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Socioeconomic Inequality in the Prevalence of Autism Spectrum Disorder: Evidence from a U.S. Cross-Sectional Study

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Listed:
  • Maureen S Durkin
  • Matthew J Maenner
  • F John Meaney
  • Susan E Levy
  • Carolyn DiGuiseppi
  • Joyce S Nicholas
  • Russell S Kirby
  • Jennifer A Pinto-Martin
  • Laura A Schieve

Abstract

Background: This study was designed to evaluate the hypothesis that the prevalence of autism spectrum disorder (ASD) among children in the United States is positively associated with socioeconomic status (SES). Methods: A cross-sectional study was implemented with data from the Autism and Developmental Disabilities Monitoring Network, a multiple source surveillance system that incorporates data from educational and health care sources to determine the number of 8-year-old children with ASD among defined populations. For the years 2002 and 2004, there were 3,680 children with ASD among a population of 557 689 8-year-old children. Area-level census SES indicators were used to compute ASD prevalence by SES tertiles of the population. Results: Prevalence increased with increasing SES in a dose-response manner, with prevalence ratios relative to medium SES of 0.70 (95% confidence interval [CI] 0.64, 0.76) for low SES, and of 1.25 (95% CI 1.16, 1.35) for high SES, (P

Suggested Citation

  • Maureen S Durkin & Matthew J Maenner & F John Meaney & Susan E Levy & Carolyn DiGuiseppi & Joyce S Nicholas & Russell S Kirby & Jennifer A Pinto-Martin & Laura A Schieve, 2010. "Socioeconomic Inequality in the Prevalence of Autism Spectrum Disorder: Evidence from a U.S. Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 5(7), pages 1-8, July.
    • Handle: RePEc:plo:pone00:0011551
    DOI: 10.1371/journal.pone.0011551
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    References listed on IDEAS

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    1. Palmer, R.F. & Blanchard, S. & Jean, C.R. & Mandell, D.S., 2005. "School district resources and identification of children with autistic disorder," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 125-130.
    2. Mandell, D.S. & Wiggins, L.D. & Carpenter, L.A. & Daniels, J. & DiGuiseppi, C. & Durkin, M.S. & Giarelli, E. & Morrier, M.J. & Nicholas, J.S. & Pinto-Martin, J.A. & Shattuck, P.T. & Thomas, K.C. & Yea, 2009. "Racial/ethnic disparities in the identification of children with autism spectrum disorders," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 493-498.
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    Cited by:

    1. Malika Delobel-Ayoub & Virginie Ehlinger & Dana Klapouszczak & Thierry Maffre & Jean-Philippe Raynaud & Cyrille Delpierre & Catherine Arnaud, 2015. "Socioeconomic Disparities and Prevalence of Autism Spectrum Disorders and Intellectual Disability," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-13, November.
    2. Cheslack-Postava, Keely & Jordan-Young, Rebecca M., 2012. "Autism spectrum disorders: Toward a gendered embodiment model," Social Science & Medicine, Elsevier, vol. 74(11), pages 1667-1674.
    3. Mohammad H. Rahbar & Maureen Samms-Vaughan & Aisha S. Dickerson & Katherine A. Loveland & Manouchehr Ardjomand-Hessabi & Jan Bressler & Sydonnie Shakespeare-Pellington & Megan L. Grove & Deborah A. Pe, 2014. "Blood Lead Concentrations in Jamaican Children with and without Autism Spectrum Disorder," IJERPH, MDPI, vol. 12(1), pages 1-23, December.

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