Autism & Developmental

Immunization uptake in younger siblings of children with autism spectrum disorder.

Abu Kuwaik et al. (2014) · Autism : the international journal of research and practice 2014
★ The Verdict

Younger siblings of children with autism miss shots far more often, adding medical risk to an already high-risk group.

✓ Read this if BCBAs who serve families with more than one child and any autism history.
✗ Skip if Clinicians who only see single-child homes or adult clients.

01Research in Context

01

What this study did

Abu Kuwaik et al. (2014) compared shots records of baby brothers and sisters.

One group had an older sibling with autism. The other group had no autism in the family.

They counted how many shots were late or refused.

02

What they found

Almost six in ten babies with an autistic older sibling were behind on shots.

Four were simply late. One family said no to all shots.

Fully-vaccinated babies were rare in these homes.

03

How this fits with other research

Dai et al. (2019) looked at the same group and found more asthma and eczema.

Together the papers show the whole health chart needs watching, not just shots.

Garrido et al. (2017) pooled many studies and found language and motor lags starting at 12 months.

That means the same babies who miss shots are also behind on first words and first steps.

The shot gap is one more red flag in a sibling group already known to need extra screens.

04

Why it matters

When you meet a new client who has an older brother or sister with autism, ask to see the shot card right away. If shots are late, schedule a make-up plan and flag the chart for developmental checks. One quick question can stop both measles outbreaks and missed therapy windows.

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Add shot-status to your intake form for every new baby sibling.

02At a glance

Intervention
not applicable
Design
case control
Sample size
261
Population
autism spectrum disorder
Finding
negative
Magnitude
large

03Original abstract

BACKGROUND: Parental concerns persist that immunization increases the risk of autism spectrum disorder, resulting in the potential for reduced uptake by parents of younger siblings of children with autism spectrum disorder ("younger sibs"). OBJECTIVE: To compare immunization uptake by parents for their younger child relative to their older child with autism spectrum disorder ("proband") and controls. DESIGN: Immunization status was obtained for 98 "younger sibs," 98 "probands," and 65 controls. RESULTS: A significant group difference emerged for overall immunization status (Fisher's exact test = 62.70, p < .001). One or more immunizations in 59/98 younger sibs were delayed (47/98; 48%) or declined (12/98; 12.2%); immunizations were delayed in 16/98 probands (16.3%) and declined in only one. All controls were fully immunized, with only 6 (9.2%) delayed. Within the "younger sibs" group, 25/98 received an autism spectrum disorder diagnosis; 7 of whom (28%) were fully immunized. The rates of autism spectrum disorder diagnosis did not differ between immunized and nonimmunized younger sib groups, although small sample size limits interpretability of this result. CONCLUSION: Parents who already have one child with autism spectrum disorder may delay or decline immunization for their younger children, potentially placing them at increased risk of preventable infectious diseases.

Autism : the international journal of research and practice, 2014 · doi:10.1177/1362361312459111