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General practitioners (GPs) could have an important role in early diagnosis of autism. There have been no studies evaluating the knowledge of GPs regarding autism in Pakistan. We aimed to fill that gap by assessing knowledge and attitude of GPs in Karachi regarding autism. We conducted a cross-sectional survey of 348 GPs; only 148 (44.6%) had heard of “autism.” Our results show that GPs less than 30 years of age and those who obtained their Medical Degree in the last 5 years are more likely to report knowledge about autism: OR = 3.0; 95% CI: 1.71, 5.31, and OR = 2.56; 95% CI: 1.48, 4.42, respectively. In addition, among those reporting knowledge about autism, many held misconceptions regarding the signs and symptoms and etiology.
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Akhtar, T., & Khan, A. J. (2000). Health research capacity in Pakistan (A country report prepared for the WHO and COHRED Regional Consultation on Health Research for Development). Andean and Caribbean Network for Research in Health Policy and Systems. Retrieved March 19, 2010, from: http://www.revmed.unal.edu.co/red/prioridad/health%20research%20resources%20in%20pakistan.pdf.
Ashwell, G. (2009). Autism and Asperger’s syndrome. InnovAiT,2, 651–656. CrossRef
Aziz, A., Kazi, A., Jahangeer, A., & Fatmi, Z. (2006). Knowledge and skills in community oriented medical education (COME) self-ratings of medical undergraduates in Karachi. The Journal of the Pakistan Medical Association,56, 313–317.
Baig, L. A., Akram, D. S., & Ali, S. K. (2006). Development of the community-oriented medical education curriculum of Pakistan: A case report on the national initiative on curriculum development. Education for Health: Change in Learning and Practice,19, 223–228. CrossRef
Centers for Disease Control and Prevention (CDC). (2007). Prevalence of autism spectrum disorders-autism and developmental disabilities monitoring network, 14 sites, United States, 2002. Morbidity and Mortality Weekly Report (MMWR),56, 12–28.
Committee on Children With Disabilities. (2001). The pediatrician’s role in the diagnosis and management of autistic spectrum disorder in children. Pediatrics,107, 1221–1226. CrossRef
Dobe, M. (1995). Awareness on AIDS among health care professionals. Indian Journal of Public Health,39, 105–108. PubMed
Duffy, F. D., & Holmboe, E. S. (2006). Self-assessment in lifelong learning and improving performance in practice: Physician know thyself. JAMA: The Journal of the American Medical Association,296, 1137–1139. CrossRef
Elahi, F., Siddiqui, M. G., & Jafarey, N. A. (1985). A retrospective look at the medical curriculum. Journal of the Pakistan Medical Association,35, 85–92. PubMed
Fombonne, E. (2005). Epidemiology of autistic disorder and other pervasive developmental disorders. Journal of Clinical Psychiatry,66(Suppl 10), 3–8. PubMed
Gadit, A. A. (2006). Medical system: Need for appraisal and suggestions. Journal of the College of Physicians and Surgeons,16, 681.
Gadit, A. A. (2007). Psychiatry in Pakistan: 1947–2006: A new balance sheet. Journal of the Pakistan Medical Association,57, 453–463. PubMed
Gadit, A. A. (2008). Research qualifications in medicine: What is the importance? Journal of the Pakistan Medical Association,58, 93–94. PubMed
Gadit, A. A., Shiwani, M. H., & Abbasi, Y. (2008). Safe medical practice in Pakistan: Are we prepared to adopt a path? Journal of the Pakistan Medical Association,58, 145–147. PubMed
Herzig, H. (2003). Teaching psychiatry in poor countries: Priorities and needs. A description of how mental health is taught to medical students in Malawi, Central Africa. Education for Health (Abingdon.),16, 32–39.
Iqbal, I., Pervez, S., & Baig, S. (1997). Management of children with acute respiratory infections (ARI) by general practitioners in Multan—An observational study. Journal of the Pakistan Medical Association,47, 24–28. PubMed
Jawaid, A., Zafar, A. M., Naveed, A., Sheikh, S., Waheed, S., Zafar, M. A., et al. (2008). Knowledge of primary paediatric care providers regarding attention deficit hyperactivity disorder and learning disorder: A study from Pakistan. Singapore Medical Journal,49, 985–993. PubMed
Khan, A. J. (2004). Scope of medical colleges in private sector. Journal of Ayub Medical College, Abbottabad,16, 1–3. PubMed
Khandwalla, H. E., Luby, S., & Rehman, S. (2006). Knowledge, attitudes and practices regarding sexually transmitted infections among general practitioners and medical specialists in Karachi, Pakistan. Journal of Pakistan Medical Association,56, S31–S33.
Kochanek, T. T. (1991). The role of the physician in early intervention screening for infants and toddlers. Rhode Island Medical Journal,74, 275–280. PubMed
Lian, W. B., Ho, S. K., Yeo, C. L., & Ho, L. Y. (2003). General practitioners’ knowledge on childhood developmental and behavioural disorders. Singapore Medical Journal,44, 397–403. PubMed
Medi Publications: House of Medical Publications. (2006). Mediguide: Comprehensive medical directory (2004–2005) (5th ed.). Karachi, Pakistan: S. M. S. Yunus.
Naqvi, A. S. (1997). Problems of medical education in Pakistan. Journal of Pakistan Medical Association,47, 267–269.
Pakistan Medical and Dental Council. (2009a). Medical institutions in public & private sector in Pakistan. Pakistan Medical and Dental Council. Retrieved March 19, 2010, from: http://dev.plexushosting.com/PMDC/AboutUs/RecognizedMedicalDentalColleges/tabid/109/Default.aspx.
Pakistan Medical and Dental Council. (2009b). Total number of doctors (M.B.B.S) in Pakistan. Pakistan Medical and Dental Council. Retrieved March 19, 2010, from: http://dev.plexushosting.com/PMDC/Statistics/tabid/103/Default.aspx.
Patwari, A. K., Anand, V., Kumar, H., Aneja, S., & Mullick, D. (1991). Knowledge and perceptions of residents regarding case management of acute diarrhea. Indian Pediatrics,28, 887–892. PubMed
Population Reference Bureau. (2009). 2009 World Population Data Sheet. Population Reference Bureau. Retrieved March 19, 2010, from: http://www.prb.org/pdf09/09wpds_eng.pdf.
Rauf, M. A., & Saeed, A. B. (2007). Competency assurance of general practitioners-role of regulatory authority. Journal of the Pakistan Medical Association,57, 573–574. PubMed
Rizvi, N., & Hussain, M. (2001). Survey of knowledge about tuberculosis amongst family physicians. Journal of the Pakistan Medical Association,51, 333–337. PubMed
Roy, S. K., Roy, S. K., Bagchi, S., Bajpayee, A., Pal, R., & Biswas, R. (2005). Study of KAP of the private medical practitioners about national disease control programmes. Indian Journal of Public Health,49, 256–257. PubMed
Shah, S. K., Sadiq, H., Khalil, M., Noor, A., Rasheed, G., Shah, S. M., et al. (2003). Do private doctors follow national guidelines for managing pulmonary tuberculosis in Pakistan? Eastern Mediterranean Health Journal,9, 776–788. PubMed
Shaikh, A. J., Khokhar, N. A., Raza, S., Kumar, S., Haider, G., Haider, A. G., et al. (2008). Knowledge, attitude and practices of non-oncologist physicians regarding cancer and palliative care: A multi-center study from Pakistan. Asian Pacific Journal of Cancer Prevention,9, 581–584. PubMed
Shehzadi, R., Irfan, M., Zohra, T., Khan, J. A., & Hussain, S. F. (2005). Knowledge regarding management of tuberculosis among general practitioners in northern areas of Pakistan. Journal of the Pakistan Medical Association,55, 174–176. PubMed
Singhi, P., & Malhi, P. (2001). Clinical and neurodevelopmental profile of young children with autism. Indian Pediatrics,38, 384–390. PubMed
Sood, R., & Adkoli, B. V. (2000). Medical education in Indiaûproblems and prospects. Journal, Indian Academy of Clinical Medicine,1, 210–212.
SPSS Inc. (2009). Statistical Package for the Social Sciences (SPSS), Software Statistics 17.0.1 for Windows (Version 17.0.1). SPSS Inc.
Uddin, M. T., Islam, M. N., & Uddin, M. J. (2008). A survey on knowledge of nutrition of physicians in Bangladesh: Evidence from Sylhet data. South East Asian Journal of Medical Education,2, 14–17.
U.S.Census Bureau. (2009). Demographic Indicators International Data Base (IDB) (Pakistan). U.S. Census Bureau. Retrieved May 08, 2009, from: http://www.census.gov/ipc/www/idb/country.php.
Vandan, N., Ali, M., Prasad, R., & Kuroiwa, C. (2008). Physicians’ knowledge regarding the recommended anti-tuberculosis prescribed medication regimen: A cross-sectional survey from Lucknow, India. The Southeast Asian Journal of Tropical Medicine and Public Health,39, 1072–1075. PubMed
Volkmar, F. R., Klin, A., & Cohen, D. J. (1997). Diagnosis and classification of autism and related conditions: consensus and issues. In D. J. Cohen & F. R. Volkmar (Eds.), Handbook of autism and pervasive developmental disorders (2nd ed., pp. 5–40). New York: Wiley.
Wasay, M. (2003). Neurological care in Pakistan: Actions are needed. Journal of the Pakistan Medical Association,53, 576. PubMed
World Bank. (2008). World Bank’s Data Group. World Bank (Quick Reference Tables). Retrieved March 22, 2010, from: http://web.worldbank.org/WBSITE/EXTERNAL/DATASTATISTICS/0,,contentMDK:20399244~menuPK:1504474~pagePK:64133150~piPK:64133175~theSitePK:239419,00.html.
World Health Organization. (2005). Mental Health Atlas 2005. (revised edition ed.) Geneva, Switzerland. World Health Organization.
World Health Organization. (2009). Mental health in primary care. World Health Organization. Retrieved February 11, 2009, from: http://www.euro.who.int/MENTALHEALTH/TOPICS/20090825_1.
- Knowledge and Attitude of General Practitioners Regarding Autism in Karachi, Pakistan
Mohammad Hossein Rahbar
- Springer US