A study on the correlation between family nurturing care environment and children with autism spectrum disorder or at high risk
10.19428/j.cnki.sjpm.2026.260001
- VernacularTitle:家庭养育照护环境与孤独症谱系障碍或高危儿童的相关性研究
- Author:
Yaqiong ZHU
1
;
Lei XU
1
;
Linqing WU
2
;
Jianmei GONG
1
Author Information
1. Maternal and Child Health Care Station of Changning District, Shanghai 200051, China
2. Maternal and Child Health Care Hospital of Changning District, Shanghai 200051, China
- Publication Type:Journal Article
- Keywords:
child;
autism spectrum disorder;
high-risk;
family nurturing care environment
- From:
Shanghai Journal of Preventive Medicine
2026;38(6):463-467
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the correlation between family nurturing care environment and children with autism spectrum disorder (ASD) or at high risk, and to provide scientific evidence for the tertiary prevention of ASD in children at high risk. MethodsA case-control study, enrolling 30 children with ASD or at high risk for ASD as the case group, and 113 normal children who underwent routine physical examinations at the community health service centers and district maternal and child health care hospital during the same period as the control group, was conducted. The information for maternal pregnancy and childbirth, children, and family nurturing care was collected through the child healthcare system and a self-designed questionnaire survey. Multivariate logistic regression analyses were used to identify the relevant factors for ASD or high-risk status in children. ResultsMultivariate logistic regression analyses showed that among maternal and child factors, maternal adverse conditions during the3 months before pregnancy and throughout pregnancy (OR=6.026, 95%CI: 1.575‒23.062), and male gender (OR=4.064, 95%CI: 1.046‒15.784) were positively correlated with ASD or high risk status in children (P<0.05). Among family nurturing care factors, unbalanced dietary structure (OR=7.281, 95%CI: 1.819‒29.148) was positively correlated with ASD or high-risk status in children (P<0.05), while paternal companionship >2 h·d-1 (OR=0.025, 95%CI: 0.001‒0.426) and parent-child interaction with responsive care (OR=0.824, 95%CI: 0.704‒0.963) were negatively correlated with ASD or high-risk status in children (P<0.05). ConclusionFactors positively correlated with ASD or high-risk status in children include maternal adverse conditions during the 3 months before pregnancy and throughout pregnancy, male gender, and unbalanced dietary structure. Factors negatively correlated with it include paternal companionship and parent-child interaction with responsive care. Clinically, comprehensively management of maternal pre-pregnancy and prenatal health, children’s diet and family nurturing care, along with focused developmental monitoring of boys, and efforts toward early detection, early diagnosis and early intervention should be strengthened.
