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Prenatal Risk Factors of Autism Spectrum Disorder Compared to Congenital Visual and Hearing Loss: A Case-Control
Mohammad Ali Mansournia1,2, Amin Nakhostin-Ansari2, Monir Shayestehfar2
1Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iranian Journal of Child Neurology
|November 10, 2025
Summary
This study identified distinct prenatal risk factors for autism spectrum disorder (ASD) versus visual and hearing loss (VL/HL). Higher parental education and gestational hypertension are linked to ASD, while other factors are associated with VL/HL.
Area of Science:
- Neurodevelopmental disorders
- Ophthalmology
- Audiology
Background:
- Autism spectrum disorder (ASD) and visual/hearing loss (VL/HL) share some associations.
- Understanding unique risk factors is crucial for targeted interventions and research.
Purpose of the Study:
- To investigate and compare prenatal risk factors specific to ASD versus VL/HL.
- To differentiate etiological pathways between neurodevelopmental and sensory impairments.
Main Methods:
- A case-control study design was employed.
- Participants included individuals with ASD and controls with VL/HL recruited from special schools.
- Parental questionnaires gathered data on demographics, socioeconomic status, family history, and pregnancy complications.
Main Results:
- Higher parental education and gestational hypertension were significantly associated with increased ASD risk.
- Female gender, non-cohabiting parents, and consanguineous marriages were linked to higher VL/HL risk.
- A notable difference in male-to-female ratio was observed between the ASD and VL/HL groups.
Conclusions:
- This study highlights distinct prenatal risk factor profiles for ASD compared to VL/HL.
- Findings suggest unique etiological pathways for ASD, warranting further investigation into specific risk factors.
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