Autism Spectrum disorders (ASD) in South Asia: a systematic review

被引:92
作者
Hossain, Mohammad Didar [1 ,2 ]
Ahmed, Helal Uddin [3 ]
Uddin, M. M. Jalal [4 ]
Chowdhury, Waziul Alam [5 ]
Iqbal, Mohd S. [6 ]
Kabir, Razin Iqbal [1 ]
Chowdhury, Imran Ahmed [1 ]
Aftab, Afzal [1 ,2 ]
Datta, Pran Gopal [7 ,8 ]
Rabbani, Golam [9 ]
Hossain, Saima Wazed [7 ,10 ,11 ]
Sarker, Malabika [1 ,12 ]
机构
[1] BRAC Univ, James P Grant Sch Publ Hlth, 68 Shahid Tajuddin Ahmed Sharani, Dhaka, Bangladesh
[2] Fdn Adv Innovat Technol & Hlth Faith, Iqbal Rd, Dhaka 1207, Bangladesh
[3] NIMH B, Dhaka 1207, Bangladesh
[4] Natl Inst Neurosci & Hosp Bangladesh NINS B, Dhaka 1207, Bangladesh
[5] NIMH B, Bangladesh Assoc Psychiatrists, Dhaka 1207, Bangladesh
[6] Icddr B, Nutr & Clin Serv Div, 68 Shahid Tajuddin Ahmed Sharani, Dhaka 1212, Bangladesh
[7] Shuchona Fdn, Bangabandhu Mem Trust Bldg,2nd Floor,8 Rd 11, Dhaka 1209, Bangladesh
[8] BSMMU, Dhaka 1000, Bangladesh
[9] Neurodev Disabil Protect Trust, Dept Social Serv Bldg, Dhaka 1207, Bangladesh
[10] World Hlth Org, Global Autism Advocate, Expert Advisory Panel Mental Hlth, Dhaka, Bangladesh
[11] Govt Bangladesh, Minist Hlth & Family Welf, Natl Advisory Comm Autism & Neurodev Disorders, Dhaka, Bangladesh
[12] Heidelberg Univ, Inst Publ Hlth, D-69120 Heidelberg, Germany
关键词
Autism spectrum disorders; Autism; South Asia; Prevalence; Bangladesh; India; Pakistan; Nepal; Sri Lanka; Bhutan; Maldives; Afghanistan; MENTAL-HEALTH; SEMIURBAN COMMUNITY; CHILDREN; PREVALENCE; URBAN; DISABILITY; DIAGNOSIS; SERVICE;
D O I
10.1186/s12888-017-1440-x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Autism spectrum disorders (ASD) are a group of complex neurodevelopmental disorders. The prevalence of ASD in many South Asian countries is still unknown. The aim of this study was to systematically review available epidemiological studies of ASD in this region to identify gaps in our current knowledge. Methods: We searched, collected and evaluated articles published between January 1962 and July 2016 which reported the prevalence of ASD in eight South Asian countries. The search was conducted in line with the PRISMA guidelines. Results: We identified six articles from Bangladesh, India, and Sri Lanka which met our predefined inclusion criteria. The reported prevalence of ASD in South Asia ranged from 0.09% in India to 1.07% in Sri Lanka that indicates up to one in 93 children have ASD in this region. Alarmingly high prevalence (3%) was reported in Dhaka city. Study sample sizes ranged from 374 in Sri Lanka to 18,480 in India. The age range varied between 1 and 30 years. No studies were found which reported the prevalence of ASD in Pakistan, Nepal, Bhutan, Maldives and Afghanistan. This review identifies methodological differences in case definition, screening instruments and diagnostic criteria among reported three countries which make it very difficult to compare the studies. Conclusions: Our study is an attempt at understanding the scale of the problem and scarcity of information regarding ASD in the South Asia. This study will contribute to the evidence base needed to design further research and make policy decisions on addressing this issue in this region. Knowing the prevalence of ASD in South Asia is vital to ensure the effective allocation of resources and services.
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页数:7
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