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Eye Tracking Young Children with Autism
Published on: March 27, 2012
Immunization uptake in younger siblings of children with autism spectrum disorder
Ghassan Abu Kuwaik1, Wendy Roberts, Lonnie Zwaigenbaum
11University of Toronto, Canada.
Insights
Parents of children with autism spectrum disorder (ASD) may delay or decline immunizations for younger siblings. This hesitancy increases the risk of preventable infectious diseases in these children.
Area of Science:
- Pediatric Health
- Immunology
- Neurodevelopmental Disorders
Background:
- Parental concerns link immunizations to autism spectrum disorder (ASD) risk.
- This fear may lead to lower vaccination rates in younger siblings of children with ASD.
Purpose of the Study:
- To compare immunization uptake in younger siblings versus their older siblings diagnosed with ASD (probands) and controls.
- To investigate parental decisions regarding childhood immunizations in families with a history of ASD.
Main Methods:
- Retrospective study analyzing immunization status.
- Involved 98 younger siblings, 98 probands with ASD, and 65 controls.
- Data collected on delayed or declined immunizations.
Main Results:
- Significant differences in overall immunization status were observed (p < .001).
- 48% of younger siblings had delayed and 12.2% declined immunizations.
- Controls were fully immunized; probands had lower rates than controls, and younger siblings had the lowest rates.
Conclusions:
- Parents with a child diagnosed with ASD may delay or refuse immunizations for subsequent children.
- This hesitancy poses a significant risk for younger siblings contracting preventable infectious diseases.
Background:
Parental concerns persist that immunization increases the risk of autism spectrum disorder, resulting in the potential for reduced uptake by parents of younger siblings of children with autism spectrum disorder ("younger sibs").
Objective:
To compare immunization uptake by parents for their younger child relative to their older child with autism spectrum disorder ("proband") and controls.
Design:
Immunization status was obtained for 98 "younger sibs," 98 "probands," and 65 controls.
Results:
A significant group difference emerged for overall immunization status (Fisher's exact test = 62.70, p < .001). One or more immunizations in 59/98 younger sibs were delayed (47/98; 48%) or declined (12/98; 12.2%); immunizations were delayed in 16/98 probands (16.3%) and declined in only one. All controls were fully immunized, with only 6 (9.2%) delayed. Within the "younger sibs" group, 25/98 received an autism spectrum disorder diagnosis; 7 of whom (28%) were fully immunized. The rates of autism spectrum disorder diagnosis did not differ between immunized and nonimmunized younger sib groups, although small sample size limits interpretability of this result.
Conclusion:
Parents who already have one child with autism spectrum disorder may delay or decline immunization for their younger children, potentially placing them at increased risk of preventable infectious diseases.
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