Objective To investigate the risk factors affecting children with autism spectrum disorder (ASD) and to offer basis for etiology,pathogenesis and prevention for ASD. Methods A total of 80 children with ASD and 80 normal children were investigated in this case-control study.Risk factors were obtained through self-administered questionnaires which were completed by parents. Results Logistic analysis according to their contributive values showed the risk factors were postterm delivery (OR=20.396,P<0.01),atificial feeding (OR=7.567,P<0.01),neonatal jaundice (OR=7.234,P<0.01),hypoxia (OR=6.411,P<0.05),risk factors during pregnancy (OR=3.354,P<0.01),plastic toys (OR=3.115,P<0.01) and mother's introversion character (OR=2.086,P<0.05).However,regular family education was the protect factor. Conclusions The environment factors,the unfavorable events in pregnant and delivery,the neonatal and developmental phase could increase the incidence of autism spectrum disorder.Some effective should be taken to control these risk factors.
Key words
autism spectrum disorder /
autism /
influencing factor /
risk factor /
childhood
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References
[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].5th ed.Arlington,VA:American Psychiatric Association,2013.
[2] CDC.Prevalence of autism spectrum disorder among children aged 8 years-autism and developmental disabilities monitoring network,11 Sites,United States,2010[J].MMWR,2014,63(SS02):1-21.
[3] 赵夏薇.孤独症临床危险因素相关研究与进展[J].中国儿童保健杂志,2008,16(1):67-69.
[4] 田疆.儿童孤独症危险因素的研究[D].天津医科大学,2006.DOI:10.7666/d.y881030.
[5] 张雅丽,牛小媛.孤独症危险因素探讨[J].长治医学院学报,2012,26(3):181-184.
[6] 孙彩虹,王佳,孙礼,等.孤独症儿童与正常儿童父母个性特征比较[J].中国学校卫生,2010,31(2):131-133.
[7] 冼丹霞,金宇,谢笑英,等.儿童孤独症发病危险因素的病例对照研究[J].中国儿童保健杂志,2014,22(1):24-27.
[8] 林艳,万国斌,袁世新.孕期危险因素与儿童孤独症关系的 Meta 分析[J].中国妇幼保健,2012,27(021):3359-3362.
[9] Guinchat V,Thorsen P,Laurent C,et al.Pre‐,peri‐and neonatal risk factors for autism[J].Acta obstetricia et gynecologica Scandinavica,2012,91(3):287-300.
[10] Zhang X,Lv CC,Tian J,et al.Prenatal and perinatal risk factors for autism in China[J].Journal of autism and developmental disorders,2010,40(11):1311-1321.
[11] 张真.温州地区儿童自闭症临床资料分析[D].温州医学院,2011.
[12] 王哲.儿童孤独症的病因及影响因素初探[J].中国妇幼保健,2012,27(035):5834-5834.
[13] 戴旭芳.自闭症儿童与普通儿童的饮食状况比较研究[J].中国特殊教育,2006,77(11):4-6.
[14] 赵冬梅,王广新,尚晓瑞,等.145例儿童孤独症的危险因素分析[J].中国保健营养:中旬刊,2013,(9):796-796,797.
[15] 张静,赵桂兰,徐翠青,等.家庭因素与儿童孤独症的病例对照研究[J].中国妇幼保健,2009,24(6):777-779.