80309/ 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 Ramalingam, Prabhagari Nair Patil, Sapna Shridhar Shobri, Muhammad Aminul Syahmi Chidambaram, Kumarappan Sahrir, Muhammad Sabri Chinna, Karuthan LC Special aspects of education RD93 Emergency Surgery. Wounds and Injuries 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. Universiti Malaysia Sabah 2019 Proceeding Paper PeerReviewed application/pdf en http://irep.iium.edu.my/80309/1/PROCEEDINGS%20ACHP%202019.pdf 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. https://conferences.cseap.edu.my/achp2019/#top
spellingShingle LC Special aspects of education
RD93 Emergency Surgery. Wounds and Injuries
Galvan, Jo Ann Andoy
Ramalingam, Prabhagari Nair
Patil, Sapna Shridhar
Shobri, Muhammad Aminul Syahmi
Chidambaram, Kumarappan
Sahrir, Muhammad Sabri
Chinna, Karuthan
Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study
title Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study
title_full Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study
title_fullStr Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study
title_full_unstemmed Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study
title_short Association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among Malaysian children: a case-control study
title_sort association between emergency caesarean section, earlier order of birth, high parental age gap and autism spectrum disorder among malaysian children: a case-control study
topic LC Special aspects of education
RD93 Emergency Surgery. Wounds and Injuries
url http://irep.iium.edu.my/80309/
http://irep.iium.edu.my/80309/
http://irep.iium.edu.my/80309/1/PROCEEDINGS%20ACHP%202019.pdf