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Parental migration and Asperger’s syndrome

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Abstract

Parental immigration has been suggested as a possible risk factor for autism spectrum disorders (ASD), but findings have been inconsistent. Very few studies have focused specifically on Asperger’s syndrome. The aim of this study was to examine the association between maternal and paternal immigration and the diagnosis of Asperger’s syndrome in offspring. The study was a nested case–control study based on a national birth cohort in Finland. Children born in 1987–2005 and diagnosed with Asperger’s syndrome by the year 2007 were identified from the Finnish Hospital Discharge Register (N = 1,783). Four matched controls for each case were selected from the Finnish Medical Birth Register (N = 7,106). Information on maternal and paternal country of birth and mother tongue was collected from the Finnish Central Population Register. The study showed that children whose parents are both immigrants have a significantly lower likelihood of being diagnosed with Asperger’s syndrome than those with two Finnish parents [adjusted odds ratio (aOR) 0.2, 95 % confidence interval (CI) 0.1–0.4]. No significant associations were found between having only one immigrant parent and the diagnosis of Asperger’s syndrome. A regional analysis showed a significantly decreased likelihood of the diagnosis of Asperger’s syndrome in children whose mother (aOR 0.1, 95 % CI 0.01–0.5) or father (aOR 0.2, 95 % CI 0.05–0.5) was born in Sub-Saharan Africa. The findings may help in identifying risk factors for different ASD subtypes. On the other hand, they might reflect service use of immigrant families in Finland.

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References

  1. Lai MC, Lombardo MV, Baron-Cohen S (2014) Autism. Lancet 383:896–910

    Article  PubMed  Google Scholar 

  2. Fombonne E (2001) Is there an epidemic of autism? Pediatrics 107:411–412

    Article  CAS  PubMed  Google Scholar 

  3. Betancur C (2011) Etiological heterogeneity in autism spectrum disorders: more than 100 genetic and genomic disorders and still counting. Brain Res 1380:42–77

    Article  CAS  PubMed  Google Scholar 

  4. Herbert MR (2010) Contributions of the environment and environmentally vulnerable physiology to autism spectrum disorders. Curr Opin Neurol 23:103–110

    Article  PubMed  Google Scholar 

  5. Meek SE, Lemery-Chalfant K, Jahromi LB, Valiente C (2013) A review of gene-environment correlations and their implications for autism: a conceptual model. Psychol Rev 120:497–521

    Article  PubMed  Google Scholar 

  6. Magnusson C, Rai D, Goodman A, Lundberg M, Idring S, Svensson A, Koupil I, Serlachius E, Dalman C (2012) Migration and autism-spectrum disorder: population-based study. Br J Psychiatry 201:109–115

    Article  PubMed  Google Scholar 

  7. Keen DV, Reid FD, Arnone D (2010) Autism, ethnicity and maternal immigration. Br J Psychiatry 196:274–281

    Article  CAS  PubMed  Google Scholar 

  8. Williams K, Helmer M, Duncan GW, Peat JK, Mellis CM (2008) Perinatal and maternal risk factors for autism spectrum disorders in New South Wales, Australia. Child Care Health Dev 34:249–256

    Article  CAS  PubMed  Google Scholar 

  9. Dealberto MJ (2011) Prevalence of autism according to maternal immigrant status and ethnic origin. Acta Psychiatr Scand 123:339–348

    Article  PubMed  Google Scholar 

  10. Kinney DK, Barch DH, Chayka B, Napoleon S, Munir KM (2010) Environmental risk factors for autism: do they help cause de novo genetic mutations that contribute to the disorder? Med Hypotheses 74:102–106

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Kocovska E, Fernell E, Billstedt E, Minnis H, Gillberg C (2012) Vitamin D and autism: clinical review. Res Dev Disabil 33:1541–1550

    Article  PubMed  Google Scholar 

  12. Hultman CM, Sparen P, Cnattingius S (2002) Perinatal risk factors for infantile autism. Epidemiology 13:417–423

    Article  PubMed  Google Scholar 

  13. Haglund NG, Källén KB (2011) Risk factors for autism and Asperger syndrome. Perinatal factors and migration. Autism 15:163–183

    Article  PubMed  Google Scholar 

  14. Lauritsen MB, Pedersen CB, Mortensen PB (2005) Effects of familial risk factors and place of birth on the risk of autism: a nationwide register-based study. J Child Psychol Psychiatry 46:963–971

    Article  PubMed  Google Scholar 

  15. Daniels JL, Forssen U, Hultman CM, Cnattingius S, Savitz DA, Feychting M, Sparen P (2008) Parental psychiatric disorders associated with autism spectrum disorders in the offspring. Pediatrics 121:e1357–e1362

    Article  PubMed  Google Scholar 

  16. van der Ven E, Termorshuizen F, Laan W, Breetvelt EJ, van Os J, Selten JP (2013) An incidence study of diagnosed autism-spectrum disorders among immigrants to the Netherlands. Acta Psychiatr Scand 128:54–60

    Article  PubMed  Google Scholar 

  17. Hultman CM, Sandin S, Levine SZ, Lichtenstein P, Reichenberg A (2011) Advancing paternal age and risk of autism: new evidence from a population-based study and a meta-analysis of epidemiological studies. Mol Psychiatry 16:1203–1212

    Article  CAS  PubMed  Google Scholar 

  18. Croen LA, Grether JK, Selvin S (2002) Descriptive epidemiology of autism in a California population: who is at risk? J Autism Dev Disord 32:217–224

    Article  PubMed  Google Scholar 

  19. Maimburg RD, Vaeth M (2006) Perinatal risk factors and infantile autism. Acta Psychiatr Scand 114:257–264

    Article  CAS  PubMed  Google Scholar 

  20. Lehti V, Hinkka-Yli-Salomäki S, Cheslack-Postava K, Gissler M, Brown AS, Sourander A (2013) The risk of childhood autism among second-generation migrants in Finland: a case–control study. BMC Pediatr 13:171

    Article  PubMed Central  PubMed  Google Scholar 

  21. Statistics Finland (2013) Population structure. http://www.stat.fi/til/vaerak/index_en.html. Accessed 30 Dec 2013

  22. Lampi KM, Banerjee PN, Gissler M, Hinkka-Yli-Salomaki S, Huttunen J, Kulmala U, Lindroos J, Niemelä S, Rihko M, Ristkari T, Saanakorpi K, Sarlin T, Sillanmäki L, McKeague IW, Surcel HM, Helenius H, Brown AS, Sourander A (2011) Finnish Prenatal Study of Autism and Autism Spectrum Disorders (FIPS-A): overview and design. J Autism Dev Disord 41:1090–1096

    Article  PubMed  Google Scholar 

  23. Tran PL, Lehti V, Lampi KM, Helenius H, Suominen A, Gissler M, Brown AS, Sourander A (2013) Smoking during pregnancy and risk of autism spectrum disorder in a Finnish national birth cohort. Paediatr Perinat Epidemiol 27:266–274

    Article  PubMed Central  PubMed  Google Scholar 

  24. Cheslack-Postava K, Jokiranta E, Suominen A, Lehti V, Sourander A, Brown AS (2014) Variation by diagnostic subtype in risk for autism spectrum disorders associated with maternal parity among Finnish births. Paediatr Perinat Epidemiol 28:58–66

    Article  PubMed Central  PubMed  Google Scholar 

  25. Lampi KM, Hinkka-Yli-Salomäki S, Lehti V, Helenius H, Gissler M, Brown AS, Sourander A (2013) Parental age and risk of autism spectrum disorders in a Finnish national birth cohort. J Autism Dev Disord 43:2526–2535

    Article  PubMed  Google Scholar 

  26. Lampi KM, Lehtonen L, Tran PL, Suominen A, Lehti V, Banerjee PN, Gissler M, Brown AS, Sourander A (2012) Risk of autism spectrum disorders in low birth weight and small for gestational age infants. J Pediatr 161:830–836

    Article  PubMed Central  PubMed  Google Scholar 

  27. Polo-Kantola P, Lampi KM, Hinkka-Yli-Salomäki S, Gissler M, Brown AS, Sourander A (2014) Obstetric risk factors and autism spectrum disorders in Finland. J Pediatr 164:358–365

    Article  PubMed  Google Scholar 

  28. Daley TC (2002) The need for cross-cultural research on the pervasive developmental disorders. Transcult Psychiatry 39:531–550

    Article  Google Scholar 

  29. Ellis BH, Lincoln AK, Charney ME, Ford-Paz R, Benson M, Strunin L (2010) Mental health service utilization of Somali adolescents: religion, community, and school as gateways to healing. Transcult Psychiatry 47:789–811

    Article  PubMed  Google Scholar 

  30. Begeer S, Bouk SE, Boussaid W, Terwogt MM, Koot HM (2009) Underdiagnosis and referral bias of autism in ethnic minorities. J Autism Dev Disord 39:142–148

    Article  PubMed  Google Scholar 

  31. Hermanson E, Lommi A (2009) Immigrant youth in school health care. Finnish Med J 64:1009–1015

    Google Scholar 

  32. Gissler M, Malin M, Matveinen P, Sarvimäki M, Kangasharju A (2006) Maahanmuuttajat ja julkiset palvelut. National Research and Development Centre for Welfare and Health. Report number 296

  33. Pohjanpää K (2003) Maahanmuuttajien terveydentila. In: Pohjanpää K, Paananen S, Nieminen M (eds) Maahanmuuttajien elinolot. Venäläisten, virolaisten, somalialaisten ja vietnamilaisten elämää Suomessa 2002. Statistics Finland, Helsinki,Finland, pp 101–111

  34. Castaneda AE, Rask S, Koponen P, Mölsä M, Koskinen S (2012) Maahanmuuttajien terveys ja hyvinvointi. Tutkimus venäläis-, somalialais- ja kurditaustaisista Suomessa. National Institute for Health and Welfare. Report number 61

  35. Pohjanpää K (2003) Terveyspalvelujen käyttö. In: Pohjanpää K, Paananen S, Nieminen M (eds) Maahanmuuttajien elinolot. Venäläisten, virolaisten, somalialaisten ja vietnamilaisten elämää Suomessa 2002. Statistics Finland, Helsinki, Finland, pp 120–127

  36. Mölsä ME, Hjelde KH, Tiilikainen M (2010) Changing conceptions of mental distress among Somalis in Finland. Transcult Psychiatry 47:276–300

    Article  PubMed  Google Scholar 

  37. Mandell DS, Listerud J, Levy SE, Pinto-Martin JA (2002) Race differences in the age at diagnosis among medicaid-eligible children with autism. J Am Acad Child Adolesc Psychiatry 41:1447–1453

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by Autism Speaks, National Institute of Mental Health (NIMH) 1K02-MH65422 and 5-T32-MH-13043, and National Institute of Environmental Health Sciences 1R01ES019004.

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The authors declare that they have no conflict of interest.

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Correspondence to Venla Lehti.

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Lehti, V., Cheslack-Postava, K., Gissler, M. et al. Parental migration and Asperger’s syndrome. Eur Child Adolesc Psychiatry 24, 941–948 (2015). https://doi.org/10.1007/s00787-014-0643-7

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  • DOI: https://doi.org/10.1007/s00787-014-0643-7

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