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

BMC Psychiatry

Research Article

Waziul Alam Chowdhury¹  Razin Iqbal Kabir²  Imran Ahmed Chowdhury²  Afzal Aftab³  Mohammad Didar Hossain³  Malabika Sarker⁴  Helal Uddin Ahmed⁵  M M Jalal Uddin⁶  Golam Rabbani⁷  Mohd S Iqbal⁸  Pran Gopal Datta⁹  Saima Wazed Hossain^1,10 

[1] Bangladesh Association of psychiatrists, National Institute of Mental Health, Bangladesh (NIMH,B), Sher-E-Bangla Nagar, 1207, Dhaka, Bangladesh;James P. Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Dhaka, Bangladesh;James P. Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Dhaka, Bangladesh;Foundation for Advancement of Innovations in Technology and Health (faith), Bangladesh, Iqbal Road, Mohammadpur, 1207, Dhaka, Bangladesh;James P. Grant School of Public Health, BRAC University, 68 Shahid Tajuddin Ahmed Sharani, Dhaka, Bangladesh;Institute of Public Health, University of Heidelberg, Im Neuenheimer Feld, 69120, Heidelberg, Germany;National Institute of Mental Health, Bangladesh (NIMH,B), Sher-E-Bangla Nagar, 1207, Dhaka, Bangladesh;National Institute of Neurosciences & Hospital, Bangladesh (NINS,B), Sher-E-Bangla Nagar, 1207, Dhaka, Bangladesh;Neuro-Developmental Disability Protection Trust, Department of Social Services Building, Agargaon, Sher-e-Bangla Nagar, 1207, Dhaka, Bangladesh;Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68 Shahid Tajuddin Ahmed Sharani, Mohakhali, 1212, Dhaka, Bangladesh;Shuchona Foundation, Bangabandhu Memorial Trust Building, 2nd floor, 8 Rd No 11, 1209, Dhaka, Bangladesh;Bangabandhu Sheikh Mujib Medical University (BSMMU), 1000, Dhaka, Bangladesh;Shuchona Foundation, Bangabandhu Memorial Trust Building, 2nd floor, 8 Rd No 11, 1209, Dhaka, Bangladesh;Expert Advisory Panel on Mental Health; Global Autism Advocate, World Health Organization, Dhaka, Bangladesh;National Advisory Committee for Autism and Neurodevelopmental Disorders, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh;

关键词: Autism spectrum disorders;    Autism;    South Asia;    Prevalence;    Bangladesh;    India;    Pakistan;    Nepal;    Sri Lanka;    Bhutan;    Maldives;    Afghanistan;   

DOI  :  10.1186/s12888-017-1440-x

 received in 2017-05-02, accepted in 2017-07-23,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAutism 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.MethodsWe 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.ResultsWe 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.ConclusionsOur 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.

【 授权许可】

CC BY   
© The Author(s). 2017