Immunization uptake in younger siblings of children with autism spectrum disorder

Kuwaik, Ghassan Abu; Roberts, Wendy; Zwaigenbaum, Lonnie; Bryson, Susan E.; Smith, Isabel M.; Szatmári, Péter; Modi, Bonnie Mackinnon; Tanel, Nadia; Brian, Jessica

doi:10.1177/1362361312459111

Cited by 28 publications

(29 citation statements)

References 30 publications

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“…33 There is little information about immunization rates of young children with ASD, although some data suggests that families of children with ASD are more likely to refuse or delay vaccines 34–36 . However, in our study, up-to date immunization prevalence did not differ across ASD, DD and TD groups or predict CAM use.…”

Section: Discussionmentioning

confidence: 99%

Utilization Patterns of Conventional and Complementary/Alternative Treatments in Children with Autism Spectrum Disorders and Developmental Disabilities in a Population-Based Study

Akins

Krakowiak

Angkustsiri

et al. 2014

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective This study compared the utilization of conventional treatments to utilization of complementary and alternative medicine (CAM) in preschoolers with autism spectrum disorders (ASD) and other developmental disabilities (DD). Methods Participants were 578 children who were part of an ongoing population-based, case-control study of 2 to 5 year-olds with ASD, DD, and the general population. Parents completed an interview on past and current services. Results Four hundred fifty-three children with ASD and 125 DD children were included. ASD families received more hours of conventional services compared to DD (17.8 vs. 11; p<0.001). The use of psychotropic medications was low in both groups (~3%). CAM use overall was not significantly different in ASD (39%) versus DD (30%). Hispanic families in both groups used CAM less often than non-Hispanics. Variables such as level of function, immunization status, and presence of an identified neurogenetic disorder were not predictive of CAM use. A higher level of parental education was associated with increased CAM use in ASD and DD. Families who utilized >20 hours per week of conventional services were more likely to use CAM, including potentially unsafe or disproven CAM. Under-immunized children were marginally more likely to use CAM, but not more likely to have received potentially unsafe or disproven CAM. Conclusion CAM use is common in families of young children with neurodevelopmental disorders and is predicted by higher parental education and non-Hispanic ethnicity but not developmental characteristics. Further research should address how healthcare providers can support families in making decisions about CAM use.

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Section: Discussionmentioning

confidence: 99%

Utilization Patterns of Conventional and Complementary/Alternative Treatments in Children with Autism Spectrum Disorders and Developmental Disabilities in a Population-Based Study

Akins

Krakowiak

Angkustsiri

et al. 2014

Journal of Developmental &Amp; Behavioral Pediatrics

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“…The timing of vaccine administration may lead parents to believe that there is a causal relationship between the two. Additionally, parents who already have a child with autism may be even more cautious when vaccinating younger siblings with the MMR vaccine (Kuwaik et al, 2014). The Institute of Medicine committee did not find evidence of a relationship between the MMR vaccine and autism (Maglione et al, 2014).…”

Section: Vaccines and Autismmentioning

confidence: 98%

“…In 2004, 10 of the 13 original authors of the paper recanted their beliefs. The article was officially retracted in 2010 when the British General Medical Council concluded that the researcher had violated the ethics of research by falsifying information and not following appropriate research protocols, which led to his medical license being revoked (Kuwaik et al, 2014;Smith & Marshall, 2010).…”

Section: Vaccines and Autismmentioning

confidence: 98%

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Parental Vaccine Hesitancy: Clinical Implications for Pediatric Providers

Barrows¹,

Coddington

Richards³

et al. 2015

Journal of Pediatric Health Care

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“…27 Parent attitudes and beliefs about health are important determinants of vaccine hesitancy. Most common is the belief that vaccines are unsafe and lead to conditions like autism spectrum disorders 28 , which parallel concerns about fluoride. Many parents believe vaccines are no longer necessary.…”

Section: Introductionmentioning

confidence: 99%

Parent Refusal of Topical Fluoride for Their Children

Donald

2017

Dental Clinics of North America

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SYNOPSIS A growing number of parents are refusing topical fluoride for their children during preventive dental and medical visits. This nascent clinical and public health problem warrants attention from dental professionals and the scientific community. There are immediate clinical and community-based strategies available to improve fluoride-related communications with parents and the public. In terms of future research priorities, there is a need to develop screening tools to identify parents who are likely to refuse topical fluoride and diagnostic instruments to uncover the reason(s) for topical fluoride refusal. The goal is to use these tools and instruments to measure the efficacy of programs aimed at addressing fluoride refusal. Over time, this knowledge will lead to evidence-based strategies that can be widely disseminated into clinical practice. These efforts will help parents make optimal preventive dental care decisions for their children, reduce dental disease in high-risk children, and reduce persisting pediatric oral health inequalities.

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Immunization uptake in younger siblings of children with autism spectrum disorder

Abstract: Parents who already have one child with autism spectrum disorder may delay or decline immunization for their younger children, potentially placing them at increased risk of preventable infectious diseases.

Cited by 28 publications

References 30 publications

Utilization Patterns of Conventional and Complementary/Alternative Treatments in Children with Autism Spectrum Disorders and Developmental Disabilities in a Population-Based Study

Utilization Patterns of Conventional and Complementary/Alternative Treatments in Children with Autism Spectrum Disorders and Developmental Disabilities in a Population-Based Study

Parental Vaccine Hesitancy: Clinical Implications for Pediatric Providers

Parent Refusal of Topical Fluoride for Their Children

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