Predictors of Ascertainment of Autism Spectrum Disorders Across Nine US Communities
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Autism spectrum disorders (ASD) prevalence estimates derived from a single data source under-identify children and provide a biased profile of case characteristics. We analyzed characteristics of 1,919 children with ASD identified by the Autism and Developmental Disabilities Monitoring Network. Cases ascertained only at education sources were compared to those identified at health sources. 38 % were education-only. These were older at their earliest evaluation (54.5 vs. 42.0 months, p < 0.001) and earliest ASD diagnosis (62 vs. 53 months, p < 0.001). More lived in census blocks with lower adult education (p < 0.001). Lower educational attainment of adults in census blocks of residence of education-only cases suggests disparities in access to clinical services with the schools providing crucial services to many families.
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- Predictors of Ascertainment of Autism Spectrum Disorders Across Nine US Communities
Journal of Autism and Developmental Disorders
Volume 43, Issue 8 , pp 1867-1879
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- Autism spectrum disorders
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- Author Affiliations
- 1. Mel and Enid Zuckerman College of Public Health, University of Arizona, 1295 N. Martin Avenue, Tucson, AZ, 85721, USA
- 2. Department of Psychiatry Department of Communication Sciences and Disorders, University of Utah, Salt Lake City, UT, USA
- 3. Department of Pediatrics, University of Arizona, Tucson, AZ, USA
- 4. Developmental Disabilities Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA
- 5. Department of Medicine, Division of Biostatistics and Epidemiology, Medical University of South Carolina, Charleston, SC, USA
- 6. Communicable Disease Epidemiology Program, Colorado Department of Public Health and Environment, Denver, CO, USA
- 7. Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Utah School of Medicine, Salt Lake City, UT, USA