Prevalence and Characteristics of Adolescents with Autism Spectrum Disorder in the New York-New Jersey Metropolitan Area.

Autor: Zahorodny W; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA. zahorodn@njms.rutgers.edu., Shenouda J; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA.; Rutgers University - School of Public Health, Piscataway, NJ, USA., Sidwell K; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA., Verile MG; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA., Alvarez CC; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA., Fusco A; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA., Mars A; Hunterdon Health, Flemington, NJ, USA., Waale M; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA., Gleeson T; Atlantic Health System, Goryeb Children's Hospital, Morristown, NJ, USA., Burack G; Rutgers University - Robert Wood Johnson Medical School, New Brunswick, NJ, USA., Zumoff P; Rutgers University - New Jersey Medical School, 185 South Orange Ave, F-511, Newark, NJ, 07103, USA.
Jazyk: angličtina
Zdroj: Journal of autism and developmental disorders [J Autism Dev Disord] 2023 Aug 29. Date of Electronic Publication: 2023 Aug 29.
DOI: 10.1007/s10803-023-06058-8
Abstrakt: Purpose: Almost all epidemiologic studies estimating autism spectrum disorder (ASD) prevalence have focused on school-age children. This study provides the first population-based data on the prevalence and expression of ASD among adolescents in a large US metropolitan region.
Methods: Active multiple source ASD surveillance of adolescents aged 16-years was conducted according to the Autism and Developmental Disabilities Monitoring (ADDM) Network method in a four-county New Jersey metropolitan region. Prevalence estimates are provided, characteristics are described and comparison of the distribution and characteristics of ASD is offered for this cohort, at 8 and 16-years.
Results: ASD prevalence was 17.7 per 1000 (95% CI: 16.3-19.2)]. One-in-55 males and one in 172 females were identified with ASD. High-SES was positively associated with ASD and White adolescents had higher ASD prevalence (22.2 per 1000) than Hispanic adolescents (13.1 per 1000). One in four study-confirmed individuals with ASD did not have an ASD diagnosis. A majority of ASD adolescents (58.8%) had a co-occurring neuropsychiatric disorder. White and High-SES individuals had greater likelihood of co-occurring disorder. The demographic distribution and functional profile of ASD was similar in this cohort at 8 and 16-years.
Conclusion: Approximately one-in-55 adolescents in our area had ASD, in 2014, and one-in-4 16-year-olds with ASD was not diagnosed. A majority (3-in-5) of the adolescents with ASD had a co-occurring neuropsychiatric disorder. ASD under-identification and the high frequency of co-disorders in adolescents with ASD pose significant challenges to care and support.
(© 2023. The Author(s).)
Databáze: MEDLINE
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