Is Autism an Epidemic or Are We Just Noticing More People Who Have It?

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In summary: The world's first ever study into the prevalence of autism spectrum disorders among adults shows that one in every hundred adults living in households has the condition – broadly the same rate as that cited for children. The study, carried out by The NHS Information Centre, used data from the Office for National Statistics to compare the prevalence of ASD in adults aged 18-94 with data from the 2009 census. While studies have been carried out into the prevalence of autism spectrum disorders among children, the report from The NHS Information Centre says that more research is needed to understand the causes of autism in adults. The study found that males were more likely to have an ASD than females, with an estimated prevalence of 1 in 50 adults. The study found that those living in the
  • #1
BWV
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Is Autism an “Epidemic” or Are We Just Noticing More People Who Have It?

Good article on the Discover blog:

http://blogs.discovermagazine.com/c...are-we-just-noticing-more-people-who-have-it/

Is Autism an “Epidemic” or Are We Just Noticing More People Who Have It?

Emily Willingham (Twitter, Google+, blog) is a science writer and compulsive biologist whose work has appeared at Slate, Grist, Scientific American Guest Blog, and Double X Science, among others. She is science editor at the Thinking Person’s Guide to Autism and author of The Complete Idiot’s Guide to College Biology.
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In March the US Centers for Disease Control and Prevention (CDC) the newly measured autism prevalences for 8-year-olds in the United States, and headlines roared about a “1 in 88 autism epidemic.” The fear-mongering has led some enterprising folk to latch onto our nation’s growing chemophobia and link the rise in autism to “toxins” or other alleged insults, and some to sell their research, books, and “cures.” On the other hand, some researchers say that what we’re really seeing is likely the upshot of more awareness about autism and ever-shifting diagnostic categories and criteria.
Even though autism is now widely discussed in the media and society at large, the public and some experts alike are still stymied be a couple of the big, basic questions about the disorder: What is autism, and how do we identify—and count—it? A close look shows that the unknowns involved in both of these questions suffice to explain the reported autism boom. The disorder hasn’t actually become much more common—we’ve just developed better and more accurate ways of looking for it...
 
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  • #2


When the alarming rise in autism was first noticed it was vehemently denied in the articles I read that it had anything to do with changed criteria or greater awareness of the disorder. These possibilities were specifically addressed and it was asserted the rise was clear on top of taking those things into account. In other words, they had factored those things ( changed criteria, better screening) in and found an alarming increase in excess of the increase caused by those things. The whole reason the rise was considered alarming, in fact, was because they couldn't account for it this way.

This current revisionist assertion (in your link), that it was just changed criteria and better screening all along, requires some backing up in the face of the earlier claims this had been thoroughly discounted.
 
  • #3


I disagree that the earlier studies ever addressed or adequately counted the change in criteria. I don't know who "they" are or how "they" were supposed to accurately reflect changes in screening for a diagnosis that is a subjective description of behavior. Indeed, I do not know how one can ever accurately measure autism prevalence 30 or 40 years ago. The wild "epidemic" claims have been largely confined to the popular press and there has been a persistent controversy in medical circles whether absolute rates have increased
 
  • #4


BWV said:
I disagree that the earlier studies ever addressed or adequately counted the change in criteria.
I didn't say "studies" I said "articles", by which I meant news articles, like this one I found from 2002:

Trying to account for a drastic rise in childhood autism in recent years, a California study has found that it cannot be explained away by statistical anomalies or by a growing public awareness that might have led more parents to report the disorder.

But the study's authors, who reported their findings yesterday to the California Legislature, said they were at a loss to explain the reasons for what they called an epidemic of autism, the mysterious brain disorder that affects a person's ability to form relationships and to behave normally in everyday life.

''Autism is on the rise in the state, and we still do not know why,'' said the lead author, Dr. Robert S. Byrd, an epidemiologist and pediatrician at the University of California at Davis. ''The results are, without a doubt, sobering.''

As diagnoses of autism have increased throughout the nation, experts and parents have cast about for possible explanations, including genetics, birth injuries and childhood immunizations. The California study found that none of these factors could explain an increase of the magnitude reported there -- more than triple from 1987 to 1998.

http://www.nytimes.com/2002/10/18/u...baffles-scientists.html?pagewanted=all&src=pm

Now, that particular article has a correction, added later, which states that increasing public awareness was not actually ruled out. Obviously I'm remembering the original newpaper articles I read at the time. Whatever corrections were printed the next day, if any, escaped me.
 
  • #5


would also point out this recent UK NHS study

http://www.ic.nhs.uk/news-and-events/press-office/press-releases/one-in-a-hundred-adults-have-an-autism-spectrum-disorder-says-pioneering-new-study

The world's first ever study into the prevalence of autism spectrum disorders among adults shows that one in every hundred adults living in households has the condition – broadly the same rate as that cited for children.

While studies have been carried out into the prevalence of autism spectrum disorders among children, the report from The NHS Information Centre is the first attempt to find and count adults and older people in the community with an autism spectrum disorder, including asperger syndrome.

Up until now, little was known about how autism affected people over the course of a lifetime. For example, autism rates could have been lower among older age groups because people had gradually recovered from the condition or died prematurely.

However, the study suggests that this is not the case and that prevalence of autism spectrum disorder remains broadly level across all age bands.

The survey fails to support suggestions of a link between the mumps, measles and rubella (MMR) vaccine and the condition. This is because, if MMR were a factor in the development of the condition, prevalence would be expected to be higher among children and younger adult age bands because MMR was introduced in 1990/91 and only those currently aged in their early twenties or younger have been routinely offered it.
 
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FAQ: Is Autism an Epidemic or Are We Just Noticing More People Who Have It?

What is autism?

Autism, or autism spectrum disorder (ASD), is a neurodevelopmental disorder that affects communication, social interaction, and behavior. It is characterized by repetitive behaviors, difficulties with social interactions, and challenges with communication.

Is autism an epidemic?

There is currently no evidence that autism is an epidemic. The Centers for Disease Control and Prevention (CDC) estimates that approximately 1 in 59 children in the United States have been diagnosed with autism. While this number has increased in recent years, experts believe it is due to better awareness and diagnosis, rather than an actual increase in the number of individuals with autism.

What are the causes of autism?

The exact causes of autism are still unknown, but research suggests that it is a combination of genetic and environmental factors. There is no evidence to support the claim that vaccines or other environmental factors cause autism.

How is autism diagnosed?

Autism is typically diagnosed through a comprehensive evaluation by a team of professionals, including a psychologist, speech therapist, and developmental pediatrician. This evaluation may include observations of the individual's behavior, communication skills, and development, as well as interviews with parents and caregivers.

Can autism be treated?

While there is no cure for autism, early intervention and appropriate support and education can help individuals with autism reach their full potential. Treatment options may include behavioral therapies, speech therapy, and occupational therapy. It is important for individuals with autism to receive individualized treatment plans that address their specific needs.

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