Morbidity and Mortality Weekly Report (MMWR): Surveillance Summaries, March 2020 / Vol. 69 / No. SS-3

Details

• Alternative Title:
  Early Identification of Autism Spectrum Disorder Among Children Aged 4 Years — Early Autism and Developmental Disabilities Monitoring Network, Six Sites, United States, 2016
• Journal Article:
  Morbidity and Mortality Weekly Report (MMWR): Surveillance Summaries
• Personal Author:
  Shaw, Kelly A. ; Maenner, Matthew J. ; Baio, Jon ; Washington, nita ; Christensen, Deborah L. ; Wiggins, Lisa D. ; Pettygrove, Sydney ; Andrews, Jennifer G. ; White, Tiffany ; Rosenberg, Cordelia Robinson ; Constantino, John N. ; Fitzgerald, Robert T. ; Zahorodny, Walter ; Shenouda, Josephine ; Daniels, Julie L. ; Salinas, Angelica ; Durkin, Maureen S. ; Dietz,, Patricia M.
• Corporate Authors:
  National Center on Birth Defects and Developmental Disabilities (Centers for Disease Control and Prevention) ; University of Arizona ; Colorado. Department of Public Health and Environment ; University of Colorado School of Medicine. Department of Pediatrics ; Washington University ; Rutgers New Jersey Medical School ; University of North Carolina, Chapel Hill ; University of Wisconsin
• Description:
  The Early Autism and Developmental Disabilities Monitoring (Early ADDM) Network, a subset of the overall ADDM Network, is an active surveillance program that estimates ASD prevalence and monitors early identification of ASD among children aged 4 years. Children included in surveillance year 2016 were born in 2012 and had a parent or guardian who lived in the surveillance area in Arizona, Colorado, Missouri, New Jersey, North Carolina, or Wisconsin, at any time during 2016. Children were identified from records of community sources including general pediatric health clinics, special education programs, and early intervention programs. Data from comprehensive evaluations performed by community professionals were abstracted and reviewed by trained clinicians using a standardized ASD surveillance case definition with criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5).
  
  In 2016, the overall prevalence of ASD in the Early ADDM Network using DSM-5 criteria (15.6 per 1,000 children aged 4 years) was higher than the 2014 estimate using DSM-5 criteria (14.1 per 1,000). Children born in 2012 had a higher cumulative incidence of ASD diagnoses by age 48 months compared with children born in 2008, which indicates more early identification of ASD in the younger group. The disparity in ASD prevalence has decreased between white and black children. Prevalence of co-occurring intellectual disability was higher than in 2014, suggesting children with intellectual disability continue to be identified at younger ages. More children received evaluations by age 36 months in 2016 than in 2014, which is consistent with Healthy People 2020 goals. Median age at earliest ASD diagnosis has not changed considerably since 2014.
  
  
• Subjects:
  Autism Spectrum Disorder Child, Preschool Diagnostic And Statistical Manual Of Mental Disorders Early Diagnosis Female Humans Male Population Surveillance Prevalence
• Source:
  Morbidity and Mortality Weekly Report (MMWR): Surveillance Summaries, 2020; v. 69, no. 3
• Series:
  Surveillance Summaries: Morbidity and Mortality Weekly Report (MMWR)
• DOI:
  http://dx.doi.org/10.15585/mmwr.ss6903a1
• ISSN:
  1546-0738 (print) ; 1545-8636 (digital)
• Pubmed ID:
  32214075
• Pubmed Central ID:
  PMC7119643
• Document Type:
  Journal Issue
• Funding:
  P30 ES010126/ES/NIEHS NIH HHSUnited States/
• Genre:
  Surveillance Summaries
• Place as Subject:
  Arizona ; Colorado ; Missouri ; New Jersey ; North Carolina ; Wisconsin
• Pages in Document:
  16 pdf pages
• Volume:
  69
• Issue:
  3
• Collection(s):
  Morbidity and Mortality Weekly Report (MMWR)
• Main Document Checksum:
  urn:sha-512:fc0d68780e4146f2792112ad998651a1ab6ca0c55b2b82d14840c49bc50155dd4fd925964437ee17c96b03b2b9706852f2a120a420e0b6d091a29982c647eac3
• Download URL:
  https://stacks.cdc.gov/view/cdc/88025/cdc_88025_DS1.pdf
• File Type:
  [PDF - 500.03 KB ]