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Journal of Autism and Developmental Disorders

, Volume 46, Issue 2, pp 514–522 | Cite as

Prevalence of Autism Spectrum Disorder in Nurseries in Lebanon: A Cross Sectional Study

  • Monique Chaaya
  • Dahlia Saab
  • Fadi T. Maalouf
  • Rose-Mary Boustany
Original Paper

Abstract

In Lebanon, no estimate for autism prevalence exists. This cross-sectional study examines the prevalence of Autism spectrum disorder (ASD) in toddlers in nurseries in Beirut and Mount-Lebanon. The final sample included 998 toddlers (16–48 months) from 177 nurseries. We sent parents the Modified Checklist for Autism in Toddlers (M-CHAT) for screening, and a self-administered questionnaire (associated factors). We imputed missing M-CHAT data with successful answers. Since there were no follow-up interviews for the M-CHAT, we used the positive predictive value (0.058) from a large study for prevalence estimates. ASD prevalence was 1 in 66 children (comparable to US). Ratios were: male/female: 1.05; Beirut/Mount-Lebanon: 1.2. Using a more representative sample and ascertaining results are needed for better prevalence estimates in Lebanon.

Keywords

Prevalence Autism spectrum disorder (ASD) Toddlers Nurseries Beirut Mount Lebanon 

Notes

Acknowledgments

Supporting Grants are Program Projects in Biomedical Research (2013–2014) (amount: $80,000) and OpenMinds (private foundation/NGO) (amount: $125,360).

Author Contributions

MC contributed to conception and design, interpretation of data and write up; DS contributed to conception, design, data acquisition, analysis and interpretation of data and write up; FM contributed to interpretation of the data and critical revision of the manuscript; RB contributed to conception and design, interpretation of data, and critical revision of the manuscript. All authors read and approved the final manuscript.

References

  1. Al-Ansari, A. M., & Ahmed, M. M. (2013). Epidemiology of autistic disorder in Bahrain: Prevalence and obstetric and familial characteristics. Eastern Mediterranean Health Journal, 19(9), 769–774.PubMedGoogle Scholar
  2. Albores-Gallo, L., Roldan-Ceballos, O., Villarreal-Valdes, G., Betanzos-Cruz, B. X., Santos-Sanchez, C., Martinez-Jaime, M. M., et al. (2012). M-CHAT Mexican version validity and reliability and some cultural considerations. International scholarly research network. ISRN Neurology,. doi: 10.5402/2012/408694.PubMedCentralPubMedGoogle Scholar
  3. Al-Farsi, Y. M., Al-Sharbati, M. M., Al-Farsi, O. A., Al-Shafaee, M. S., Brooks, D. R., & Waly, M. I. (2011). Brief report: Prevalence of autistic spectrum disorders in the sultanate of Oman. Journal of Autism and Developmental Disorders, 41, 821–825. doi: 10.1007/s10803-010-1094-8.CrossRefPubMedGoogle Scholar
  4. Al-Habeeb, A. A., Qureshi, N. A., & Al-Maliki, T. A. (2012). Pattern of child and adolescent psychiatric disorders among patients consulting publicly-funded child psychiatric clinics in Saudi Arabia. Eastern Mediterranean Health Journal, 18, 112–119.PubMedGoogle Scholar
  5. American Psychiatric Association. (2013a). Diagnostic and statistical manual of mental disorders-5 fact sheet. http://www.dsm5.org/Documents/Autism%20Spectrum%20Disorder%20Fact%20Sheet.pdf. Accessed May 8, 2015.
  6. American Psychiatric Association. (2013b). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.Google Scholar
  7. Amr, M., Bu Ali, W., Hablas, H., Raddad, D., El-Mehesh, F., El-Gilany, A-H., & Al-Shamy, H. (2012). Sociodemographic factors in Arab children with Autism Spectrum Disorders. Pan African Medical Journal, 13, article 65.Google Scholar
  8. Autism speaks. (2012). How is autism treated? http://www.autismspeaks.org/what-autism/treatment. Accessed September 18, 2012.
  9. Barbu, S., Cabanes, G., & Le Maner-Idrissi, G. (2011). Boys and girls on the playground: Sex differences in social development are not stable across early childhood. PLoS one, 6, 1–7.CrossRefGoogle Scholar
  10. Centers for Disease Control and Prevention. (2014a). Prevalence of autism spectrum disorders among children aged 8 years—autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report, Surveillance Summaries, 63(SS02), 1–21.Google Scholar
  11. Centers for Disease Control and Prevention. (2014b). Autism spectrum disorders. Data and statistics, http://www.cdc.gov/ncbddd/autism/data.html. Accessed August 28, 2014.
  12. Central Administration of Statistics. (2009). Population statistics. http://www.cas.gov.lb/index.php/demographic-and-social-en/population-en. Accessed January 22, 2015.
  13. Chlebowski, C., Robins, D. L., Barton, M. L., & Fein, D. (2013). Large scale use of the modified checklist for autism in low risk toddlers. Pediatrics, 131(4), e1121–e1127.PubMedCentralCrossRefPubMedGoogle Scholar
  14. Davidovitch, M., Hemo, B., Manning-Courtney, P., & Fombonne, E. (2013). Prevalence and Incidence of autism spectrum disorder in an Israeli population. Journal of Autism and Developmental Disorders, 43, 785–793.CrossRefPubMedGoogle Scholar
  15. Eapen, V., Mabrouk, A. A., Zoubeidi, T., & Yunis, F. (2007). Prevalence of pervasive developmental disorders in preschool children in the UAE. Journal of Tropical Pediatrics, 53(3), 202–205. doi: 10.1093/tropej/fml091.CrossRefPubMedGoogle Scholar
  16. Fombonne, E. (1999). The epidemiology of autism: A review. Psychological Medicine, 29, 769–786.CrossRefPubMedGoogle Scholar
  17. Fombonne, E. (2009). Epidemiology of pervasive developmental disorders. Pediatric Research, 65(6), 591–598.CrossRefPubMedGoogle Scholar
  18. Frazier, T. W., Georgiades, S., Bishop, S. L., & Hardan, A. Y. (2014). Behavioral and cognitive characteristics of females and males with autism in the simons simplex collection. Journal of the American Academy of Child and Adolescent Psychiatry, 53(3), 329–340.PubMedCentralCrossRefPubMedGoogle Scholar
  19. Glascoe, F.P., Macias, M., & Wegner, L.M. (2006). Can parents’ concerns identify children likely to have autism-spectrum disorder? Presentation to the pediatric academic societies annual meeting, Spring, 2006.Google Scholar
  20. Head, A.M., McGillivray, J.A. & Stokes, M.A. (2014). Gender differences in emotionality and sociability in children with autism spectrum disorders. Molecular Autism, 5, article19, 1–9.Google Scholar
  21. Hijazi, S. (2014). Arab parents often hesitant in acknowledging children with autism. The Arab American News, February 20, 2014.Google Scholar
  22. Kielinen, M., Linna, S. L., & Moilanen, I. (2000). Autism in Northern Finland. European Child and Adolescent Psychiatry, 9, 162–167.CrossRefPubMedGoogle Scholar
  23. Kim, Y. S., Leventhal, B. L., Koh, Y. J., Fombonne, E., Laska, E., Lim, E. C., et al. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry,. doi: 10.1176/appi.ajp.2011.10101532.Google Scholar
  24. Kocovska, E., Biskupstø, R., Gillberg, I. C., Ellefsen, A., Kampmann, H., Stora, T., et al. (2012). The rising prevalence of autism: A prospective longitudinal study in the Faroe Islands. Journal of Autism and Developmental Disorders, 42, 1959–1966.CrossRefPubMedGoogle Scholar
  25. Koegel, L. K., Koegel, R. L., Ashbaugh, K., & Bradshaw, J. (2014). The importance of early identification and intervention for children with or at risk for autism spectrum disorders. International Journal of Speech-Language Pathology, 16(1), 50–56.CrossRefPubMedGoogle Scholar
  26. Ministry of Public Health. (2014). Nurseries. List of certified nurseries by the ministry of public health. http://www.moph.gov.lb/MedicalCare/HealthFacilities/Pages/Nurseries.aspx. Accessed January 22, 2015.
  27. Moldin, S. O., & Rubenstein, J. L. R. (2006). Understanding autism: From basic neuroscience to treatment. Florida: CRC Press, Taylor and Francis Group.CrossRefGoogle Scholar
  28. National Institute of Mental Health. (2012). Autism: More affected or more detected. http://www.nimh.nih.gov/about/director/2012/autism-prevalence-more-affected-or-more-detected.shtml. Accessed August 28, 2014.
  29. Nordahl, C.W., Iosif, A., Young, G.S, Perry, L.M., Dougherty, R., Lee, A. et al. (2015). Sex differences in the corpus callosum in preschool-aged children with autism spectrum disorder. Molecular Autism, 6, article 26, 1–11.Google Scholar
  30. Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism, 12, 537–556. doi: 10.1177/1362361308094502.CrossRefPubMedGoogle Scholar
  31. Robins, D.L. (2013). Official M-CHAT website. http://www.mchatscreen.com/Official_M-CHAT_Website.html. Accessed September 4, 2014.
  32. Robins, D. L., & Dumont-Mathieu, T. M. (2006). Early screening for autism spectrum disorders: Update on the modified checklist for autism in toddlers and other measures. Journal of Developmental and Behavioral Pediatrics, 27(2), S111–S119.CrossRefPubMedGoogle Scholar
  33. Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144.CrossRefPubMedGoogle Scholar
  34. Saudi Gazette Report. (2014). A Saudi’s saga of suffering and confronting challenges. Saudi Gazette, September 20, 2014.Google Scholar
  35. Seif Eldin, A., Habib, D., Noufal, A., Farrag, S., Bazaid, K., et al. (2008). Use of M-CHAT for a multinational screening of young children with autism in the Arab countries. International Review of Psychiatry, 20, 281–289.CrossRefPubMedGoogle Scholar
  36. Sevilla, F. M. S., Bermúdez, M. O. E., & Sánchez, J. J. C. (2013). Estimación de la prevalencia de los trastornos del espectro autista en Canarias. An Pediatr (Barc), 79(6), 352–359.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Monique Chaaya
    • 1
  • Dahlia Saab
    • 2
  • Fadi T. Maalouf
    • 3
  • Rose-Mary Boustany
    • 2
    • 4
  1. 1.Department of Epidemiology and Population HealthAmerican University of BeirutBeirutLebanon
  2. 2.Department of Biochemistry and Molecular Genetics, Faculty of MedicineAmerican University of BeirutRiad El Solh BeirutLebanon
  3. 3.Department of PsychiatryAmerican University of BeirutBeirutLebanon
  4. 4.Department of Pediatrics and Adolescent MedicineAmerican University of BeirutBeirutLebanon

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