title: Urban and Education Disparity for Autism Spectrum Disorders in Taiwan Birth Cohort Study.
abstract: This study aimed to determine the optimal cut-off for autism spectrum disorder (ASD) screening in 66-month-old children, and to explore the distribution of ASD screening and diagnosis in Taiwan. The Taiwan Birth Cohort Study dataset was used (N = 20,095). The Modified Checklist for Autism in Toddlers (M-CHAT) cut-off point of 13/14 was considered optimal for screening of children at 66 months. More children were diagnosed with ASD in urban areas. Parents of children diagnosed with ASD had a higher level of education, but parents of children with a lower level of education were screened as being at higher risk of ASD. Urban disparity and parental level of education effected parental awareness of the illness and the rate of ASD diagnosis.
authors.affiliation: Calo Psychiatric Center, Pingtung County, Taiwan, Republic of China.|Department of Psychiatry, National Defense Medical Center, Taipei, Taiwan, Republic of China.|Department of Neurology, Kaohsiung Medical University, Kaohsiung, Taiwan, Republic of China.
authors.forename: For-Wey
authors.initials: FW
authors.lastname: Lung
authors.affiliation: Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan, Republic of China.
authors.forename: Tung-Liang
authors.initials: TL
authors.lastname: Chiang
authors.affiliation: Genetic Counseling Center, Chi Mei Medical Center, Tainan, Taiwan, Republic of China.
authors.forename: Shio-Jean
authors.initials: SJ
authors.lastname: Lin
authors.affiliation: Institute of Allied Health Sciences and Department of Nursing, National Cheng Kung University, No. 1 Da-Hsueh Rd., Tainan, 701, Taiwan, Republic of China. forweylung@gmail.com.
authors.forename: Bih-Ching
authors.identifier: 0000-0001-7697-1493
authors.initials: BC
authors.lastname: Shu
mesh_terms: D000067877:Autism Spectrum Disorder / Q000175:diagnosis*; D057189:Checklist; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D016208:Databases, Factual; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000592:standards*; D010290:Parents / Q000523:psychology; D013624:Taiwan; D014505:Urban Population
keywords: Autism spectrum disorder; M-CHAT; Parental education; Taiwan birth cohort study; Urban disparity