Evidence map›Paper›PMID 37584770›Full record

ArticleJournal of autism and developmental disorders2024

Autism Prevalence and the Intersectionality of Assigned Sex at Birth, Race, and Ethnicity on Age of Diagnosis.

Jessica E Goldblum, Tyler C McFayden, Stephanie Bristol, Orla C Putnam, Amanda Wylie, Clare Harrop

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of autism and developmental disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 10% of its field
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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Who, when, where, and why: A systematic review of "late diagnosis" in autism.Autism research : official journal of the International Society for Autism Research · 2025
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Jessica E GoldblumDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, 325 E. Cameron Avenue, Chapel Hill, NC, 27599-327, USA. jessgold@unc.edu.ORCID http://orcid.org/0000-0003-4769-3935
Tyler C McFaydenCarolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Stephanie BristolDivision of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Orla C PutnamDivision of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Amanda WylieDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, 325 E. Cameron Avenue, Chapel Hill, NC, 27599-327, USA.
Clare HarropDivision of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, USA.
University of North Carolina at Chapel Hill · US

Funding

North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
North Carolina Translational and Clinical Science Institute (NC TraCS) KL2KL2TR002490 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEINBERGER, MORRIS · 2018 to 2022
$11.0M
Preclinical CoreP50HD103573 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mark D Shen · 2020 to 2026
$9.7M
Postdoctoral Research in Neurodevelopmental DisordersT32HD040127 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENJAMIN D PHILPOT, Mark D Shen · 2001 to 2026
$8.5M
From Biological to Social Processes: Interdisciplinary Training in Life Course ResearchT32HD091058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT A HUMMER, Amanda L Thompson · 2017 to 2026
$4.3M
Latent profiles of prenatal exposure to toxic metals and psychosocial risk and protective factors: testing associations with child developmental outcomes and moderations by caregiving experienceF31ES034256 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WYLIE, AMANDA C. · 2023 to 2024
$56k
National Institute of Child Health and Human Development 2T32 HD040127-21NCATS NIH HHS KL2 TR002490NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1TR001111NICHD NIH HHS P50 HD103573NICHD NIH HHS T32 HD040127NICHD NIH HHS T32 HD091058NIEHS NIH HHS F31 ES034256
6 · The paper itself

Abstract

purposeAn official autism diagnosis is required to access timely intervention and is associated with better long-term wellbeing and mental health. Certain demographic characteristics, such as being female or a racially or ethnically minoritized youth, have been associated with significant diagnostic lag. However, it remains unclear how assigned sex, race, and ethnicity interact with each other in predicting the prevalence and age of autism diagnosis.

methodsTo examine the interactions between assigned sex, race, and ethnicity, we used data from the National Survey of Children's Health (NSCH; 2016 > 2021).

resultsOne in 38 children had an autism diagnosis and 3.8 males were diagnosed per 1 female. Hierarchical linear regressions yielded diagnostic delays in some females, particularly those who were non-Hispanic white, Black, and Asian. Ethnic and racial minority children had significantly earlier diagnoses than white and non-Hispanic children when not accounting for sex.

conclusionThis study demonstrates slight increases in reported autism prevalence, a diagnostic lag in some autistic females that was strongly associated with ethnicity, and earlier diagnoses in racial and ethnic minority youth, a finding that may be explained by factors associated with phenotypic differences. This study has important implications for the diagnosis of minority autistic youth, particularly females and females who are non-Hispanic, who may experience a greater propensity for diagnostic delays.

Indexed as

Autistic DisorderEthnicityAdolescentAge FactorsChildChild, PreschoolDelayed DiagnosisFemaleHumansMalePrevalenceRacial GroupsSex FactorsUnited StatesAutism prevalenceAutism spectrum disorderDemographic factorsDiagnosisSex ratio

Identifiers

PMID37584770
PMCPMC10869641
OpenAlexW4385850878

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.