Evidence map›Paper›PMID 38181181›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2024

Are the diagnostic rates of autistic females increasing? An examination of state-wide trends.

Clare Harrop, Brianne Tomaszewski, Orla Putnam, Claire Klein, Elena Lamarche, Laura Klinger

Open access · greenAbstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. 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
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  11. Sex differences in the global burden of autism spectrum disorders: An analysis based on GBD 2021 data.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 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

6 authors at 2 institutions in 1 country.

Clare HarropDepartment of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Brianne TomaszewskiUniversity of North Carolina TEACCH Autism Program, Chapel Hill, NC, USA.
Orla PutnamDepartment of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Claire KleinUniversity of North Carolina TEACCH Autism Program, Chapel Hill, NC, USA.
Elena LamarcheUniversity of North Carolina TEACCH Autism Program, Chapel Hill, NC, USA.
Laura KlingerUniversity of North Carolina TEACCH Autism Program, Chapel Hill, NC, USA.
Center for Autism and Related Disorders · USUniversity of North Carolina at Chapel Hill · US

Funding

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 GABRIEL S DICHTER · 2020 to 2026
$9.7M
NCATS NIH HHS KL2 TR002490NICHD NIH HHS P50 HD103573North Carolina Translational and Clinical Sciences Institute, University of North Carolina at Chapel Hill KL2TR002490U.S. Department of Education H325D180099
6 · The paper itself

Abstract

backgroundAutism has been considered a 'male-dominant' condition. However, recent research suggests that autistic females are underdiagnosed, misdiagnosed, and later diagnosed. Females may also have different and more nuanced behavioral profiles. To examine diagnosis rates of females, we used 20 years of state-wide data to characterize historical trends in the diagnosis of autism in females to determine whether the proportion of females diagnosed with autism has changed over time.

methodsData were drawn from 10,247 participants (males = 8,319, females = 1928) who received an autism diagnosis between 2000 and 2021 from state-wide autism centers associated with the University of North Carolina TEACCH Autism Program.

resultsThe rates of females diagnosed with autism increased at a greater rate compared with males. Age of diagnosis remained consistently higher for females. Late diagnosis (defined as 13+) increased over time across both males and females, however, was more commonly associated with females, particularly those with co-occurring intellectual disability.

conclusionsOur results indicate that the proportion of females diagnosed with autism has increased steadily over a 20-year period, which likely reflects greater societal knowledge of how autism may manifest differentially in females.

Indexed as

Autism Spectrum DisorderAdolescentAdultAutistic DisorderChildChild, PreschoolDelayed DiagnosisFemaleHumansMaleNorth CarolinaSex FactorsYoung AdultAutismdiagnosisfemaleslate diagnosissex differences

Identifiers

PMID38181181
PMCPMC11161335
OpenAlexW4390603815

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.