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Autistic Disorder: HELP
Articles by Stefan Williams
Based on 2 articles published since 2010
(Why 2 articles?)
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Between 2010 and 2020, Stefan Williams wrote the following 2 articles about Autistic Disorder.
 
+ Citations + Abstracts
1 Article Investigating the association between early years foundation stage profile scores and subsequent diagnosis of an autism spectrum disorder: a retrospective study of linked healthcare and education data. 2019

Wright, Barry / Mon-Williams, Mark / Kelly, Brian / Williams, Stefan / Sims, David / Mushtaq, Faisal / Sohal, Kuldeep / Blackwell, Jane Elizabeth / Wright, John. ·Hull York Medical School and Dept Health Sciences, University of York, York, UK. · Institute of Psychological Sciences, University of Leeds, Leeds, UK. · Bradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK. · Leeds Institute for Health Sciences, University of Leeds, Leeds, UK. · Child and Adolescent Mental Health Service, Bradford District Care NHS Foundation Trust, Saltaire, UK. · Child Oriented Mental Health Intervention Centre, Leeds and York Partnership NHS Foundation Trust, York, UK. ·BMJ Paediatr Open · Pubmed #31799449.

ABSTRACT: Objective: We set out to test whether the early years foundation stage profile (EYFSP) score derived from 17 items assessed by teachers at the end of reception school year had any association with autism spectrum disorder (ASD) diagnosis in subsequent years. This study tested the feasibility of successfully linking education and health data. Design: A retrospective data linkage study. Setting and participants: The Born in Bradford longitudinal cohort of 13, 857 children. Outcome measures: We linked the EYFSP score at the end of reception year with subsequent diagnosis of an ASD, using all ASD general practitioner Read codes. We used the total EYFSP score and a subscore consisting of five key items in the EYFSP, prospectively identified using a panel of early years autism experts. Results: This study demonstrated the feasibility of linking education and health data using ASDs as an exemplar. A total of 8,935 children had linked primary care and education data with 20.7% scoring <25 on the total EYFSP and 15.2% scoring <10 on a EYFSP subscore proposed by an expert panel prospectively. The rate of diagnosis of ASDs at follow-up was just under 1% (84 children), children scoring <25 on the total EYFSP had a 4.1% chance of ASD compared with 0.15% of the remaining children. Using the prospectively designed subscore, this difference was greater (6.4% and 0.12%, respectively). Conclusions: We demonstrate the feasibility of linking education and health data. Performance on teacher ratings taken universally in school reception class can flag children at risk of ASDs. Further research is warranted to explore the utility of EYFSP as an initial screening tool for ASD in early school years.

2 Article The association between socioeconomic status and autism diagnosis in the United Kingdom for children aged 5-8 years of age: Findings from the Born in Bradford cohort. 2019

Kelly, Brian / Williams, Stefan / Collins, Sylvie / Mushtaq, Faisal / Mon-Williams, Mark / Wright, Barry / Mason, Dan / Wright, John. ·Bradford Teaching Hospitals NHS Foundation Trust, UK. · Yorkshire & Humber Academic Health Science Network, UK. · University of Leeds, UK. · University of York, UK. ·Autism · Pubmed #29113453.

ABSTRACT: There has been recent interest in the relationship between socioeconomic status and the diagnosis of autism in children. Studies in the United States have found lower rates of autism diagnosis associated with lower socioeconomic status, while studies in other countries report no association, or the opposite. This article aims to contribute to the understanding of this relationship in the United Kingdom. Using data from the Born in Bradford cohort, comprising 13,857 children born between 2007 and 2011, it was found that children of mothers educated to A-level or above had twice the rate of autism diagnosis, 1.5% of children (95% confidence interval: 1.1%, 1.9%) compared to children of mothers with lower levels of education status 0.7% (95% confidence interval: 0.5%, 0.9%). No statistically significant relationship between income status or neighbourhood material deprivation was found after controlling for mothers education status. The results suggest a substantial level of underdiagnosis for children of lower education status mothers, though further research is required to determine the extent to which this is replicated across the United Kingdom. Tackling inequalities in autism diagnosis will require action, which could include increased education, awareness, further exploration of the usefulness of screening programmes and the provision of more accessible support services.