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Sex differences in age of diagnosis of autism spectrum disorder: Preliminary evidence from Uganda.
- Source :
- Autism Research: Official Journal of the International Society for Autism Research; Jan2022, Vol. 15 Issue 1, p183-191, 9p
- Publication Year :
- 2022
-
Abstract
- This study was performed to determine (a) the age at which autism spectrum disorder (ASD) is first diagnosed in Ugandan children receiving mental health services, (b) whether age at diagnosis varies by sex and clinical presentation, and (c) the average age of ASD diagnosis in children manifesting comorbid conditions. A retrospective chart review was performed and demographic as well as clinical data were collected from children with ASD diagnoses who attended two mental health clinics in Uganda between 2014 and 2019. Descriptive statistics such as percentages, means, and standard deviations were used to summarize the data. Independent t‐test was also performed to determine differences in the mean age of diagnosis between males and females. Two hundred and thirty‐seven (156 males, 81 females) children with ASD were identified. The average age of ASD diagnosis was (6.9 ± 4.0) years. A statistically significant difference in age of ASD diagnosis was found between males and females (t = −2.106, p = 0.036), such that on average females received a diagnosis at least 1 year later than males. Of the 237 participants, 53.6% were identified with ASD only, 16.0% had ASD and ADHD, 10.5% were diagnosed with ASD and epilepsy, and 7.2% had a diagnosis of complex ASD. The results confirm delays in access to ASD diagnosis and suggest that females are more likely to receive a ASD diagnosis later than males within the Ugandan context. ASD awareness should be intensified to improve public or professional knowledge about ASD to enhance early identification in Uganda. Lay Summary: Data were extracted from the medical folders of children with a diagnosis of autism spectrum disorder (ASD) receiving mental health services in Central Uganda. We showed that female children receive ASD diagnosis at least 1 year later than males. In addition, in some children, ASD was diagnosed alongside other comorbidities such as ADHD and epilepsy. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 19393792
- Volume :
- 15
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Autism Research: Official Journal of the International Society for Autism Research
- Publication Type :
- Academic Journal
- Accession number :
- 154666112
- Full Text :
- https://doi.org/10.1002/aur.2645