Skip to main content
Log in

Maternal and Paternal Age are Jointly Associated with Childhood Autism in Jamaica

  • Original Paper
  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

Several studies have reported maternal and paternal age as risk factors for having a child with Autism Spectrum Disorder (ASD), yet the results remain inconsistent. We used data for 68 age- and sex-matched case–control pairs collected from Jamaica. Using Multivariate General Linear Models (MGLM) and controlling for parity, gestational age, and parental education, we found a significant (p < 0.0001) joint effect of parental ages on having children with ASD indicating an adjusted mean paternal age difference between cases and controls of [5.9 years; 95% CI (2.6, 9.1)] and a difference for maternal age of [6.5 years; 95% CI (4.0, 8.9)]. To avoid multicollinearity in logistic regression, we recommend joint modeling of parental ages as a vector of outcome variables using MGLM.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (4th ed., text revision). Washington, DC: American Psychiatric Publishing, Inc.

  • Autism and Developmental Disabilities Monitoring Network Surveillance Year 2006 Principal Investigators, & Centers for Disease Control and Prevention (CDC). (2009). Prevalence of autism spectrum disorders—autism and developmental disabilities monitoring network, United States, 2006. MMWR Surveillance Summaries, 58(SS-10), 1–24.

    Google Scholar 

  • Beebe, K. R. (2005). The perplexing parity puzzle. AWHONN.Lifelines, 9(5), 394–399. doi:10.1177/1091592305283142.

  • Bilder, D., Pinborough-Zimmerman, J., Miller, J., & McMahon, W. (2009). Prenatal, perinatal, and neonatal factors associated with autism spectrum disorders. Pediatrics, 123(5), 1293–1300. doi:10.1542/peds.2008-0927.

    Article  PubMed  Google Scholar 

  • Blaxill, M. F. (2004). What’s going on? The question of time trends in autism. Public Health Reports, 119(6), 536–551. doi:10.1016/j.phr.2004.09.003.

    Article  PubMed  Google Scholar 

  • Breslow, N. E., & Day, N. E. (1980). Statistical Methods in Cancer Research (Vol. 1) The Analysis of Case-control Studies. International Agency for Research on Cancer (IARC Scientific Publications No.32).

  • Chakrabarti, S., & Fombonne, E. (2005). Pervasive developmental disorders in preschool children: Confirmation of high prevalence. American Journal of Psychiatry, 162(6), 1133–1141.

    Article  PubMed  Google Scholar 

  • Creinin, M. D., & Simhan, H. N. (2009). Can we communicate gravidity and parity better? Obstetrics and Gynecology, 113(3), 709–711. doi:10.1097/AOG.0b013e3181988f8f.

    PubMed  Google Scholar 

  • Croen, L. A., Grether, J. K., & Selvin, S. (2002). Descriptive epidemiology of autism in a California population: Who is at risk? Journal of Autism and Developmental Disorders, 32(3), 217–224. doi:10.1023/A:1015405914950.

    Article  PubMed  Google Scholar 

  • Croen, L. A., Najjar, D. V., Fireman, B., & Grether, J. K. (2007). Maternal and paternal age and risk of autism spectrum disorders. Archives of Pediatrics Adolescent Medicine, 161(4), 334–340.

    Article  PubMed  Google Scholar 

  • Durkin, M. S., Maenner, M. J., & Newschaffer, C. J. (2010). Estimated autism risk, older reproductive age, and parameterization. American Journal of Public Health, 100(3), 389–390. doi:10.2105/AJPH.2009.184101.

    Article  PubMed  Google Scholar 

  • Durkin, M. S., Maenner, M. J., Newschaffer, C. J., Lee, L. C., Cunniff, C. M., Daniels, J. L., et al. (2008). Advanced parental age and the risk of autism spectrum disorder. American Journal of Epidemiology, 168(11), 1268–1276. doi:10.1093/aje/kwn250.

    Article  PubMed  Google Scholar 

  • Fraga, M. F., & Esteller, M. (2007). Epigenetics and aging: The targets and the marks. Trends in Genetics, 23(8), 413–418. doi:10.1016/j.tig.2007.05.008.

    Article  PubMed  Google Scholar 

  • Gabis, L., Raz, R., & Kesner-Baruch, Y. (2010). Paternal age in autism spectrum disorders and ADHD. Pediatric Neurology, 43(4), 300–302. doi:10.1016/j.pediatrneurol.2010.05.022.

    Article  PubMed  Google Scholar 

  • Gardener, H., Spiegelman, D., & Buka, S. L. (2009). Prenatal risk factors for autism: Comprehensive meta-analysis. British Journal of Psychiatry, 195(1), 7–14. doi:10.1192/bjp.bp.108.051672.

    Article  PubMed  Google Scholar 

  • Gillberg, C. (1980). Maternal age and infantile autism. Journal of Autism and Developmental Disorders, 10(3), 293–297. doi:10.1007/BF02408288.

    Article  PubMed  Google Scholar 

  • Glasson, E. J., Bower, C., Petterson, B., de Klerk, N., Chaney, G., & Hallmayer, J. F. (2004). Perinatal factors and the development of autism: A population study. Archives of General Psychiatry, 61(6), 618–627.

    Article  PubMed  Google Scholar 

  • Golding, J., Steer, C., & Pembrey, M. (2010). Parental and grandparental ages in the autistic spectrum disorders: A birth cohort study. PLoS ONE, 5(4), e9939. doi:10.1371/journal.pone.0009939.

    Article  PubMed  Google Scholar 

  • Gordon, R. A. (1968). Issues in multiple regression. American Journal of Sociology, 73(5), 592–616.

    Article  Google Scholar 

  • Grether, J. K., Anderson, M. C., Croen, L. A., Smith, D., & Windham, G. C. (2009). Risk of autism and increasing maternal and paternal age in a large North American population. American Journal of Epidemiology, 170(9), 1118–1126. doi:10.1093/aje/kwp247.

    Article  PubMed  Google Scholar 

  • Hultman, C. M., Sandin, S., Levine, S. Z., Lichtenstein, P., & Reichenberg, A. (2010). Advancing paternal age and risk of autism: new evidence from a population-based study and a meta-analysis of epidemiological studies. Molecular Psychiatry,. doi:10.1038/mp.2010.121.

    Google Scholar 

  • Johnson, R. A., & Wichern, D. W. (2007). Applied multivariate statistical analysis (6th ed.). London: Prentice Hall.

    Google Scholar 

  • Jones, M. B., & Szatmari, P. (1988). Stoppage rules and genetic studies of autism. Journal of Autism and Developmental Disorders, 18(1), 31–40.

    Article  PubMed  Google Scholar 

  • King, M. D., Fountain, C., Dakhlallah, D., & Bearman, P. S. (2009). Estimated autism risk and older reproductive age. American Journal of Public Health, 99(9), 1673–1679. doi:10.2105/AJPH.2008.149021.

    Article  PubMed  Google Scholar 

  • King, M. D., Fountain, C., Dakhlallah, D., & Bearman, P. S. (2010). Estimated autism risk, older reproductive age, and parameterization. American Journal of Public Health, 100(3), 390. doi:10.2105/AJPH.2009.184101.

  • Larsson, H. J., Eaton, W. W., Madsen, K. M., Vestergaard, M., Olesen, A. V., Agerbo, E., et al. (2005). Risk factors for autism: perinatal factors, parental psychiatric history, and socioeconomic status. American Journal of Epidemiology, 161(10), 916–925. doi:10.1093/aje/kwi123.

    Article  PubMed  Google Scholar 

  • Lord, C., Pickles, A., McLennan, J., Rutter, M., Bregman, J., Folstein, S., et al. (1997). Diagnosing autism: analyses of data from the autism diagnostic interview. Journal of Autism and Developmental Disorders, 27(5), 501–517.

    Article  PubMed  Google Scholar 

  • Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. doi:10.1023/A:1005592401947.

    Article  PubMed  Google Scholar 

  • Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2002). Autism diagnostic observation schedule (ADOS). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • MacKay, D. F., Smith, G. C., Dobbie, R., & Pell, J. P. (2010). Gestational age at delivery and special educational need: Retrospective cohort study of 407,503 school children. PLoS Medicine, 7(6), e1000289. doi:10.1371/journal.pmed.1000289.

    Article  PubMed  Google Scholar 

  • Mouridsen, S. E., Rich, B., & Isager, T. (1993). Brief report: Parental age in infantile autism, autistic-like conditions, and borderline childhood psychosis. Journal of Autism and Developmental Disorders, 23(2), 387–396. doi:10.1007/BF01046227.

    Article  PubMed  Google Scholar 

  • Muller, K. E., & Stewart, P. W. (2006). Linear model theory: univariate, multivariate, and mixed models. Hoboken, NJ: John Wiley and Sons.

    Book  Google Scholar 

  • Mulligan, A., Richardson, T., Anney, R., & Gill, M. (2009). The social communication questionnaire in a sample of the general population of school-going children. Irish Journal of Medical Science, 178(2), 193–199. doi:10.1007/s11845-008-0184-5.

    Article  PubMed  Google Scholar 

  • Opara, E. I., & Zaidi, J. (2007). The interpretation and clinical application of the word ‘parity’: A survey. BJOG, 114(10), 1295–1297. doi:10.1111/j.1471-0528.2007.01435.x.

    Article  PubMed  Google Scholar 

  • Reichenberg, A., Gross, R., Weiser, M., Bresnahan, M., Silverman, J., Harlap, S., et al. (2006). Advancing paternal age and autism. Archives of General Psychiatry, 63(9), 1026–1032. doi:10.1001/archpsyc.63.9.1026.

    Article  PubMed  Google Scholar 

  • Rutter, M., Bailey, A., & Lord, C. (2003a). SCQ: The social communication questionnaire. Manual. Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Rutter, M., Le, C. A., & Lord, C. (2003b). Autism diagnostic interview-revised (ADI-R). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Saha, S., Barnett, A. G., Buka, S. L., & McGrath, J. J. (2009a). Maternal age and paternal age are associated with distinct childhood behavioural outcomes in a general population birth cohort. Schizophrenia Research, 115(2–3), 130–135. doi:10.1016/j.schres.2009.09.012.

    Article  PubMed  Google Scholar 

  • Saha, S., Barnett, A. G., Foldi, C., Burne, T. H., Eyles, D. W., Buka, S. L., et al. (2009b). Advanced paternal age is associated with impaired neurocognitive outcomes during infancy and childhood. PLoS Medicine, 6(3), e1000040. doi:10.1371/journal.pmed.1000040.

    Article  Google Scholar 

  • SAS Institute Inc. (2008). SAS ® 9.2. Retrieved from SAS Institute Inc.

  • Sasanfar, R., Haddad, S., Tolouei, A., Ghadami, M., Yu, D., & Santangelo, S. (2010). Paternal age increases the risk for autism in an Iranian population sample. Molecular Autism, 1(1), 2. doi:10.1186/2040-2392-1-2.

    Article  PubMed  Google Scholar 

  • Schellingerhout, J. M., Heymans, M. W., de Vet, H. C. W., Koes, B. W., & Verhagen, A. P. (2009). Categorizing continuous variables resulted in different predictors in a prognostic model for nonspecific neck pain. Journal of Clinical Epidemiology, 62(8), 868–874. doi:10.1016/j.jclinepi.2008.10.010.

    Article  PubMed  Google Scholar 

  • Schopler, E., Reichler, R., DeVellis, R., & Daly, K. (1980). Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). Journal of Autism and Developmental Disorders, 10(1), 91–103. doi:10.1007/BF02408436.

    Article  PubMed  Google Scholar 

  • Selkirk, C. G., McCarthy, V. P., Lian, F., Schimmenti, L., & LeRoy, B. S. (2009). Parents’ perceptions of autism spectrum disorder etiology and recurrence risk and effects of their perceptions on family planning: Recommendations for genetic counselors. Journal of Genetic Counseling, 18(5), 507–519. doi:10.1007/s10897-009-9233-0.

    Article  PubMed  Google Scholar 

  • Shelton, J. F., Tancredi, D. J., & Hertz-Picciotto, I. (2010). Independent and dependent contributions of advanced maternal and paternal ages to autism risk. Autism Research, 3(1), 30–39. doi:10.1002/aur.116.

    PubMed  Google Scholar 

  • Tsai, L. Y., & Stewart, M. A. (1983). Etiological implication of maternal age and birth order in infantile autism. Journal of Autism and Developmental Disorders, 13(1), 57–65. doi:10.1007/BF01531359.

    Article  PubMed  Google Scholar 

  • Tsuchiya, K. J., Matsumoto, K., Miyachi, T., Tsujii, M., Nakamura, K., Takagai, S., et al. (2008). Paternal age at birth and high-functioning autistic-spectrum disorder in offspring. The British Journal of Psychiatry, 193(4), 316–321. doi:10.1192/bjp.bp.107.045120.

    Article  PubMed  Google Scholar 

  • Zhang, X., Lv, C. C., Tian, J., Miao, R. J., Xi, W., Hertz-Picciotto, I., et al. (2010). Prenatal and perinatal risk factors for autism in China. Journal of Autism and Developmental Disorders, 40(11), 1311–1321. doi:10.1007/s10803-010-0992-0.

    Article  PubMed  Google Scholar 

  • Zhao, X., Leotta, A., Kustanovich, V., Lajonchere, C., Geschwind, D. H., Law, K., et al. (2007). A unified genetic theory for sporadic and inherited autism. Proceedings of National Academy of Sciences, USA, 104(31), 12831–12836. doi:10.1073/pnas.0705803104.

    Article  Google Scholar 

Download references

Acknowledgments

This research is co-funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) and the National Institutes of Health Fogarty International Center (NIH-FIC) by a grant [R21HD057808] awarded to the University of Texas Health Science Center at Houston (UTHealth). We also acknowledge the support provided by the Biostatistics/Epidemiology/Research Design (BERD) component of the Center for Clinical and Translational Sciences (CCTS) for this project. CCTS is mainly funded by the NIH Centers for Translational Science Award (NIH CTSA) grant (UL1 RR024148), awarded to the University of Texas Health Science Center at Houston in 2006 by the National Center for Research Resources (NCRR). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NICHD or the NIH-FIC or the NCRR.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mohammad H. Rahbar.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rahbar, M.H., Samms-Vaughan, M., Loveland, K.A. et al. Maternal and Paternal Age are Jointly Associated with Childhood Autism in Jamaica. J Autism Dev Disord 42, 1928–1938 (2012). https://doi.org/10.1007/s10803-011-1438-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10803-011-1438-z

Keywords

Navigation