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Auteur A. SUOMINEN |
Documents disponibles écrits par cet auteur (2)
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Optimal interpregnancy interval in autism spectrum disorder: A multi-national study of a modifiable risk factor / G. PEREIRA in Autism Research, 14-11 (November 2021)
[article]
Titre : Optimal interpregnancy interval in autism spectrum disorder: A multi-national study of a modifiable risk factor Type de document : Texte imprimé et/ou numérique Auteurs : G. PEREIRA, Auteur ; R. W. FRANCIS, Auteur ; M. GISSLER, Auteur ; S. N. HANSEN, Auteur ; A. KODESH, Auteur ; H. LEONARD, Auteur ; S. Z. LEVINE, Auteur ; V. R. MITTER, Auteur ; Erik T. PARNER, Auteur ; A. K. REGAN, Auteur ; A. REICHENBERG, Auteur ; S. SANDIN, Auteur ; A. SUOMINEN, Auteur ; Diana SCHENDEL, Auteur Article en page(s) : p.2432-2443 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/epidemiology Birth Intervals Female Finland/epidemiology Humans Pregnancy Retrospective Studies Risk Factors autism spectrum disorder family planning services longitudinal studies Index. décimale : PER Périodiques Résumé : It is biologically plausible that risk of autism spectrum disorder (ASD) is elevated by both short and long interpregnancy intervals (IPI). We conducted a retrospective cohort study of singleton, non-nulliparous live births, 1998-2007 in Denmark, Finland, and Sweden (N = 925,523 births). Optimal IPI was defined as the IPI at which minimum risk was observed. Generalized additive models were used to estimate relative risks (RR) of ASD and 95% Confidence Intervals (CI). Population impact fractions (PIF) for ASD were estimated under scenarios for shifts in the IPI distribution. We observed that the association between ASD (N = 9302) and IPI was U-shaped for all countries. ASD risk was lowest (optimal IPI) at 35?months for all countries combined, and at 30, 33, and 39?months in Denmark, Finland, and Sweden, respectively. Fully adjusted RRs at IPIs of 6, 12, and 60?months were 1.41 (95% CI: 1.08, 1.85), 1.26 (95% CI: 1.02, 1.56), and 1.24 (95% CI: 0.98, 1.58) compared to an IPI of 35?months. Under the most conservative scenario PIFs ranged from 5% (95% CI: 1%-8%) in Denmark to 9% (95% CI: 6%-12%) in Sweden. The minimum ASD risk followed IPIs of 30-39?months across three countries. These results reflect both direct IPI effects and other, closely related social and biological pathways. If our results reflect biologically causal effects, increasing optimal IPIs and reducing their indications, such as unintended pregnancy and delayed age at first pregnancy has the potential to prevent a salient proportion of ASD cases. LAY SUMMARY: Waiting 35?months to conceive again after giving birth resulted in the least risk of autism. Shorter and longer intervals resulted in risks that were up to 50% and 85% higher, respectively. About 5% to 9% of autism cases might be avoided by optimizing birth spacing. En ligne : http://dx.doi.org/10.1002/aur.2599 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450
in Autism Research > 14-11 (November 2021) . - p.2432-2443[article] Optimal interpregnancy interval in autism spectrum disorder: A multi-national study of a modifiable risk factor [Texte imprimé et/ou numérique] / G. PEREIRA, Auteur ; R. W. FRANCIS, Auteur ; M. GISSLER, Auteur ; S. N. HANSEN, Auteur ; A. KODESH, Auteur ; H. LEONARD, Auteur ; S. Z. LEVINE, Auteur ; V. R. MITTER, Auteur ; Erik T. PARNER, Auteur ; A. K. REGAN, Auteur ; A. REICHENBERG, Auteur ; S. SANDIN, Auteur ; A. SUOMINEN, Auteur ; Diana SCHENDEL, Auteur . - p.2432-2443.
Langues : Anglais (eng)
in Autism Research > 14-11 (November 2021) . - p.2432-2443
Mots-clés : Autism Spectrum Disorder/epidemiology Birth Intervals Female Finland/epidemiology Humans Pregnancy Retrospective Studies Risk Factors autism spectrum disorder family planning services longitudinal studies Index. décimale : PER Périodiques Résumé : It is biologically plausible that risk of autism spectrum disorder (ASD) is elevated by both short and long interpregnancy intervals (IPI). We conducted a retrospective cohort study of singleton, non-nulliparous live births, 1998-2007 in Denmark, Finland, and Sweden (N = 925,523 births). Optimal IPI was defined as the IPI at which minimum risk was observed. Generalized additive models were used to estimate relative risks (RR) of ASD and 95% Confidence Intervals (CI). Population impact fractions (PIF) for ASD were estimated under scenarios for shifts in the IPI distribution. We observed that the association between ASD (N = 9302) and IPI was U-shaped for all countries. ASD risk was lowest (optimal IPI) at 35?months for all countries combined, and at 30, 33, and 39?months in Denmark, Finland, and Sweden, respectively. Fully adjusted RRs at IPIs of 6, 12, and 60?months were 1.41 (95% CI: 1.08, 1.85), 1.26 (95% CI: 1.02, 1.56), and 1.24 (95% CI: 0.98, 1.58) compared to an IPI of 35?months. Under the most conservative scenario PIFs ranged from 5% (95% CI: 1%-8%) in Denmark to 9% (95% CI: 6%-12%) in Sweden. The minimum ASD risk followed IPIs of 30-39?months across three countries. These results reflect both direct IPI effects and other, closely related social and biological pathways. If our results reflect biologically causal effects, increasing optimal IPIs and reducing their indications, such as unintended pregnancy and delayed age at first pregnancy has the potential to prevent a salient proportion of ASD cases. LAY SUMMARY: Waiting 35?months to conceive again after giving birth resulted in the least risk of autism. Shorter and longer intervals resulted in risks that were up to 50% and 85% higher, respectively. About 5% to 9% of autism cases might be avoided by optimizing birth spacing. En ligne : http://dx.doi.org/10.1002/aur.2599 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=450 Risk for Premature Mortality and Intentional Self-harm in Autism Spectrum Disorders / E. JOKIRANTA-OLKONIEMI in Journal of Autism and Developmental Disorders, 51-9 (September 2021)
[article]
Titre : Risk for Premature Mortality and Intentional Self-harm in Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : E. JOKIRANTA-OLKONIEMI, Auteur ; D. GYLLENBERG, Auteur ; D. SUCKSDORFF, Auteur ; A. SUOMINEN, Auteur ; K. KRONSTRÖM, Auteur ; R. CHUDAL, Auteur ; A. SOURANDER, Auteur Article en page(s) : p.3098-3108 Langues : Anglais (eng) Mots-clés : Adult Autism Spectrum Disorder/epidemiology Child Humans Mortality, Premature Risk Factors Self-Injurious Behavior/epidemiology Suicide Autism Mortality Natural cause Psychiatric disorders Index. décimale : PER Périodiques Résumé : To examine the risk for premature mortality and intentional self-harm in autism spectrum disorders (ASD). Based on a national birth cohort. Children born in 1987-2005, diagnosed with ASD by 2007 (n?=?4695) were matched with four non-ASD subjects (n?=?18,450) and followed until 2015 for mortality and intentional self-harm. The risk among ASD subjects was elevated only for natural cause of death. The risk for intentional self-harm was increased in the unadjusted analyses, but decreased to non-significant after adjusting for comorbid psychiatric disorders. ASD subjects are at increased risk for premature mortality due to natural causes of death. While ASD subjects die of suicide and present with more self-harm, the association is explained by comorbid psychiatric disorders. En ligne : http://dx.doi.org/10.1007/s10803-020-04768-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453
in Journal of Autism and Developmental Disorders > 51-9 (September 2021) . - p.3098-3108[article] Risk for Premature Mortality and Intentional Self-harm in Autism Spectrum Disorders [Texte imprimé et/ou numérique] / E. JOKIRANTA-OLKONIEMI, Auteur ; D. GYLLENBERG, Auteur ; D. SUCKSDORFF, Auteur ; A. SUOMINEN, Auteur ; K. KRONSTRÖM, Auteur ; R. CHUDAL, Auteur ; A. SOURANDER, Auteur . - p.3098-3108.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-9 (September 2021) . - p.3098-3108
Mots-clés : Adult Autism Spectrum Disorder/epidemiology Child Humans Mortality, Premature Risk Factors Self-Injurious Behavior/epidemiology Suicide Autism Mortality Natural cause Psychiatric disorders Index. décimale : PER Périodiques Résumé : To examine the risk for premature mortality and intentional self-harm in autism spectrum disorders (ASD). Based on a national birth cohort. Children born in 1987-2005, diagnosed with ASD by 2007 (n?=?4695) were matched with four non-ASD subjects (n?=?18,450) and followed until 2015 for mortality and intentional self-harm. The risk among ASD subjects was elevated only for natural cause of death. The risk for intentional self-harm was increased in the unadjusted analyses, but decreased to non-significant after adjusting for comorbid psychiatric disorders. ASD subjects are at increased risk for premature mortality due to natural causes of death. While ASD subjects die of suicide and present with more self-harm, the association is explained by comorbid psychiatric disorders. En ligne : http://dx.doi.org/10.1007/s10803-020-04768-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=453