Differing Diagnostic Trends in Autism Spectrum Disorders Between Ethnic Groups Reflecting Potential Etiological Risk Factors

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Gary Diamond Lutfi Jaber


Introduction: Autism spectrum disorders (ASDs) are a group of developmental disabilities characterized by impairments in social interaction and communication, and by restricted, repetitive, and stereotyped patterns of behavior.  Symptoms typically are apparent before age three years.

Aim: To determine the prevalence of ASD amongst children along ethno-religious lines, where differences might point to potential trigger factors in its causation in a middle to high-income country.

Methods: Diagnostic trends of ASD over the past 18 years were examined over a wide geographical area of central Israel, encompassing a database of 331,169 children, aged 3-18 years. Special importance was attached to statistics from different religious and ethno-cultural groups as potentially reflecting discrepancies in diagnosis, reporting, and possible environmentally- related factors in the presentation of a genetically determined  syndrome.

Results: Overall prevalence was 0.005 (1/200 live births), well below figures from other similar studies abroad and in Israel. Prevalence figures for the ultra-orthodox Jewish community were low (0.0021), when compared with the general population and similar that among Israeli Arabs (0.0017). Time trends indicated a surge in diagnosis of ASD among Israeli Arabs between the years 2008 and 2011, in contrast with a general flattening of figures for the orthodox community.
Conclusions: Results indicated that besides discrepancies in diagnosis and reporting factors, there exists a possible relation between the actual expression of ASD, its genetic predisposition and socioeconomic/cultural status as impacting as part of the epigenetic factors in the causality of autism. Our prevalence rates are currently lower than those of ASD in Europe and the USA.

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DIAMOND, Gary; JABER, Lutfi. Differing Diagnostic Trends in Autism Spectrum Disorders Between Ethnic Groups Reflecting Potential Etiological Risk Factors. Medical Research Archives, [S.l.], v. 10, n. 8, aug. 2022. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2976>. Date accessed: 07 oct. 2022. doi: https://doi.org/10.18103/mra.v10i8.2976.
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