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Population attributable fractions for three perinatal risk factors for autism spectrum disorders, 2002 and 2008 autism and developmental disabilities monitoring network.
Schieve, Laura A; Tian, Lin H; Baio, Jon; Rankin, Kristin; Rosenberg, Deborah; Wiggins, Lisa; Maenner, Matthew J; Yeargin-Allsopp, Marshalyn; Durkin, Maureen; Rice, Catherine; King, Lydia; Kirby, Russell S; Wingate, Martha S; Devine, Owen.
Afiliación
  • Schieve LA; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA. Electronic address: LSchieve@cdc.gov.
  • Tian LH; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
  • Baio J; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
  • Rankin K; School of Public Health, University of Illinois, Chicago.
  • Rosenberg D; School of Public Health, University of Illinois, Chicago.
  • Wiggins L; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
  • Maenner MJ; Waisman Center, University of Wisconsin-Madison.
  • Yeargin-Allsopp M; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
  • Durkin M; Waisman Center, University of Wisconsin-Madison.
  • Rice C; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
  • King L; Medical University of South Carolina, Charleston.
  • Kirby RS; School of Public Health, University of South Florida, Tampa.
  • Wingate MS; College of Public Health, University of Alabama-Birmingham.
  • Devine O; National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA.
Ann Epidemiol ; 24(4): 260-6, 2014 Apr.
Article en En | MEDLINE | ID: mdl-24529515
PURPOSE: Numerous studies establish associations between adverse perinatal outcomes/complications and autism spectrum disorder (ASD). There has been little assessment of population attributable fractions (PAFs). METHODS: We estimated average ASD PAFs for preterm birth (PTB), small for gestational age (SGA), and Cesarean delivery (CD) in a U.S. population. Average PAF methodology accounts for risk factor co-occurrence. ASD cases were singleton non-Hispanic white, non-Hispanic black, and Hispanic children born in 1994 (n = 703) or 2000 (n = 1339) who resided in 48 U.S. counties included within eight Autism and Developmental Disabilities Monitoring Network sites. Cases were matched on birth year, sex, and maternal county of residence, race-ethnicity, age, and education to 20 controls from U.S. natality files. RESULTS: For the 1994 cohort, average PAFs were 4.2%, 0.9%, and 7.9% for PTB, SGA, and CD, respectively. The summary PAF was 13.0% (1.7%-19.5%). For the 2000 cohort, average PAFs were 2.0%, 3.1%, and 6.7% for PTB, SGA, and CD, respectively, with a summary PAF of 11.8% (7.5%-15.9%). CONCLUSIONS: Three perinatal risk factors notably contribute to ASD risk in a U.S. population. Because each factor represents multiple etiologic pathways, PAF estimates are best interpreted as the proportion of ASD attributable to having a suboptimal perinatal environment resulting in PTB, SGA, and/or CD.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Generalizados del Desarrollo Infantil / Vigilancia de la Población / Atención Perinatal Tipo de estudio: Etiology_studies / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Male / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Ann Epidemiol Asunto de la revista: EPIDEMIOLOGIA Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Generalizados del Desarrollo Infantil / Vigilancia de la Población / Atención Perinatal Tipo de estudio: Etiology_studies / Risk_factors_studies / Screening_studies Límite: Adult / Female / Humans / Male / Newborn / Pregnancy País/Región como asunto: America do norte Idioma: En Revista: Ann Epidemiol Asunto de la revista: EPIDEMIOLOGIA Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos