The
long-awaited report was conducted by the CDC’s Autism and
Developmental Disabilities Monitoring Network in 11 sites in
2006 and tracks prevalence in children 8 years of age. The
Autism and Developmental Disabilities Monitoring (ADDM) Network
is a group of programs funded by CDC to determine the number of
people with autism spectrum disorders (ASDs) in the United
States. The ADDM sites all collect data using the same
surveillance methods, which are modeled after CDC’s
Metropolitan Atlanta Developmental Disabilities Surveillance
Program (MADDSP).
The
study suggests that while better diagnosis accounts for some of
the prevalence, a true increase cannot be ruled out.
Increases in prevalence among minority population were
significant, with a 91 percent increase in Hispanic children
(with 144 percent increase in Arizona contributing to this) and
41 percent in black non-Hispanic. There was a 55 percent
increase in White non-Hispanic.
Prevalence
in boys was found to be 4.5 times higher than girls. The report
states one in 70 boys and one in 315 girls have autism.
This study gathered data on prevalence and cognitive impairment,
showing a 90 percent increase in children with borderline
intellectual functioning and a 72 percent increase among
children with average to above average intelligence.
Overall prevalence was lower among the sites with access to
health evaluations alone, so sites that did not include
educational evaluations likely underestimated ASD prevalence for
that site. The lack of educational data would have impacted the
cognitive functioning analysis as well.
The ADDM study does not cover adult prevalence or those children
who receive diagnoses later than 8, which can be common in the
Asperger’s community, where the average age of diagnosis is 11
years old.
The ADDM report, which was conducted in the states of
Alabama, Arizona, Colorado, Florida, Georgia, Maryland,
Missouri, North Carolina, Pennsylvania, South Carolina and
Wisconsin, is consistent with the Department of Health and Human
Services National Survey of Children’s Health, published last
October.