An incidence study of diagnosed autism-spectrum disorders among immigrants to The Netherlands
Abstract
Objective: To estimate the risk of developing autism‐spectrum disorder (ASD) in children born to immigrants as compared with children of Dutch‐born parents. Method: Retrospective, population‐based cohort study of all live births (n = 106 953) between 1998 and 2007 in a circumscribed geographical region in the Netherlands. Cohort members were linked to the Psychiatric Case Register to identify diagnosed cases. Results: A total of 518 cases of ASD were identified, including 150 children with autism and 368 children with Asperger syndrome or Pervasive Developmental Disorder Not Otherwise Specified (PDD‐NOS). Children born to migrants from developing countries were at significantly lower risk of ASD [rate ratio (RR) = 0.6, 95% confidence interval (CI) 0.5–0.9] than children of Dutch‐born parents. Within the ASD group, the risk for the subgroup with Asperger syndrome and PDD‐NOS was reduced (RR = 0.4, 95% CI 0.3–0.6), whereas that for narrowly defined autism was non‐significantly increased (RR = 1.4, 95% CI 0.9–2.4). Migrant groups did not differ in age at diagnosis. Conclusion: The results echo Swedish findings indicating a reversal of risk gradient in children of parents from developing countries, specifically a decreased risk for high‐functioning and increased risk for low‐functioning autism.
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Most studies showed increased risk of ASD among children of migrant parents, while some reported no association or even decreased risk.
“Most studies showed increased risk of ASD among children of migrant parents [61,62,63,64,65,66,67,69,70], while some reported no association [61,65,68,69] or even decreased risk [61,68,69,70].”
From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [70]
van der Ven et al. (2013) reported a decreased risk for ASD in children whose mothers were born in developing countries compared with those born in developed countries.
“van der Ven et al. (2013), however, reported a decreased risk for ASD in children whose mothers were born in developing countries compared with those born in developed countries [70].”
From Vitamin D and Autism Spectrum Disorder: A Literature Review (2016) · cites this paper as [70]
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- Authors
- van der Ven, E., Termorshuizen, F., Laan, W., Breetvelt, E. J., van Os, J., & Selten, J. P.
- Affiliations
- Rivierduinen Foundation GGZ Leiden Leiden
- University Medical Center Utrecht (NL)
- Department of Psychiatry and Neuropsychology Maastricht University Maastricht
- Maastricht University (NL)
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2012-12-09
- Volume
- 128
- Issue
- 1
- Pages
- 54-60
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1972023796
- Cited by
- 57
- References
- 25
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 7 · 2023: 3 · 2022: 5 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 1 · 2017: 6 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 4
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, immigrants, immigrant children, Asperger syndrome, pervasive developmental disorder not otherwise specified, age at diagnosis
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Autistic Disorder, Child, Child Development Disorders, Pervasive, Family Health, Female, Humans, Male, Netherlands, Registries, Risk Factors, Cohort Studies, Comorbidity, Incidence, Sex Distribution, Emigrants and Immigrants
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