Volume 5, Issue 6, November 2017, Page: 60-65
Autism Spectrum Disorders Among Pre-primary and Primary School Pupils in Uyo, Nigeria
Paulinus Umoren Essien, Department of Paediatrics, University of Uyo Teaching Hospital, Uyo, Nigeria
Mkpouto Udeme Akpan, Department of Paediatrics, University of Uyo Teaching Hospital, Uyo, Nigeria
Emmanuel Eyo Ekanem, Department of Paediatrics, University of Calabar Teaching Hospital, Calabar, Nigeria
Received: Aug. 24, 2017;       Accepted: Sep. 21, 2017;       Published: Nov. 8, 2017
DOI: 10.11648/j.ajpn.20170506.11      View  2174      Downloads  112
Autism Spectrum Disorders are a group of neuro-developmental disorders prevalent in school children. There is no known study on its prevalence among children in mainstream primary schools in our environment. The aim of this study was to determine the prevalence and pattern of autism spectrum disorders among children in Uyo, Nigeria. A cross-sectional study was conducted among 2,641 pupils aged 3-11 years from twelve primary schools in Uyo. The Gilliam Autism Rating Scale-second edition (GARS-2) and Gilliam Asperger’s Disorder Scale (GADS) were completed by both the class teachers and the parents. Student ‘t’ test was used to compare means and chi square to compare proportion. p-value<0.05 was considered significant. Twenty- nine had Autism Spectrum Disorders (ASD) giving a prevalence rate of 1.1%. Nineteen had pervasive developmental disorder, not otherwise specified (PDD-NOS), 8 had autistic disorder (AD) and 2 had Asperger’s disorder (AsD). ASD was commoner in males, young age group (3-5 years) and children of upper social class. It was concluded that ASD is prevalent among children in mainstream primary schools in Uyo, Nigeria. Appropriate healthcare policy should be put in place to cater for the special needs of these children.
Autism Spectrum Disorders, Pupils, Uyo
To cite this article
Paulinus Umoren Essien, Mkpouto Udeme Akpan, Emmanuel Eyo Ekanem, Autism Spectrum Disorders Among Pre-primary and Primary School Pupils in Uyo, Nigeria, American Journal of Psychiatry and Neuroscience. Vol. 5, No. 6, 2017, pp. 60-65. doi: 10.11648/j.ajpn.20170506.11
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th Edition, Text Revision. Washington D C: APA 2000.
World Health Organization. International Classification of Diseases: Diagnostic Criteria for Research, 10th Ed. Geneva, WHO 1993.
Fombonne E. Epidemiology of pervasive developmental disorders. Pediatr Res 2009; 65 (6): 591-8.
Biumberg SJ, Bramlett MD, Kogan MD, Scieve LA, Jones JR et al. Changes in prevalence of parent-reported autism spectrum disorders in school aged U. S. Children: 2007 to 2010-2011. CDC: Nat Health Statistics Report 2013; 65: 1-12.
Kim FS, Leventhal BL, Koh J, Fombonne E, Laska E et al. Prevalence of autism spectrum disorders in a total population sample. Am J Psychiatry 2011; 168(9): 904-12.
Bakare MO, Munir KM. Autism spectrum disorders in Africa. In: A comprehensive book on autism spectrum disorders. Muhammad-Reza M. (Ed); In Tech, Croatia 2011; 183-94.
Bakare MO, Munir KM. Autism spectrum disorders (ASD) in Africa: a perspective. Afr J Psychiatry 2011; 14 (3): 208-10.
Bakare MO, Ebigbo PO, Ubochi VN. Prevalence of autism spectrum disorders among Nigerian children with intellectual disabilities: a stop gap assessment. J HealthCare Poor Underserved 2012; 23 (2): 513 - 8.
Baron-Cohen S, Scott FJ, Allison C, Williams J, Bolton P et al. Prevalence of autism spectrum conditions: UK school-based population study. Br J Psychitry 2009; 194 (6): 500-9.
Eldin AS, Habib D, Noufal A, Farrag S, Bazaid K et al. Use of M-CHAT for a multi-national screening of young children with autism in the Arab countries. Int Rev Psychiatry 2008; 20 (3): 281-9.
Lotter V. Childhood autism in Africa. J Child Psychol Psychiatry 1978; 19 (3): 231-44.
Bertrand J, Mars A, Boyle C, Bove F. Prevalence of autism in a United States population: The Brick township, New Jersey, Investigation. Pediatr 2001; 108 (5): 1155-61.
Individuals with Disabilities Education Act (IDEA) of 2004, 34 CFS 300.101.
Schopler E, Bourgondien MEV, Love SR, Wellman GJ. Childhood autism rating scale-second edition. London: Pearson 2010.
Gilliam JE. Gilliam Autism RatingScale, Second Edition, Examiner’s Manual. Austin, Tx: PRO-ED 2006.
Gilliam JE. GADS; Gilliam Asperger disorder scale, Examiner’s manual. Austin, TX :PRO-ED 2003.
Oyedeji G. Socio-economic and cultural background of hospitalized children in Ilesha. Nig J Paediatr 1985; 12 (4): 111-7.
Ejieh MUC. Pre-primary education in Nigeria: policy implementation and problems. Elem Edu Online 2006; 5 (1): 58-64.
Urwick J. Determinants of the private costs of primary and early childhood education: findings from Plateau State, Nigeria. Internat J Edu Dev 2992; 22 (2): 131-44.
Akpan MU, Ojinnaka NC, Ekanem EE. Behavioural problems among school children in Nigeria. SAJP 2010; 16 (2): 50-5.
Onuka AOU, Arowojolu AF. An evaluation of parents’ patronage of private primary schools in Abeokuta, Nigeria. Internat J Afri Am Studies 2008; 7 (2): 58-70.
Chakrabarti S, Faombonne E. Pervasive developmental disorders in preschool children. JAMA 2001; 285 (24): 3093-9.
Izuwah DN, Alikor EAD. Autism in Port Harcourt: social impairment at presentation. Nig J Paediatr 2011; 38 (1): 32.
Wing L, Yeates SR, Brierly LM, Gould J. The prevalence of early childhood autism: comparison of administrative and epidemiologic studies. Psychol Med 1976; 6 (1): 89-100.
Volkmar FR, Klin A. Issues in classification of autism and other related conditions. In: Volkmar FR, Paul R, Klin A, Cohen D (Eds). Handbook of autism and pervasive developmental disorders (3rd Ed). John Wiley and Sons Inc, New Jersey 2005; 5-41.
Mankoski RE, Collins M, Ndosi NK, Mgalla EH, Sarwatta VV, Folstein SE. Etiologies of autism in a case-series from Tanzania. J Autism Dev Disord 2006; 36 (8): 1039-51.
Baird G, Simonoff E, Pickles A, Chandler S, Loucas T et al. Prevalence of disorders of autism spectrum in a population cohort of children in South Thames: The special needs and autism project (SNAP). Lancet 2006; 368 (9531): 210-5.
Capone G, Grados M, Kaufmann W, Bernard-Ripoll S, Jewell A. Down syndrome and co-morbid autism spectrum disorders: Characterization using the aberrant behavior checklist. Am J Med Genet A 2005; 134 (4): 373-80.
Goldstein S, Naglieri JA. Autism spectrum rating scales (ASRS): Product overview. Multi-Health Syst Inc 2010.
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