Age of Diagnosis of Autism Spectrum Disorder in Nepal
This publication is included in the Autistic Autism Scholarship Project. one author of this publication is identified as autistic in the project.
About the autistic author markerShrestha, R., Dissanayake, C., & Barbaro, J. (2019). Age of Diagnosis of Autism Spectrum Disorder in Nepal. Journal of Autism and Developmental Disorders, 49(6), 2258-2267. https://doi.org/10.1007/s10803-019-03884-7
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Authors
Abstract
The current study investigated the age of diagnosis (AoD) of autism spectrum disorder (ASD) in Nepal by using de-identified data on 246 children with a diagnosis of ASD registered at AutismCare Nepal Society from 2010 to 2015. The mean AoD in children was 58 months (range 14-187 months). Majority of children were male (76%), lived in the Kathmandu valley (75%), and were from upper caste groups (62%). The mean diagnostic age of ASD in Nepal is much later than the age at which a reliable diagnosis is possible, indicating the need to reduce the gap between the age at which it is possible to diagnose ASD, and the average age at which ASD is currently diagnosed.
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Cited bibliography overview
These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 12 Sep 2026 01:04.
- With a DOI
- 55
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- 11
- References with detected author names
- 69 / 72 (95.8%)
- Without detected author names
- 3
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- 5
- Without a stable identifier
- 11
- References with raw author names still to review
- 3
- References with external metadata lookup issues
- 0
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- 283
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- 0
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- 0
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- 3
-
H. Coo , H. Ouellette-Kuntz , M. Lam , C.T. Yu , D. Dewey , F.P. Bernier et al. (2012). Correlates of age at diagnosis of autism spectrum disorders in six Canadian regions . Chronic Diseases and Injuries in Canada, 32(2), 90-100. Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada.Crossref OpenAlex OpenCitations
-
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders, . Diagnostic and statistical manual of mental disorders,.Type: OtherCrossref
-
González Moreno, Andrés Santiago (2013). Diagnostic and Statistical Manual of Mental Disorders . American Psychiatric Association.Crossref OpenAlex OpenCitations
-
Merina Shrestha , Susan L. Santangelo (2014). Autism: Challenge in Nepal . In Comprehensive Guide to Autism (pp. 2497-2507). Springer New York.Crossref OpenAlex OpenCitations
-
P Tulachan , M Chapagain , AR Kunwar , VD Sharma (2014). Psychiatric Morbidity Pattern in a Child and Adolescent Guidance Clinic . Journal of Psychiatrists' Association of Nepal, 1(1), 20-23. Nepal Journals Online (JOL).Crossref OpenAlex OpenCitations
-
Prem Bhandari , S.S. Shrestha , D.J. Ghimire (2007). Sociocultural and geographical disparities in child immunization in Nepal . Asia-Pacific Population Journal, 22(1), 43-64. United Nations Publications.Crossref OpenAlex OpenCitations
-
Ligia Antezana , Angela Scarpa , Andrew Valdespino , Jordan Albright , John A. Richey (2017). Rural Trends in Diagnosis and Services for Autism Spectrum Disorder . Frontiers in Psychology, 8, 590. Frontiers Media SA.Crossref OpenAlex OpenCitations
-
Alexandra M. Petrou , Jeremy R Parr , Helen McConachie (2018). Gender differences in parent-reported age at diagnosis of children with autism spectrum disorder . Research in Autism Spectrum Disorders, 50, 32-42. Elsevier BV.Crossref OpenAlex OpenCitations
-
Barbara G. Tabachnick , Linda S. Fidell (1983). Using multivariate statistics .Type: Book OpenAlex: https://openalex.org/W1484864026OpenAlex
-
AutismCare Nepal Society. (2018). Annual report (2016–2017). http://autismnepal.org/wp-content/uploads/2017/09/Annual-Report-of-ACNS.pdf .Type: OtherCrossref
-
Melinda Randall , Emma Sciberras , Amanda Brignell , Elfriede Ihsen , Daryl Efron , Cheryl Dissanayake et al. (2016). Autism spectrum disorder: Presentation and prevalence in a nationally representative Australian sample . Australian & New Zealand Journal of Psychiatry, 50(3), 243-253. SAGE Publications.Crossref OpenAlex OpenCitations
-
Jon Baio , Lisa Wiggins , Deborah L. Christensen , Matthew J Maenner , Julie Daniels , Zachary Warren et al. (2018). Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014 . MMWR. Surveillance Summaries, 67(6), 1-23. Centers for Disease Control MMWR Office.Crossref OpenAlex OpenCitations
-
C. Talero-Gutiérrez , M. Rodríguez , D. De La Rosa , G. Morales , A. Vélez-Van-Meerbeke (2012). Profile of children and adolescents with autism spectrum disorders in an institution in Bogotá, Colombia . Neurología (English Edition), 27(2), 90-96. Elsevier BV.Crossref OpenAlex OpenCitations
-
Mashudat A. Bello-Mojeed , Muideen Owolabi Bakare , Kerim Munir (2014). Identification of Autism Spectrum Disorders (ASD) in Africa: Need for Shifting Research and Public Health Focus . In Comprehensive Guide to Autism (pp. 2437-2453). Springer New York.Crossref OpenAlex OpenCitations
-
Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2013). Early markers of autism spectrum disorders in infants and toddlers prospectively identified in the Social Attention and Communication Study . Autism, 17(1), 64-86. SAGE Publications.
-
Emma Williams , Kate Thomas , Helen Sidebotham , Alan Emond (2008). Prevalence and characteristics of autistic spectrum disorders in the ALSPAC cohort . Developmental Medicine & Child Neurology, 50(9), 672-677. Wiley.Crossref OpenAlex OpenCitations
-
Josephine Barbaro *Autistic author. Learn more… , Santoshi Halder (2016). Early Identification of Autism Spectrum Disorder: Current Challenges and Future Global Directions . Current Developmental Disorders Reports, 3(1), 67-74. Springer Science and Business Media LLC.
-
DAVID S. MANDELL , Knashawn H. Morales , Ming Xie , Lindsay J. Lawer , Aubyn C. Stahmer , Steven C. Marcus (2010). Age of Diagnosis Among Medicaid-Enrolled Children With Autism, 2001–2004 . Psychiatric Services, 61(8), 822-829. American Psychiatric Association Publishing.Crossref OpenAlex OpenCitations
-
DAVID S. MANDELL , Maytali M. Novak , Cynthia D. Zubritsky (2005). Factors Associated With Age of Diagnosis Among Children With Autism Spectrum Disorders . Pediatrics, 116(6), 1480-1486. American Academy of Pediatrics (AAP).Crossref OpenAlex OpenCitations
-
Patricia J. M. Van Wijngaarden-Cremers , Evelien van Eeten , Wouter B. Groen , Patricia A. Van Deurzen , Iris J. Oosterling , Rutger Jan Van der Gaag (2014). Gender and Age Differences in the Core Triad of Impairments in Autism Spectrum Disorders: A Systematic Review and Meta-analysis . Journal of Autism and Developmental Disorders, 44(3), 627-635. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Rebecca E. Rosenberg , Rebecca Landa , J. Kiely Law , Elizabeth A. Stuart , Paul A. Law (2011). Factors Affecting Age at Initial Autism Spectrum Disorder Diagnosis in a National Survey . Autism Research and Treatment, 2011, 1-11. Hindawi Limited.Crossref OpenAlex OpenCitations
-
Catherine Bent , Cheryl Dissanayake , Josephine Barbaro *Autistic author. Learn more… (2015). Mapping the diagnosis of autism spectrum disorders in children aged under 7 years in Australia, 2010–2012 . Medical Journal of Australia, 202(6), 317-320. Wiley.
-
Ellen Giarelli , Lisa D. Wiggins , Catherine E. Rice , Susan E. Levy , Russell S. Kirby , Jennifer Pinto-Martin et al. (2010). Sex differences in the evaluation and diagnosis of autism spectrum disorders among children . Disability and Health Journal, 3(2), 107-116. Elsevier BV.Crossref OpenAlex OpenCitations
-
I.A. Lagunju , T.T. Bella-Awusah , O.O. Omigbodun (2014). Autistic disorder in Nigeria: Profile and challenges to management . Epilepsy & Behavior, 39, 126-129. Elsevier BV.Crossref OpenAlex OpenCitations
-
Gajananda Prakash Bhandari , Mirak Raj Angdembe , Meghnath Dhimal , Sushma Neupane , Choplal Bhusal (2014). State of non-communicable diseases in Nepal . BMC Public Health, 14(1), 23. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Ritesh Thapa (2016). Retrospective Descriptive Study of Cerebral Palsy in Nepal . Journal of Autism and Developmental Disorders, 46(7), 2285-2291. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Nienke Peters-Scheffer , Robert Didden , Hubert Korzilius , Johnny Matson (2012). Cost comparison of early intensive behavioral intervention and treatment as usual for children with autism spectrum disorder in the Netherlands . Research in Developmental Disabilities, 33(6), 1763-1772. Elsevier BV.Crossref OpenAlex OpenCitations
-
Selma Idring , Dheeraj Rai , Henrik Dal , Christina Dalman , Harald Sturm , Eric Zander et al. (2012). Autism Spectrum Disorders in the Stockholm Youth Cohort: Design, Prevalence and Validity . PLoS ONE, 7(7), e41280. Public Library of Science (PLoS).Crossref OpenAlex OpenCitations
-
Julie Bickel , Carolyn Bridgemohan , Georgios Sideridis , Noelle Huntington (2015). Child and Family Characteristics Associated With Age of Diagnosis of an Autism Spectrum Disorder in a Tertiary Care Setting . Journal of Developmental & Behavioral Pediatrics, 36(1), 1-7. Ovid Technologies (Wolters Kluwer Health).Crossref OpenAlex OpenCitations
-
Merina Shrestha , Rena Shrestha (2014). Symptom Recognition to Diagnosis of Autism in Nepal . Journal of Autism and Developmental Disorders, 44(6), 1483-1485. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
A. Bravo Oro , J. Vázquez Briseño , C.A. Cuello García , R.F. Calderón Sepúlveda , A.M. Hernández Villalobos , C. Esmer Sánchez (2012). Early manifestations of autism spectrum disorders. Experience of 393 cases in a child neurological centre . Neurología (English Edition), 27(7), 414-420. Elsevier BV.Crossref OpenAlex OpenCitations
-
A. Bravo Oro , J. Vázquez Briseño , C.A. Cuello García , R.F. Calderón Sepúlveda , A.M. Hernández Villalobos , C. Esmer Sánchez (2012). Manifestaciones iniciales de los trastornos del espectro autista. Experiencia en 393 casos atendidos en un centro neurológico infantil . Neurología, 27(7), 414-420. Elsevier BV.OpenAlex OpenCitations
-
Denise Brett , Frances Warnell , Helen McConachie , Jeremy R Parr (2016). Factors Affecting Age at ASD Diagnosis in UK: No Evidence that Diagnosis Age has Decreased Between 2004 and 2014 . Journal of Autism and Developmental Disorders, 46(6), 1974-1984. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Central Bureau of Statistics (2012). National population and housing census 2011 . National population and housing census 2011.Type: OtherCrossref
-
Maria Valicenti-McDermott , Kathryn Hottinger , Rosa Seijo , Lisa Shulman (2012). Age at Diagnosis of Autism Spectrum Disorders . The Journal of Pediatrics, 161(3), 554-556. Elsevier BV.Crossref OpenAlex OpenCitations
-
Central Bureau of Statistics. (2014). Population monograph of Nepal, Volume II (Economic Demography). http://cbs.gov.np/image/data/Population/Population%20Monograph%20of%20Nepal%202014/Population%20Monograph%20V02.pdf .Type: OtherCrossref
-
Chuan-Yu Chen , Chieh-Yu Liu , Wen-Chuan Su , Su-Ling Huang , Keh-Ming Lin (2008). Urbanicity-related Variation in Help-seeking and Services Utilization among Preschool-age Children with Autism in Taiwan . Journal of Autism and Developmental Disorders, 38(3), 489-497. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Tamara C Daley (2004). From symptom recognition to diagnosis: children with autism in urban India . Social Science & Medicine, 58(7), 1323-1335. Elsevier BV.Crossref OpenAlex OpenCitations
-
Megan L. E. Clark , Zoe Vinen , Josephine Barbaro *Autistic author. Learn more… , Cheryl Dissanayake (2018). School Age Outcomes of Children Diagnosed Early and Later with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 48(1), 92-102. Springer Science and Business Media LLC.
-
Mayada Elsabbagh , Gauri Divan , Yun‐Joo Koh , Young Shin Kim , Shuaib Kauchali , Carlos Marcín et al. (2012). Global Prevalence of Autism and Other Pervasive Developmental Disorders . Autism Research, 5(3), 160-179. Wiley.Crossref OpenAlex OpenCitations
-
Dhana Ratna Shakya (2010). Psychiatric Morbidity Profiles of Child and Adolescent Psychiatry Out-Patients in a Tertiary-Care Hospital . Journal of Nepal Paediatric Society, 30(2), 79-84. Nepal Paediatric Society.Crossref OpenAlex OpenCitations
-
Amy M Daniels , DAVID S. MANDELL (2014). Explaining differences in age at autism spectrum disorder diagnosis: A critical review . Autism, 18(5), 583-597. SAGE Publications.Crossref OpenAlex OpenCitations
-
Géraldine Dawson (2008). Early behavioral intervention, brain plasticity, and the prevention of autism spectrum disorder . Development and Psychopathology, 20(3), 775-803. Cambridge University Press (CUP).Crossref OpenAlex OpenCitations
-
Helen E. Flanagan , Adrienne Perry , Nancy L. Freeman (2012). Effectiveness of large-scale community-based Intensive Behavioral Intervention: A waitlist comparison study exploring outcomes and predictors . Research in Autism Spectrum Disorders, 6(2), 673-682. Elsevier BV.Crossref OpenAlex OpenCitations
-
John Vijay Sagar Kommu , Gayathri K.R. , Shoba Srinath , Satish Chandra Girimaji , Shekhar P. Seshadri , Gururaj Gopalakrishna et al. (2017). Profile of two hundred children with Autism Spectrum Disorder from a tertiary child and adolescent psychiatry centre . Asian Journal of Psychiatry, 28, 51-56. Elsevier BV.Crossref OpenAlex OpenCitations
-
Christine Fountain , Marissa D King , Peter S Bearman (2011). Age of diagnosis for autism: individual and community factors across 10 birth cohorts . Journal of Epidemiology and Community Health, 65(6), 503. BMJ.Crossref OpenAlex
-
Srinivas Goli , Prem Bhandari , Uma Maheswara Rao Atla , Aparajita Chattopadhayay (2017). Childhood Mortality Differentials by Ecological Region in Nepal . Population, Space and Place, 23(2), 1. Wiley.Crossref OpenAlex OpenCitations
-
Katherine Gotham , Andrew Pickles , Catherine Lord (2009). Standardizing ADOS Scores for a Measure of Severity in Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 39(5), 693-705. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Priscilla Estelle Springer , Ronald Van Toorn , Barbara Laughton , Martin Kidd (2013). Characteristics of children with pervasive developmental disorders attending a developmental clinic in the Western Cape Province, South Africa . South African Journal of Child Health, 7(3), 95. South African Medical Association NPC.Crossref OpenAlex OpenCitations
-
IBM Corp. (2017). IBM SPSS Statistics for Windows (Version 25. 0). Armonk, NYI:IBM Corp.Type: OtherCrossref
-
M Juneja (2005). Juneja, M., Mukherjee, S., & Sharma, S. (2005). A descriptive hospital based study of children with autism. Indian Pediatrics, 42(5), 453. Indian Pediatrics, 42(5), 453.Type: OtherCrossref
-
Giacomo Vivanti , Josephine Barbaro *Autistic author. Learn more… , Kristelle Hudry , Cheryl Dissanayake , Margot Prior (2013). Intellectual Development in Autism Spectrum Disorders: New Insights from Longitudinal Studies . Frontiers in Human Neuroscience, 7, 354. Frontiers Media SA.
-
Catherine Lord , Susan Risi , Linda Lambrecht , Edwin H. Cook , Bennett L. Leventhal , Pamela C. DiLavore et al. (2000). The Autism Diagnostic Observation Schedule—Generic: A Standard Measure of Social and Communication Deficits Associated with the Spectrum of Autism . Journal of Autism and Developmental Disorders, 30(3), 205-223. Springer Science and Business Media LLC.Crossref OpenAlex
-
Ahmad Ghanizadeh , Mohammad Reza Mohammadi , Sadeghi Tahereh , Ali Alavi Shoushtari , S H Akhoundzadeh (2009). Symptoms of Children with Autism Spectrum Disorder,a clinical sample .Type: Article OpenAlex: https://openalex.org/W2131497491OpenAlex
-
C. Talero-Gutiérrez , M. Rodríguez , D. De La Rosa , G. Morales , A. Vélez-Van-Meerbeke (2012). Caracterización de niños y adolescentes con trastornos del espectro autista en una institución de Bogotá, Colombia . Neurología, 27(2), 90-96. Elsevier BV.OpenAlex OpenCitations
-
Ministry of Health , Population (2012). Nepal demographic and health survey 2011 . Nepal demographic and health survey 2011.Type: OtherCrossref
-
Cecilia Montiel-Nava , José A Chacín , Zoila González-Ávila (2017). Age of diagnosis of autism spectrum disorder in Latino children: The case of Venezuelan children . Autism, 21(5), 573-580. SAGE Publications.Crossref OpenAlex OpenCitations
-
JP Pandey (2013). Maternal and child health in Nepal: The effects of caste, ethnicity, and regional identity: Further analysis of the 2011 Nepal demographic and health survey . Maternal and child health in Nepal: The effects of caste, ethnicity, and regional identity: Further analysis of the 2011 Nepal demographic and health survey.Type: OtherCrossref
-
Janet B W Williams , Michael First (2013). Diagnostic and Statistical Manual of Mental Disorders . Encyclopedia of Social Work. Oxford University PressNew York, NY.OpenAlex
-
M Kuciarska-ciesielska , L Nowak (1997). [The national population and housing census, 2000]. PubMed, 42(2), 1-12.Type: Article OpenAlex: https://openalex.org/W2214070250OpenAlex
-
Dr Preeti K , Dr Shoba Srinath , Dr Shekhar P Seshadri , Dr Satish C Girimaji , Dr John Vijay Sagar Kommu (2017). Lost time—Need for more awareness in early intervention of autism spectrum disorder . Asian Journal of Psychiatry, 25, 13-15. Elsevier BV.Crossref OpenAlex OpenCitations
-
Claudio Bolzman , Laure Kaeser , Etienne Christe (2017). Transnational Mobilities as a Way of Life Among Older Migrants from Southern Europe . Population, Space and Place, 23(5). Wiley.OpenAlex
-
Christine Fountain , Marissa D King , Peter S Bearman (2011). Age of diagnosis for autism: individual and community factors across 10 birth cohorts . Journal of Epidemiology and Community Health, 65(6), 503-510. BMJ.Type: Article DOI: 10.1136/jech.2009.104588 10.7916/d8-ghsr-xj41OpenCitations
-
AA Shooshtari (2009). Shooshtari, A. A., Sadeghiyeh, T., Mohammadi, M. R., Ghanizadeh, A., & Akhondzadeh, S. (2009). Symptoms of children with autism spectrum disorder, a clinical sample. Iranian Journal of Psychiatry, 4(4), 165–169. Iranian Journal of Psychiatry, 4(4), 165.Type: OtherCrossref
-
Dejene Tilahun , Charlotte Hanlon , Abebaw Fekadu , Bethlehem Tekola , Yonas Baheretibeb , Rosa A. Hoekstra (2016). Stigma, explanatory models and unmet needs of caregivers of children with developmental disorders in a low-income African country: a cross-sectional facility-based survey . BMC Health Services Research, 16(1), 1. Springer Science and Business Media LLC.Crossref OpenAlex OpenCitations
-
Population Mohp , Nepal (2007). Nepal Demographic And Health Survey 2006 .Type: Article OpenAlex: https://openalex.org/W2345631887OpenAlex
-
M Juneja , S B Mukherjee , S Sharma (2005). A descriptive hospital based study of children with autism. PubMed, 42(5), 453-8.Type: Article OpenAlex: https://openalex.org/W2461972932OpenAlex
-
B Tabachnick (2013). Using multivariate statistics . Using multivariate statistics.Type: OtherCrossref
-
Magnus Sandberg , Gerd Ahlström , Anna Axmon , Jimmie Kristensson (2016). Somatic healthcare utilisation patterns among older people with intellectual disability: an 11-year register study . BMC Health Services Research, 16(1), 642-642. Springer Science and Business Media LLC.OpenAlex
-
Thomas A. Widiger (2000). Diagnostic and Statistical Manual of Mental Disorders. In Encyclopedia of Psychology, Vol. 3. (pp. 32-35). Oxford University Press.OpenAlex
-
World Health Organization (1993). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research . The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research.Type: OtherCrossref
-
Ali Alavi Shooshtari , Taherah Sadeghiyeh , Mohammad Reza Mohammadi , Ahmad Ghanizadeh , Shahin Akhondzadeh (2009). Symptoms of Children with Autism Spectrum Disorder,a clinical sample . DOAJ (DOAJ: Directory of Open Access Journals).Type: Article OpenAlex: https://openalex.org/W7034284470OpenAlex