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

IF 3.2 2区心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL

Journal of Autism and Developmental Disorders Pub Date : 2025-06-01 Epub Date: 2023-08-29 DOI:10.1007/s10803-023-06058-8

Walter Zahorodny, Josephine Shenouda, Kate Sidwell, Michael G Verile, Cindy Cruz Alvarez, Arline Fusco, Audrey Mars, Mildred Waale, Tara Gleeson, Gail Burack, Paul Zumoff

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引用次数: 0

Abstract

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.

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纽约-新泽西大都市区青少年自闭症谱系障碍的患病率和特征。

目的：几乎所有估计自闭症谱系障碍（ASD）患病率的流行病学研究都集中在学龄儿童身上。该研究首次提供了美国大城市青少年中ASD患病率和表达的基于人群的数据。方法：采用自闭症与发育障碍监测（ADDM）网络方法对新泽西州市区4县16岁青少年进行主动多源ASD监测。提供了患病率估计，描述了该队列8岁和16岁时ASD的分布和特征的比较。结果：ASD患病率为17.7 / 1000 （95% CI: 16.3-19.2）。55分之一的男性和172分之一的女性被确诊为自闭症谱系障碍。高社会经济地位与ASD呈正相关，白人青少年的ASD患病率（22.2 / 1000）高于西班牙裔青少年（13.1 / 1000）。四分之一的研究确诊的ASD患者没有被诊断为ASD。大多数ASD青少年（58.8%）伴有神经精神障碍。白人和高ses个体更有可能同时出现疾病。8岁和16岁时，该队列中ASD的人口统计学分布和功能特征相似。结论：2014年，我们地区大约每55名青少年中就有1人患有ASD，而每4名16岁的ASD患者中就有1人未被诊断出来。大多数（五分之三）患有自闭症的青少年同时患有神经精神障碍。ASD未被充分识别以及青少年ASD并发疾病的高频率给护理和支持带来了重大挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Autism and Developmental Disorders PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

8.00

自引率

10.30%

发文量

433

期刊介绍： The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.