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J Autism Dev Disord. 2018 Oct;48(10):3367-3376. doi: 10.1007/s10803-018-3598-6.

Parental First Concerns and Timing of Autism Spectrum Disorder Diagnosis.

Author information

1
Department of Research & Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena, CA, 91101, USA. Tracy.A.Becerra@kp.org.
2
Kaiser Permanente Center for Health Research, 3800 N. Interstate Avenue, Portland, OR, 97227, USA.
3
Division of Health Management and Policy, Georgia State University, 140 Decatur St. Suite 434, Atlanta, GA, 30303, USA.
4
Center for Clinical and Outcomes Research, Kaiser Permanente Georgia, 3495 Piedmont Road NE Building 11, Suite 110, Atlanta, GA, 30305, USA.
5
Kaiser Permanente Developmental-Behavioral Pediatrics, Southern California Permanente Medical Group, 1011 Baldwin Park Blvd, Baldwin Park, CA, 91706, USA.
6
Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA, 94612, USA.

Abstract

Specific developmental concerns can distinguish between an early versus later diagnosis of autism spectrum disorder (ASD). Caregiver survey responses of children ≥ 9 years-of-age (2012) with ASD were used to evaluate developmental concerns and associations with age of diagnosis [early (< 3 years: n = 106) vs. later (≥ 3 years: n = 432)] using logistic regression. Concerns arose at mean age 18 and 35-months for children diagnosed early versus later, respectively. Concerns about poor eye contact (aOR 1.81, CI 1.08, 3.05), pointing/gesturing (aOR 2.74, CI 1.60, 4.70), response to own name (aOR 3.03, CI 1.75, 5.23), and babbling/speaking (aOR 1.67, CI 0.98, 2.82) were associated with an early diagnosis. Caregivers and pediatricians are critical in early identification and timely entry into intervention.

KEYWORDS:

Autism spectrum disorder; Developmental concerns; Early diagnosis; Parent; Survey

PMID:
29754290
DOI:
10.1007/s10803-018-3598-6
[Indexed for MEDLINE]

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