Evidence map›Paper›PMID 40442748›Full record

ArticleMolecular autism2025

Mapping autism in Egypt: population-based insights into prevalence, risk determinants, and severity among children aged 1-12 years.

Ammal M Metwally, Ebtissam M Salah El-Din, Samia M Sami, Ehab R Abdelraouf, Sara F Sallam, Amal Elsaeid, Mostafa M El-Saied, Engy A Ashaat, Asmaa M Fathy, Hazem M El-Hariri and 16 more

Abstract read
In one paragraph

Article in Molecular autism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Ammal M MetwallyCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt. ammal_mok@yahoo.com.ORCID 0000-0003-0575-5202
Ebtissam M Salah El-DinChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Samia M SamiChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Ehab R AbdelraoufChild With Special Needs Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Sara F SallamChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Amal ElsaeidChild With Special Needs Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Mostafa M El-SaiedChild With Special Needs Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Engy A AshaatClinical Genetics Department, Human Genetics and Genome Research Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Asmaa M FathyCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Hazem M El-HaririCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Ghada A ElshaarawyCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Maysa S NassarChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Manal A ShehataChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Inas R El-AlameeyChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Randa I BassiouniClinical Genetics Department, Human Genetics and Genome Research Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Mohamed H AbdouMansoura Health Directorate, Ministry of Health and Population, Dakhlyia, Egypt.
Mona A HelmyEnvironmental and Occupational Medicine Department, Environmental and Climate Change Research Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Nahed A ElghareebPrevention of Disability General Directorate, Ministry of Health and Population, Cairo, Egypt.
Mohamed AbdAllahComplementary Medicine Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Thanaa M RabahCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Somia I SalamaCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Rehan M SalehCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Lobna A El EtrebyCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Dalia M ElmosalamiCommunity Medicine Research Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID:60014618), P.O. 12622, Dokki, Cairo, Egypt.
Eman EltahlawyEnvironmental and Occupational Medicine Department, Environmental and Climate Change Research Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.
Dina Abu ZeidChild Health Department, Medical Research and Clinical Studies Institute, National Research Centre (Affiliation ID: 60014618), Dokki, Cairo, Egypt.

Funding

The Academy of Scientific Research and Technology (Egypt) 13893
6 · The paper itself

Abstract

backgroundThe prevalence of autism spectrum disorder (ASD), a common developmental disorder, has surged in recent years. Accordingly, the identification and early management of possible risk factors can diminish ASD incidence.

aimTo determine the prevalence and severity of idiopathic ASD in Egyptian children aged 12 months to 12 years, and to identify the epidemiological, sociodemographic, and environmental risk factors contributing to this disorder.

methodsThis study comprised 41,640 children from the main eight geographic areas in Egypt. It was conducted through four phases: household screening, facility-based screening for high-risk children, diagnosis confirmation, and risk factor assessment.

resultsThe prevalence of ASD as confirmed by the criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and the Childhood Autism Rating Scale (CARS) was 1.1% (455 out of 41,640), with significant geographic variability. Urban areas had a significantly higher prevalence than rural areas. Children aged 3-6 years showed the highest prevalence at 1.5%. Boys were four times more affected than girls, with prevalence rates of 1.7% and 0.4%, respectively. Significant risk factors included: a history of convulsions (AOR = 4.7; 95% CI: 3.3-6.79), low birth weight (AOR = 2.08; 95% CI: 1.54-2.79), prolonged stays in neonatal intensive care unit (NICU) longer than two days (AOR = 1.91; 95% CI: 1.46-2.49) and maternal health problems during pregnancy (AOR = 1.66; 95% CI:1.36-1.95). Regarding severity, 45% of diagnosed children had moderate ASD, 39% had severe ASD, and 16% had mild ASD. Female gender and older age were significant predictors of greater ASD severity.

conclusionASD prevalence in Egypt is comparable to other Middle Eastern countries. Policymakers should utilize these findings to design targeted public health interventions aimed at early detection, management, and prevention of ASD progression.

Indexed as

Autism Spectrum DisorderAutistic DisorderChildChild, PreschoolEgyptFemaleHumansInfantMalePrevalenceRisk FactorsSeverity of Illness IndexAutism spectrum disorderNational surveyPrevalenceRisk factorsSeverity

Identifiers

PMID40442748
PMCPMC12121136

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.