Evidence map›Paper›PMID 42798615›Full record

ArticleFrontiers in public health2026

Prevalence of and factors associated with multiple neurodevelopmental disorders among children and adolescents: a nationwide cross-sectional study.

Longshuang Han, Peixin Han, Jinfeng Ding, Lanting Yang, Zhongyuan Xu, Jiang Long, Patricia M Davidson, Jialing Lin

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Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Longshuang Han *School of Law, Central South University, Changsha, Hunan, China.
Peixin Han *Faculty of Science and Technology, Beijing Normal-Hong Kong Baptist University, Zhuhai, Guangdong, China.
Jinfeng DingXiangya School of Nursing, Central South University, Changsha, Hunan, China.
Lanting YangDivision of Clinical Pharmacy, Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California, San Diego, CA, United States.
Zhongyuan XuSchool of Law, Central South University, Changsha, Hunan, China.
Jiang LongShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Patricia M DavidsonInternational Center for Future Health Systems, University of New South Wales, Sydney, NSW, Australia.
Jialing LinInternational Center for Future Health Systems, University of New South Wales, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Multiple neurodevelopmental disorders (NDDs) in children and adolescents are associated with greater impairment and reduced responsiveness to standard treatments, yet their prevalence and associated factors remain poorly understood. We aimed to investigate prevalence of, and factors associated with multiple NDDs among children and adolescents in the United States (US). Methods: This nationwide cross-sectional study used data from the National Survey of Children's Health 2016-2023. Multiple NDDs were defined as the concurrent presence of two or more conditions. Weighted prevalence estimates were calculated, and logistic regression was applied to assess associated factors of multiple NDDs adjusting for sociodemographic and health variables. Results: The prevalence of multiple NDDs among children aged 3-17 years increased from 5.8% in 2016 to 7.7% in 2023, with the strongest cross-sectional association observed for depression or anxiety (aOR = 5.53, 95% CI: 5.09-6.02), followed by fair or poor health (aOR = 2.82, 95% CI: 2.33-3.42), heart conditions (aOR = 1.93, 95% CI: 1.59-2.35), underweight status (aOR = 1.30, 95% CI: 1.13-1.50), and allergies (aOR = 1.17, 95% CI: 1.08-1.26). Lower odds were observed among female children (aOR = 0.40, 95% CI: 0.37-0.43) and those with higher parental education (aOR = 0.86, 95% CI: 0.80-0.93). Conclusion: This study revealed a rising prevalence of multiple NDDs and identified associated factors across clinical, demographic, and socioeconomic domains. Although the cross-sectional design precludes temporal or causal inference, the findings highlight the importance of integrated and equity-driven strategies to ensure timely access to health services and family-centered support for children and adolescents with multiple NDDs.

Indexed as

Neurodevelopmental DisordersAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHealth SurveysHumansMalePrevalenceRisk FactorsUnited Stateschildren and adolescentsfactorsmultiple neurodevelopmental disordersprevalencerisk management

Identifiers

PMID42798615
PMCPMC13612443

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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.