Abstract
Autism Spectrum Disorder (ASD) is socially relevant because of its number and the intensity of the medical and socio-educational response it requires. In Andalusia, one in 70 children will be diagnosed with ASD in 2021. It is much more frequent in boys than in girls, being 5.91 times more likely to present it as a boy than as a girl. The age of diagnosis is increasingly younger, standing at 4.4 years. In more than half of primary schools and more than 75% of secondary schools there are an average of three students with ASD per school. It is necessary to develop a network of preferential care centers for students with ASD to generalize specialized care in ordinary modalities.
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Aguilera, A., Moreno, F. J., & Rodríguez, I. R. (2007). The prevalence estimates of autism spectrum disorders in the school population of Seville, Spain. British Journal of Developmental Disabilities, 53, 97–109. https://doi.org/10.1179/096979507799103405
Alcantud-Marín, F., Alonso-Esteban, Y., & Mata-Iturralde, S. (2016). Prevalencia de los Trastornos del Espectro Autista: Revisión de datos. Siglo Cero, 47(4), 7–26. https://doi.org/10.14201/scero2016474726
Al-Farsi, Y. M., Al-Sharbati, M. M., Al-Farsi, O. A., Al-Shafaee, M. S., Brooks, D. R., & Waly, M. I. (2011). Brief report: Prevalence of autistic spectrum disorders in the sultanate of Oman. Journal of Autism and Developmental Disorders, 41, 821–825. https://doi.org/10.1007/s10803-010-1094-8
Al-Mamri, W., Idris, A. B., Dakak, S., Al-Shekaili, M., Al-Harthi, Z., Alnaamani, A. M., Alhinai, F. I., Jalees, S., Al Hatmi, M., El-Naggari, M. A., & Islam, M. M. (2019). Revisiting the prevalence of autism spectrum disorder among omani children: A multicentre study. Sultan Qaboos University Medical Journal, 19(4), e305–e309. https://doi.org/10.18295/squmj.2019.19.04.005
Alshaban, F., Aldosari, M., Al-Shammari, H., El-Hag, S., Ghazal, I., Tolefat, M., Ali, M., Kamal, M., Abdel Aati, N., Abeidah, M., Saad, A. H., Dekair, L., Al Khasawneh, M., Ramsay, K., & Fombonne, E. (2019). Prevalence and correlates of autism spectrum disorder in Qatar: A national study. Journal of Child Psychology and Psychiatry, 60(12), 1254–1268. https://doi.org/10.1111/jcpp.13066
American Psychiatric Association -APA-. (2014). DSM-5. Manual diagnóstico y estadístico de los trastornos mentales. Editorial Médica Panaméricana.
Arvidsson, T., Danielsson, B., Forsberg, P., Gillberg, C., Johansson, M., & Kjellgren, G. (1997). Autism in 3–6-year-old children in a suburb of Goteborg. Sweden Autism, 1(2), 163–173. https://doi.org/10.1177/1362361397012004
Australian Bureau of Statistics. (2017). Autism in Australia. Retrieved from https://www.abs.gov.au/
Bachmann, C. J., Gerste, B., & Hoffmann, F. (2018). Diagnoses of autism spectrum disorders in Germany: Time trends in administrative prevalence and diagnostic stability. Autism, 22(3), 283–290. https://doi.org/10.1177/1362361316673977
Barragan-Perez, E., Alvarez-Amado, D., García-Beristain, J. C., Garfias-Rau, C., Oliva, M. P., de Guevara, M. L., Betancourt, A. A., & Koloffon, G. C. (2021). Midiendo el espectro: De los Trastornos del Lenguaje a los Trastornos del Espectro Autista: Consenso Latinoamericano Delphi Modificado. Revista Médica Clínica Las Condes, 32(1), 112–127. https://doi.org/10.1016/j.rmclc.2020.12.012
Belinchón, M. (Dir). (2001). Situación y necesidades de las personas con trastornos del espectro autista en la Comunidad de Madrid. Madrid: Caja Madrid. Retrieved from https://bit.ly/Belinchon2001TeaMadrid
Binta-Diallo, F., Fombonne, E., Kisely, S., Vasiliadis, H. M., Vanasse, A., Noiseus, M., Pelletier, E., Renaud, J., St-Laurent, D., & Lesage, A. (2018). Prevalence and correlates of autism. Spectrum disorders in Quebec. The Canadian Journal of Psychiatry, 63(4), 231–239. https://doi.org/10.1177/0706743717737031
Boilson, A. M., Staines, A., Ramirez, A., Posada, M., & Sweeney, M. R. (2016). Operationalisation of the European Protocol for Autism Prevalence (EPAP) for autism spectrum disorder prevalence measurement in Ireland. Journal of Autism and Developmental Disorders, 46, 3054–3067. https://doi.org/10.1007/s10803-016-2837-y
Bosch, R., Pagerols, M., Rivas, C., Sixto, L., Bricollé, L., Español-Martín, G., Prat, R., Ramos-Quiroga, J. A., & Casas, M. (2021). Neurodevelopmental disorders among Spanish school-age children: Prevalence and sociodemographic correlates. Psychological Medicine. https://doi.org/10.1017/S0033291720005115
Center for Disease Control and Prevention –CDC. (2015). Prevalence and characteristics of autims spectrum disorder among children aged 8 years – autim and developmental disabilities monitoring network, 11 sites, United States 2012 Morbidity and Mortality Weekly Report. Surveillance Summaries., 65(13), 1–23. https://doi.org/10.15585/2Fmmwr.ss6513a1
Delobel-Ayoub, M., Ehlinger, V., Klapouszczak, D., Maffre, T., Raynaud, J. P., et al. (2015). Socioeconomic disparities and prevalence of autism spectrum disorders and intellectual disability. PLoS ONE, 10(11), e0141964. https://doi.org/10.1371/journal.pone.0141964
Delobel-Ayoub, M., Saemundsen, E., Gissler, M., Ego, A., Moilane, I., Ebeling, H., Rafnsson, V., Klapouszczak, D., Thorstinsson, E., Arnaldsdóttir, K. M., Roge, B., Arnaud, C., & Schendel, D. (2020). Prevalence of autism spectrum disorder in 7–9-year-old children in Denmark, Finland, France and Iceland: A population-based registries approach within the ASDEU project. Journal of Autism and Developmental Disorders, 50, 949–959. https://doi.org/10.1007/s10803-019-04328-y
Deng, Z., & Wang, S. (2021). Sex differentiation of brain structures in autism: Findings from a gray matter asymmetry study. Autism Research, 14, 1115–1126. https://doi.org/10.1002/aur.2506
Elsabbagh, M., Divan, G., Koh, Y.-J., Kim, Y. S., Kauchali, S., Marcín, C., Montiel-Nava, C., Patel, V., Paula, C. S., Wang, Ch., Yasamy, M. T., & Fombonne, E. (2012). Global prevalence of autism and other pervasive developmental disorders. Autism Research, 5, 160–179. https://doi.org/10.1002/aur.239
Fernell, E., & Gillberg, C. (2010). Autism spectrum disorder diagnoses in Stockholm preschoolers. Research in Developmental Disabilities, 31(3), 680–685. https://doi.org/10.1016/j.ridd.2010.01.007
Fisch, G. S. (2012). Nosology and epidemiology in autism: Classification counts. American Journal of Medical Genetics, Part C: Seminars in Medical Genetics, 160, 91–103. https://doi.org/10.1002/ajmg.c.31325
Fombonne, E. (2005). The changing epidemiology of autism. Journal of Applied Research in Intellectual Disabilitie, 18(4), 281–294. https://doi.org/10.1111/j.1468-3148.2005.00266.x
Fombonne, E. (2020). Epidemiological controversies in autism. Swis Archives of Neurology, Psychiatry and Psychotherapy. https://doi.org/10.4414/sanp.2020.03084
Fombonne, E., Du Mazaubrun, C., Cans, C., & Grandjean, H. (1997). Autism and associated medical disorders in a French Epidemiological Survey. Journal of the American Academy of Child & Adolescent Psychiatry, 36(11), 1561–1569. https://doi.org/10.1016/S0890-8567(09)66566-7
Fombonne, E., Marcin, C., Manero, A. C., Bruno, R., Diaz, C., Villalobos, M., Ramsay, K., & Nealy, B. (2016). Prevalence of autism spectrum disorders in Guanajuato, Mexico: The Leon survey. Journal of Autism and Developmental Disorders, 46(5), 1669–1685. https://doi.org/10.1007/s10803-016-2696-6
Fortea Sevilla, M. S., Escandell Bermúdez, M. O., & Castro Sánchez, J. J. (2013). Estimación de la prevalencia de los trastornos del espectro autista en Canarias. Anales De Pediatría, 79(6), 352–359. https://doi.org/10.1016/j.anpedi.2013.04.022
Frontera Sancho, M. (2005). Estudio epidemiológico de los trastornos generalizados del desarrollo en la población infantil y adolescente de la Comunidad Autónoma de Aragón. Zaragoza: Gobierno de Aragón, Departamento de Educación, Cultura y Deporte. Retrieved from https://dialnet.unirioja.es/servlet/libro?codigo=254105
Fuentes, J., Basurko, A., Isasa, I., Galende, I., Muguerza, M. D., García-Primo, P., García, J., Fernández-Alvarez, C. J., Canal-Bedia, R., & Posada de la Paz, M. (2020). The ASDEU autism prevalence study in northern Spain. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-020-01539-y
García Primo, P., Santos Borbujo, J., Martín Cilleros, M. V., Martínez Velarte, M., Lleras Muñoz, S., Posada de la Paz, M., & Canal Bedia, R. (2014). Programa de detección precoz de trastornos generalizados del desarrollo en las áreas de salud de Salamanca y Zamora. Anales De Pediatría, 80(5), 285–292. https://doi.org/10.1016/j.anpedi.2013.06.030
Gillberg, C., Steffenburg, S., & Schaumann, H. (1991). Is autism more common now than ten years ago? The British Journal of Psychiatry, 158(3), 403–409. https://doi.org/10.1192/bjp.158.3.403
Gobierno de España. (2021). Estadística de las Enseñanzas no universitarias. Alumnado matriculado. Curso 2020–2021. Retrieved from https://bit.ly/3AlZ6n4
Hernández, J., Ramírez, M. J., & Ferri, C. (2004). Introducción a la minería de datos. Pearson. Retrieved from https://repositorioslatinoamericanos.uchile.cl/handle/2250/3160662
Hernández I Dobón, F. J., Castelo Branco, U. V., & Nakamura, P. H. (2020). Adaptación del Índice de Gini a investigaciones sociológicas sobre la educación. Revista De Sociología De La Educación-RASE, 13(1), 52–62. https://doi.org/10.7203/RASE.13.1.16283
Idring, S., Lundberg, M., Sturm, H., Dalman, C., Gumpert, C., Rai, D., Lee, B. K., & Magnusson, C. (2015). Changes in prevalence of autism spectrum disorders in 2001–2011: Findings from the Stockholm youth cohort. Journal of Autism and Developmental Disorders, 45, 1766–1773. https://doi.org/10.1007/s10803-014-2336-y
Idring, S., Rai, D., Dal, H., Dalman, C., Sturm, H., Zander, E., Lee, B. K., Serlachius, E., & Magnusson, C. (2012). Autism spectrum disorders in the Stockholm youth cohort: Design prevalence and validity. PLoS ONE, 7(7), e41280. https://doi.org/10.1371/journal.pone.0041280
Instituto Nacional de Estadística –INE. (2018). Encuesta Nacional de Salud 2017. Problemas o enfermedades crónicas de larga evolución padecidas en los últimos 12 meses y diagnosticadas por un médico en población infantil según sexo y país de nacimiento. Población de 0 a 14 años. Retrieved from https://www.ine.es
Instituto Nacional de Estadística –INE. (2021). Encuesta de Discapacidad, Autonomía Personal y Situaciones de Dependencia 2008. Retrieved from https://www.ine.es
Jacquemont, S., Coe, B. P., Hersch, M., Duyzend, M. H., Krumm, N., Bergmann, S., Beckmann, J. S., Rosenfeld, J. A., & Eichler, E. E. (2014). A higher mutational burden in females supports a ‘female protective model’ in neurodevelopmental disorders. American Journal of Human Genetics, 94, 415–425. https://doi.org/10.1016/j.ajhg.2014.02.001
Junta de Andalucía. (2017). Instrucciones de 8 de marzo de 2017, de la Dirección general de Participación y Equidad, por las que se actualiza el protocolo de detección, identificación del alumnado con necesidades específicas de apoyo educativo y organización de la respuesta educativa. Retrieved from https://bit.ly/2VGZYnn
Junta de Andalucía. (2021). Alumnado escolarizado en el sistema educativo andaluz. Retrieved from https://bit.ly/3jzATTA
Kielinen, M., Linna, S. L., & Moilanen, I. (2000). Autism in Northern Finland. European Child and Adolescent Psychiatry, 9, 162–167. https://doi.org/10.1007/s007870070039
Kim, Y. S., Leventha, B. L., Koh, Y.-J., Fombone, E., Laska, E., Lim, E.-C., Cheon, K.-A., Kim, S.-J., Kim, Y.-K., Lee, H. K., Song, D.-H., & Grinker, R. R. (2011). Prevalence of autim spectrum disorders in a total population sample. American Journal of Psychiatry, 168(9), 904–912. https://doi.org/10.1176/appi.ajp.2011.10101532
Kirkovski, M., Enticott, P. G., & Fitzgerald, P. B. (2013). A review of the role of female gender in autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(11), 2584–2603. https://doi.org/10.1007/s10803-013-1811-1
Lai, M. C., Lombardo, M. V., Chakrabarti, B. Y., & Baron-Cohen, S. (2013). Subgrouping the Autism ‘“Spectrum”’: Reflections on DSM-5. PLoS Biology, 11(4), 1–7. https://doi.org/10.1371/journal.pbio.1001544
Loomes, R., Hull, L., & Mandy, W. P. L. (2017). What is the male-tofemale ratio in autism spectrum disorder? A systematic review and meta-analysis. Journal of the American Academy of Child and Adolescent Psychiatry, 56(6), 466–474. https://doi.org/10.1016/j.jaac.2017.03.013
Lord, C., Rutter, M., DiLavore, P., Risi, S., Gotham, K., & Bishop, S. (2012). Autism diagnostic observation schedule–2nd edition (ADOS-2). Western Psychological Corporation.
Morales-Hidalgo, P., Roigé-Castellvil, J., Hernández-Martínez, C., Votas, N., & Canals, J. (2018). Prevalence and characteristics of autism spectrum disorder among Spanish school-age children. Journal of Autism and Developmental Disorders, 48, 3176–3190. https://doi.org/10.1007/s10803-018-3581-2
Narzisi, A., Posada, M., Barbieri, F., Chericoni, N., Ciuffolini, D., Pinzino, M., Romano, R., Scattoni, M. L., Tancredi, R., Calderoni, S., & Muratori, F. (2018). Prevalence of autism spectrum disorder in a large Italian catchment area: A school-based population study within the ASDEU project. Epidemiology and Psychiatric Sciences. https://doi.org/10.1017/S2045796018000483
Oliveira, G., Marques, C., Miguel, T. S., Coutinho, A. M., Mota-Vieira, L., Gonçalves, E., Mendes Lopes, N., Rodrigues, V., Carmona da Mota, H., & Moura Vicente, A. (2007). Epidemiology of autism spectrum disorder in Portugal: Prevalence, clinical characterization, and medical conditions. Developmental Medicine & Child Neurology, 49, 726–733. https://doi.org/10.1111/j.1469-8749.2007.00726.x
Özerk, K., & Cardinal, D. (2020). Prevalence of Autism/ASD among preschool and school-age children in Norway. Contemporary School Psychology, 24, 419–428. https://doi.org/10.1007/s40688-020-00302-z
Parish-Morris, J., Liberman, M. Y., Cieri, C., Herrington, J. D., Yeris, B. E., Baterman, L., Donaher, J., Ferguson, E., Pandey, J., & Schultz, R. T. (2017). Linguistic camouflage in girls with autism spectrum disorder. Molecular Autism, 8, 48. https://doi.org/10.1186/s13229-017-0164-6
Pérez-Crespo, L., Prats-Uribe, A., Tobias, A., Duran-Tauleria, E., Coronado, R., Hervás, A., & Guxens, M. (2019). Temporal and geographical variability of prevalence and incidence of autism spectrum disorder diagnoses in children in Catalonia Spain. Autism Research, 12(11), 1693–1705. https://doi.org/10.1002/aur.2172
Posada, M. (2018) (Coord.). Autism Spectrum Disorders in the European Union (ASDEU) is a pilot project funded by the European Parliament and managed by the European Commission. Action scheme: Call for tender no SANCO/2014/C2/035. Retrieved from http://asdeu.eu
Rice, C., Nicholas, J., Baio, J., Pettgrove, S., Lee, L.-C., Van Naarden Braum, K. V., Doernberg, N., Cunniff, C., Newschaffer, C., Meaney, F. J., Charles, J., Washington, A., King, L., Kolotos, M., Mancilla, K., Mervis, C. A., Carpenter, L., & Yeargin-Allsopp, M. (2010). Changes in autism spectrum disorder prevalence in 4 areas of the United States. Disability and Health Journal, 3(3), 186–201. https://doi.org/10.1016/j.dhjo.2009.10.008
Rogerson, P. A., & Kedron, P. (2012). Optimal Weights for the Local Moran. Statistic Geographical Analysis, 44, 121–133. https://doi.org/10.1111/j.1538-4632.2012.00840.x
Russell, G., Rodgers, L. R., Ukoumunne, O. C., & Ford, T. (2014). Prevalence of parent-reported ASD and ADHD in the UK: Findings from the Millennium Cohort Study. Journal of Autism and Developmental Disorders, 44, 31–40. https://doi.org/10.1007/s10803-013-1849-0
Rutter, M., Le Couteur, A., & Lord, C. (2006). ADI-R. Entrevista para el diagnóstico del autismo- edición revisada-. TEA Ediciones. Retrieved from https://bit.ly/2XG0WRX
Sánchez Palomino, A., & Villegas Lirola, F. (2014). Autism spectrum disorders: Typology, prevalence and schooling in the province of Almeria (Spain). European Journal of Child Development. Education and Psychopathology, 2(2), 51–67.
Ministerio de Sanidad, Consumo y Bienestar Social. (2022). Ecie10ES. Edición electrónica de la CIE-10-ES. 4ª. Ed. 4 enero 2022. Retrieved from https://eciemaps.mscbs.gob.es/
Shattuck, P. T., Durkin, M., Maenner, M., Newschaffer, C., Mandell, D. S., Wiggins, L., Lee, L. C., Rice, C., Giarelli, E., Kirby, R., Baio, J., Pinto-Martin, J., & Cuniff, C. (2009). Timing of identification among children with an autism spectrum disorder: Findings from a population-based surveillance study. Journal of the American Academy of Child & Adolescent Psychiatry, 48(5), 474–483. https://doi.org/10.1097/CHI.0B013E31819B3848
Shenouda, J., Barrett, E., Davidow, A. L., Halperin, W., Silenzio, V. M. B., & Zahorodny, W. (2021). Prevalence of autism spectrum disorder in a large, diverse metropolitan area: Variation by sociodemographic factors. Autism Research. https://doi.org/10.1002/aur.2628
Siabato, W., & Guzmán-Manrique, J. (2019). La autocorrelación espacial y el desarrollo de la geografía cuantitativa. Cuadernos De Geografía: Revista Colombiana De Geografía, 28(1), 1–22. https://doi.org/10.15446/rcdg.v28n1.76919
Sturm, A., Williams, J., & Kasari, C. (2021). Who gains and who loses? Sociodemographic disparities in access to special education services among autistic students. Autism Research, 14(8), 1621–1632. https://doi.org/10.1002/aur.2517
Thomaidis, L., Mavroeidi, N., Richardson, C., Choleva, A., Damianos, G., Bolias, K., & Tsolia, M. (2020). Autism spectrum disorders in Greece: Nationwide prevalence in 10–11 year-old children and regional disparities. Journal Clinical Medicine, 9(7), 2163. https://doi.org/10.3390/jcm9072163
Valenti, M., Vagnetti, R., Masedu, F., Pino, M. C., Rossi, A., Scattoni, M. L., Mazza, M., Di Giovanni, C., Attanasio, M., Filocamo, A., Le Donne, I., & Siracusano, M. (2019). Register-based cumulative prevalence of autism spectrum disorders during childhood and adolescence in central Italy. Epidemiology, Biostatistics, and Public Health, 16, e13226. https://doi.org/10.2427/13226
Van Eijk, L., & Zietsch, B. P. (2021). Testing the extreme male brain hypothesis: Is autism spectrum disorder associated with a more male-typical brain? Autism Research, 14(8), 1597–1608. https://doi.org/10.1002/aur.2537
Van Naarden Braum, K., Christensen, D., Doernberg, N., Schieve, L., Rice, C., Wiggings, L., Schendel, D., & Yeargin-Allsopp, M. (2015). Trends in the prevalence of autism spectrum disorder, cerebral palsy, hearing loss, intellectual disability, and vision impairment, metropolitan Atlanta, 1991–2010. PLoS ONE, 10(4), e0124120. https://doi.org/10.1371/journal.pone.0124120
Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gøtzsche, P. C., Mulrow, C. D., Pocock, S. J., Poole, C., Schlesselman, J. J., & Egger, M. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE): Explanation and elaboration. Epidemiology, 18(6), 805–835. https://doi.org/10.1097/EDE.0b013e3181577511
Villegas Lirola, F. (2022). Evolución del trastorno del espectro autista en Almería: Prevalencia e incidencia por sexos, comorbilidad y distribución municipal. Revista CENTRA De Ciencias Sociales, 1(1), 103–132. https://doi.org/10.54790/rccs.10
Wang, F., Lul, L., Wang, S.-B., Zhang, L., Ng, C., Ungvar, G. S., Cao, X.-L., Lu, J.-P., Hu, C.-L., Jia, F.-J., & Xing, Y.-T. (2018). The prevalence of autism spectrum disorders in China: A comprehensive meta-analysis. International Journal of Biological Sciences, 14(7), 717–725. https://doi.org/10.7150/ijbs.24063
Wing, L., & Potter, D. (2002). The epidemiology of autistic spectrum disorders: Is the prevalence rising? Mental Retardation and Developmental Disabilities Research Reviews, 8(3), 151–161. https://doi.org/10.1002/mrdd.10029
World Health Organization-WHO. (1993). The ICD-10. Classification of Mental and Behavioral Disorders. Diagnostic criteria for research. Retrieved from https://www.who.int/docs/default-source/classification/other-classifications/grnbook.pdf?sfvrsn=8e11345b_2
World Health Organization –WHO. (2021). ICD-11. International Classification of Diseases 11th Revision. Retrieved from https://icd.who.int/es
Zeidan, J., Fombonne, E., Scorah, J., Ibrahim, A., Durkin, M. S., Saxena, S., Yusuf, A., Shih, A., & Elsabbagh, M. (2022). Global prevalence of autism: A systematic review update. Autism Research, 15(5), 778–790. https://doi.org/10.1002/aur.2696
Zeileis, A., & Kleiber, C. (2015). Ineq: Measuring inequality, concentration, and poverty (package). Retrieved from https://cran.r-project.org/web/packages/ineq/index.html
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Villegas-Lirola, F. Prevalence of Autism Spectrum Disorder in Children in Andalusia (Spain). J Autism Dev Disord 53, 4438–4456 (2023). https://doi.org/10.1007/s10803-022-05728-3
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DOI: https://doi.org/10.1007/s10803-022-05728-3