Autism & Developmental

Demographic and autism characteristics as predictors of age of autism diagnosis of individuals with autism in Paraguay.

Terol et al. (2024) · Autism : the international journal of research and practice 2024
★ The Verdict

Earlier caregiver concern and better verbal skills speed autism diagnosis in Paraguay.

✓ Read this if BCBAs helping families navigate diagnosis in low-resource or Spanish-speaking settings.
✗ Skip if Clinicians only treating older verbal clients with long-standing diagnoses.

01Research in Context

01

What this study did

Kaori and colleagues asked caregivers in Paraguay about their children with autism.

They wanted to know what makes diagnosis happen sooner or later.

Parents filled out a survey about the child’s age, first worries, and talking level.

02

What they found

Kids got diagnosed earlier when parents first worried sooner.

Children who could speak words were also diagnosed earlier.

Older kids at the time of the study had waited longer for a label.

03

How this fits with other research

Mathur et al. (2025) extends these findings. They show U.S. toddlers with autism face extra barriers like food or housing gaps. Together the papers say: social factors plus child traits steer when diagnosis happens.

Hatton et al. (2004) is a predecessor. That team proved autism can be spotted reliably by age 2. Kaori et al. now show what speeds or slows that moment in a lower-resource country.

Norrelgen et al. (2015) adds a twist. One in four preschoolers still lack phrase speech after two years of help. Kaori links early words to earlier diagnosis, but Fritjof reminds us some kids remain non-verbal despite later services.

04

Why it matters

If you coach families, ask early about first worries and note any words the child uses. Flag these points to doctors right away. In rural or low-resource areas this simple push can shave months off wait time and start help sooner.

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Ask the parent when they first worried and record the child’s current words; send both facts to the evaluating doctor the same day.

02At a glance

Intervention
not applicable
Design
survey
Sample size
176
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Autism is a lifelong condition characterized by repetitive behaviors and social communication differences. The reported cases of autism increased globally in the past years. Detecting autism early and providing appropriate supports promptly are crucial for better outcomes. Yet, little research focuses on what factors interplay in the diagnostic process of autistic children in Paraguay. We gathered data from 176 caregivers of autistic children under 18 years in Paraguay. Through a detailed analysis, we found that child's age, child's age at the caregiver's first concerns about their development, and the child's verbal skills are key in predicting the age of autism diagnosis in Paraguay. Educating caregivers and professionals about autism and social communication development can help identify autism early and provide timely support.

Autism : the international journal of research and practice, 2024 · doi:10.1177/13623613241236527