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CDC Kerala 14: Early child care practices at home among children (2-6 y) with autism--a case control study

Babu George1, M S Razeena Padmam, M K C Nair

  • 1Child Development Centre, Thiruvananthapuram Medical College, Thiruvananthapuram, 695011, Kerala, India, babugeo@rediffmail.com.

Indian Journal of Pediatrics
|November 5, 2014
PubMed

Insights

Early child care practices like limited social interaction, reduced storytelling, and shorter breastfeeding duration are linked to autism risk in children aged 2-6. These factors, alongside lack of outdoor activities, indicate potential environmental influences on autism development.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Autism Spectrum Disorder (ASD) is a complex neurodevelopmental condition.
  • Identifying early risk factors is crucial for timely intervention.
  • Child care practices at home are considered potential environmental influences.

Purpose of the Study:

  • To investigate early child care practices as potential risk factors for autism.
  • To compare these practices between children with autism and typically developing children.
  • To identify specific home-based factors associated with increased autism risk.

Main Methods:

  • A case-control study involving 143 children diagnosed with autism (2-6 years) and 200 typically developing controls.
  • Data collected via a structured questionnaire on early child care practices.
  • Analysis focused on identifying significant associations between practices and autism diagnosis.

Main Results:

  • Lack of outdoor activities showed a significant odds ratio (OR=3.36) for autism risk.
  • Limited social play with peers (OR=19.57) was strongly associated with autism.
  • Reduced storytelling/singing (OR=3.21) and breastfeeding duration of less than 6 months (OR=3.40) were also significant risk factors.

Conclusions:

  • Early home child care practices, including social interaction, cognitive stimulation, and breastfeeding, are associated with autism risk.
  • Specific factors like limited peer play, no outings, reduced storytelling, and short breastfeeding duration are identified as potential risk factors.
  • These findings highlight the importance of supportive early home environments in child development and autism prevention.
Abstract

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