Assessment & Research

Consanguinity in India and its association with autism spectrum disorder.

Mamidala et al. (2015) · Autism research : official journal of the International Society for Autism Research 2015
★ The Verdict

In India, cousin marriage nearly triples the odds of having a child with ASD.

✓ Read this if BCBAs who assess or intake children from South Asian families.
✗ Skip if Clinicians who only serve populations where cousin marriage is rare.

01Research in Context

01

What this study did

Researchers looked at family trees of children with autism in India.

They asked if the parents were blood relatives, such as cousins.

Then they compared autism rates between related and unrelated parents.

02

What they found

Children whose parents are cousins have three times the odds of autism.

The risk stayed high even after counting parents’ age and income.

03

How this fits with other research

Mamidala et al. (2013) also worked in India and found labor problems raise autism odds by about half.

Their risks are smaller than cousin marriage, but both studies show Indian families face multiple, stacking risks.

Al-Mamari et al. (2015) studied Middle-East families who marry cousins too.

They found clear gene flaws in one of every four autism cases.

Together, the papers say cousin marriage is a big clue to look for genetic causes.

04

Why it matters

When you intake a new Indian client, ask if the parents are related.

A “yes” should push you to request genetic testing and to counsel about future pregnancies.

It also reminds you that risk is not one-size-fits-all; culture counts.

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Add one question to your intake form: "Are the child’s parents blood relatives?"

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
positive

03Original abstract

Autism Spectrum Disorder (ASD) has both genetic and environmental factors in its etiology. The risk for many disorders is increased by consanguinity, but it is not known whether it increases the risk for ASD. Our study from large population in India concludes that consanguinity increases the risk for ASD with an odds ratio of 3.22.

Autism research : official journal of the International Society for Autism Research, 2015 · doi:10.1002/aur.1431