Association between parental nativity and autism spectrum disorder among US-born non-Hispanic white and Hispanic children, 2007 National Survey of Children’s Health
Abstract
Background Limited studies suggest the prevalence of autism spectrum disorders (ASD) varies by whether maternal and child birth country are discordant.Objective/hypothesis We explored associations between ASD and maternal and paternal nativity in a sample of US-born non-Hispanic white (NHW, n = 37,265) and US-born Hispanic (n = 4,690) children in the 2007 National Survey of Children's Health (NSCH).Methods We assessed ASD prevalence within race-ethnicity and parental nativity subgroups. Prevalence ratios (aPR), comparing each group to NHW children with 2 US-born parents, were adjusted for child age, sex, and receipt of care in a medical home. Estimates were weighted to reflect US noninstitutionalized children. Standard errors were adjusted to account for the complex sample design.Results In NHW children with 2 US-born parents, ASD prevalence was 1.19%; estimates were similar for NHW children with a foreign-born mother or father. There was a striking heterogeneity between Hispanic children with 2 US-born versus 2 foreign-born parents (ASD prevalence 2.39% versus 0.31%, p = .05). Even after adjustment, PRs comparing ASD prevalence in Hispanic versus NHW children were vastly different for Hispanic subgroups, suggesting a substantially lower prevalence for Hispanic children with both parents foreign-born (aPR 0.2, 95% confidence interval 0.1-0.5) and a higher prevalence for Hispanic children with both parents US-born (aPR 2.0 [0.8-4.6]).Conclusions Previous studies comparing ASD prevalence between NHW and Hispanic children based on a composite Hispanic grouping without consideration of parental nativity likely missed important differences between these racial-ethnic groups. Continuing efforts toward improving early identification in Hispanic children are needed.
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Several recent studies suggest that parental immigration, especially maternal immigration but also paternal immigration, is a risk factor for ASD.
“In fact, several recent studies suggest that parental immigration, especially maternal immigration but also paternal immigration, is a risk factor for ASD (53–59).”
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- Authors
- Schieve, L. A., Boulet, S. L., Blumberg, S. J., Kogan, M. D., Yeargin-Allsopp, M., Boyle, C. A., Visser, S. N., & Rice, C.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Health Resources and Services Administration (US)
- Corresponding author
- Schieve, Laura A.
- ORCID
- Venue
- Disability and Health Journal
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 5
- Issue
- 1
- Pages
- 18-25
- ISSN
- 1876-7583 (ISSN-L)
- 1936-6574
- OpenAlex
- W2105991895
- Cited by
- 55
- References
- 18
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 8 · 2018: 6 · 2017: 5 · 2015: 7 · 2014: 8 · 2013: 3 · 2012: 2
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disability and health journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, parental nativity, foreign-born parents, Hispanic children, non-Hispanic white children, autism prevalence, racial and ethnic disparities, early detection, National Survey of Children's Health
- MeSH terms
- Adolescent, Child, Child Development Disorders, Pervasive, Child, Preschool, Female, Health Surveys, Hispanic or Latino, Humans, Male, Parents, United States, Prevalence, White People, Racial Groups, Emigrants and Immigrants
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