By Steven ReinbergHealthDay Reporter
(HealthDay News) -- The number of children in the United
States with autism spectrum disorder has jumped dramatically since 2007,
federal health officials reported Wednesday.
As of 2012, one in 50 kids between the ages of 6 and 17 has some form
of autism, compared with one in 88 only five years earlier, according
to the U.S. Centers for Disease Control and Prevention.
"This estimate was a bit surprising," said report author Stephen
Blumberg, a senior scientist at the CDC's National Center for Health
Statistics. "There may be more children with autism spectrum disorder
than previously thought."
The average school bus holds about 50 children, so there is typically
one child with autism spectrum disorder on every full school bus in
America, Blumberg noted.
Michael Rosanoff, associate director for Public Health Research and
Scientific Review at Autism Speaks, said that "this study added to the
evidence suggesting that we are underestimating the prevalence of autism
in the United States."
This report, however, underestimated the real prevalence of autism, Rosanoff said. "It's probably much higher," he said.
The main reason for the increase in the prevalence of autism appears
to be better diagnoses, especially in older children, Blumberg said.
In addition, boys were more than four times more likely to be
diagnosed with autism than girls, which has been the historical trend,
Blumberg said.
"For the most part, the increase in the prevalence is largely due to
an increase in the prevalence in reported autism spectrum disorder for
boys," he said.
None of the other factors, such as survey bias, could explain the
increase, he added. Most of the children who were diagnosed with autism
spectrum disorder were diagnosed since the last survey in 2008, Blumberg
noted.
"By ruling out other explanations and noting the increase in recent
diagnoses, that suggests to us that improved ascertainment --
recognizing children who were previously unrecognized as having autism
spectrum disorder -- is the reason," he said.
This may be the reason most of those newly diagnosed children tend to have milder forms of autism, Blumberg said.
"It would certainly make sense that those with unrecognized autism
spectrum disorder may have symptoms that are milder than children who
have been diagnosed earlier," he said.
Rosanoff agreed that more children with milder autism are being diagnosed.
"What we are seeing is that children who have not been diagnosed in
the past are now being diagnosed," he said. "That is likely due to
doctors and other health care providers being better at recognizing the
more milder symptoms of autism and being able to diagnose those."
These children are most likely having trouble with social skills,
which limits their ability to interact with others in the classroom and
in social situations, Rosanoff said.
Diagnosing these children is important, Rosanoff said, because even
though they may be doing well in the classroom they could benefit from
help with their autism.
"With appropriate diagnosis and access to services, a child with
autism can improve in the way they function and how they are able to be
successful in life," he said.
To reach their conclusions, researchers gathered data from the
National Survey of Children's Health, which is a national telephone
survey of nearly 96,000 American households. As part of the survey,
parents are asked whether they have a child diagnosed with autism.
More information
For more on autism, visit Autism Speaks.
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