County-Level Prevalence Estimates of Autism Spectrum Disorder in Children in the United States

Details

• Alternative Title:
  J Autism Dev Disord
• Personal Author:
  Bradshaw, Jessica ; Eberth, Jan M. ; Zgodic, Anja ; Federico, Alexis ; Flory, Kate ; McLain, Alexander C.
• Description:
  Prevalence estimates of autism spectrum disorder (ASD) point to geographic and socioeconomic disparities in identification and diagnosis. Estimating national prevalence rates can limit understanding of local disparities, especially in rural areas where disproportionately higher rates of poverty and decreased healthcare access exist. Using a small area estimation approach from the 2016-2018 National Survey of Children's Health (N = 70,913), we identified geographic differences in ASD prevalence, ranging from 4.38% in the Mid-Atlantic to 2.71% in the West South-Central region. Cluster analyses revealed "hot spots" in parts of the Southeast, East coast, and Northeast. This geographic clustering of prevalence estimates suggests that local or state-level differences in policies, service accessibility, and sociodemographics may play an important role in identification and diagnosis of ASD.County-Level Prevalence Estimates of Autism Spectrum Disorder in Children in the United States.
• Subjects:
  Adolescent Autism Spectrum Disorder Child Child, Preschool Cluster Analysis Female Health Services Accessibility Health Surveys Humans Male Prevalence Rural Population United States

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• Keywords:
  Autism Prevalence Geographic Disparities National Survey Of Children’s Health Small Area Estimate
• Source:
  J Autism Dev Disord. 54(7):2710-2718
• Pubmed ID:
  37142898
• Pubmed Central ID:
  PMC11019892
• Document Type:
  Journal Article
• Funding:
  U19 DD001218/DD/NCBDD CDC HHSUnited States/ ; Centers for Disease Control and Prevention/CC/CDC HHSUnited States/ ; K23MH120476/MH/NIMH NIH HHSUnited States/ ; U19DD001218/ACL/ACL HHSUnited States/ ; T32GM081740/GM/NIGMS NIH HHSUnited States/ ; T32 GM081740/GM/NIGMS NIH HHSUnited States/ ; K23 MH120476/MH/NIMH NIH HHSUnited States/ ; 5U19DD001218/DD/NCBDD CDC HHSUnited States/ ; K23MH120476/MH/NIMH NIH HHSUnited States/ ; T32GM081740/GM/NIGMS NIH HHSUnited States/ ; 5U19DD001218/DD/NCBDD CDC HHSUnited States/ ; Centers for Disease Control and Prevention/CC/CDC HHSUnited States/
• Volume:
  54
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:a2457a2341e34f2449d29b773a6f7ddaa8b50037d794e85907bffc4398f7dbfef944c6fe18d1c6c6778cc0236a1935914cc8308d9112cd2326bddf298dc9dccd
• Download URL:
  https://stacks.cdc.gov/view/cdc/154406/cdc_154406_DS1.pdf
• File Type:
  [PDF - 822.07 KB ]