Evidence map›Paper›PMID 30858082›Full record

ArticleAcademic pediatrics

Geographic Disparities in Treatment for Children with Autism Spectrum Disorder.

Benjamin Zablotsky, Matthew J Maenner, Stephen J Blumberg

Abstract read
In one paragraph

Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Article
  5. A Mixed Methods Exploration of Emergency Service Use Among Autistic Youth.Journal of autism and developmental disorders · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Benjamin ZablotskyNational Center for Health Statistics (B Zablotsky and SJ Blumberg), Hyattsville, Md. Electronic address: bzablotsky@cdc.gov.
Matthew J MaennerNational Center on Birth Defects and Developmental Disabilities (MJ Maenner), Atlanta, Ga.
Stephen J BlumbergNational Center for Health Statistics (B Zablotsky and SJ Blumberg), Hyattsville, Md.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveGeographic differences may provide insight into what factors influence the likelihood that a child is diagnosed with autism spectrum disorder (ASD) in the United States; yet, there have been few nationally representative surveys that have explored this topic. The current study expands the limited literature by analyzing regional differences in ASD prevalence, service utilization, and the presence of unmet needs within a nationally representative sample of children.

methodsData were drawn from the 2014-2016 National Health Interview Survey (NHIS), a nationally representative household survey of the noninstitutionalized US population. Children 3 to 17 years of age were included in the analytic sample. Prevalence estimates accounted for the complex survey design of the NHIS, and differences between geographic regions were compared using logistic/linear regressions with and without adjustment for child/family characteristics.

resultsThe prevalence of ASD was highest in the Northeast (3.0%), followed by the Midwest (2.4%), South (2.4%), and West (2.3%). A significant difference was found between the Northeast and West (P < .05); however, after accounting for child and family characteristics, this difference was no longer significant. Children with ASD in the Northeast were the most likely to have seen a specialist in the past year. Approximately 1 in 8 children with ASD experienced at least 1 unmet need, but there were no differences found by geographic region.

conclusionsAlthough differences in prevalence were not significant after adjustment, service utilization differences remained. It appears that children with ASD in the Northeast utilize the greatest number of specialty services when compared to children with ASD from other parts of the country.

Indexed as

AdolescentAutism Spectrum DisorderChildChild, PreschoolFemaleHealthcare DisparitiesHealth Services AccessibilityHealth Services Needs and DemandHumansMalePrevalenceUnited Statesautism spectrum disorderchildrennational surveyprevalencetreatment

Identifiers

PMID30858082
PMCPMC6732019

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.