Migration Status and Age at Assessment for Suspected Autism Spectrum Disorder at Two Specialist Centres in Northern Italy-Journal of Psychiatry and Brain Science-CSCIED科技核心评价数据库-手机版

Migration Status and Age at Assessment for Suspected Autism Spectrum Disorder at Two Specialist Centres in Northern Italy

Migration Status and Age at Assessment for Suspected Autism Spectrum Disorder at Two Specialist Centres in Northern Italy

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DOI	10.20900/jpbs.20240012
刊名	Journal of Psychiatry and Brain Science JPBS
年，卷(期)	2024, 9(6)
作者	Chiara Centomo,Patrizia Stoppa,Andrea E. Cavanna*,
作者单位	Department of Child and Adolescent Neuropsychiatry, ASST Papa Giovanni XXIII, Bergamo 24127, Italy ; School of Medicine and Surgery, University of Milano-Bicocca, Milan 20126, Italy ;
摘要	Background: Migration has increasingly been recognised as an environmental factor potentially affecting the development and course of autism spectrum disorder (ASD). Little is known about the impact of migration status on the timing of access to specialist assessment of young immigrants with ASD. Methods: We conducted a retrospective chart review to investigate the relationship between migration status of 184 children with ASD (138 males, 75.0%) and their age at first medical appointment for suspected ASD at two specialist centres in Northern Italy. Results: According to migration status, 99 individuals were classed as immigrant (74 males, 74.7%) and 85 as non-immigrant (64 males, 75.3%). Our findings confirmed the effect of migration status on the age at first medical appointment for suspected ASD, with immigrants accessing specialist assessment at a significantly earlier age compared to non-immigrants (F = 3.97; p = 0.048). The lower prevalence of high-functioning ASD in immigrants (Χ2 = 16.32; p < 0.001), likely related to environmental and cultural factors, could be responsible for their earlier age at first medical appointment. Conclusions: The relationship between migration status and ASD should be the focus of further research, in order to facilitate the development of more personalised care pathways for childhood ASD in different clinical populations.
Abstract	Background: Migration has increasingly been recognised as an environmental factor potentially affecting the development and course of autism spectrum disorder (ASD). Little is known about the impact of migration status on the timing of access to specialist assessment of young immigrants with ASD. Methods: We conducted a retrospective chart review to investigate the relationship between migration status of 184 children with ASD (138 males, 75.0%) and their age at first medical appointment for suspected ASD at two specialist centres in Northern Italy. Results: According to migration status, 99 individuals were classed as immigrant (74 males, 74.7%) and 85 as non-immigrant (64 males, 75.3%). Our findings confirmed the effect of migration status on the age at first medical appointment for suspected ASD, with immigrants accessing specialist assessment at a significantly earlier age compared to non-immigrants (F = 3.97; p = 0.048). The lower prevalence of high-functioning ASD in immigrants (Χ2 = 16.32; p < 0.001), likely related to environmental and cultural factors, could be responsible for their earlier age at first medical appointment. Conclusions: The relationship between migration status and ASD should be the focus of further research, in order to facilitate the development of more personalised care pathways for childhood ASD in different clinical populations.
关键词	autism spectrum disorder; migration; assessment; age; severity
KeyWord	autism spectrum disorder; migration; assessment; age; severity
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Chiara Centomo,Patrizia Stoppa,Andrea E. Cavanna*. Migration Status and Age at Assessment for Suspected Autism Spectrum Disorder at Two Specialist Centres in Northern Italy [J]. Journal of Psychiatry and Brain Science. 2024; 9; (6). - .

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