What Is the Male-to-Female Ratio in Autism Spectrum Disorder? A Systematic Review and Meta-Analysis
Open accessAbstract
Objective To derive the first systematically calculated estimate of the relative proportion of boys and girls with autism spectrum disorder (ASD) through a meta-analysis of prevalence studies conducted since the introduction of the DSM-IV and the International Classification of Diseases, Tenth Revision.Method Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The Medline, Embase, and PsycINFO databases were searched, and study quality was rated using a risk-of-bias tool. Random-effects meta-analysis was used. The pooled outcome measurement was the male-to-female odds ratio (MFOR), namely the odds of being male in the group with ASD compared with the non-ASD group. In effect, this is the ASD male-to-female ratio, controlling for the male-to-female ratio among participants without ASD.Results Fifty-four studies were analyzed, with 13,784,284 participants, of whom 53,712 had ASD (43,972 boys and 9,740 girls). The overall pooled MFOR was 4.20 (95% CI 3.84-4.60), but there was very substantial between-study variability (I 2 = 90.9%). High-quality studies had a lower MFOR (3.32; 95% CI 2.88-3.84). Studies that screened the general population to identify participants regardless of whether they already had an ASD diagnosis showed a lower MFOR (3.25; 95% CI 2.93-3.62) than studies that only ascertained participants with a pre-existing ASD diagnosis (MFOR 4.56; 95% CI 4.10-5.07).Conclusion Of children meeting criteria for ASD, the true male-to-female ratio is not 4:1, as is often assumed; rather, it is closer to 3:1. There appears to be a diagnostic gender bias, meaning that girls who meet criteria for ASD are at disproportionate risk of not receiving a clinical diagnosis.
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Neurodevelopmental disorders, including autism spectrum disorder, have an increased prevalence in males; boys are approximately three times more likely to be diagnosed than girls.
“Neurodevelopmental disorders, including autism spectrum disorder (ASD), have an increased prevalence in males. Boys are approximately three times more likely to be diagnosed than girls [119].”
From Air pollution and children’s health—a review of adverse effects associated with prenatal exposure from fine to ultrafine particulate matter (2021) · cites this paper as [119]
The cited sentence says boys are approximately three times more likely to be diagnosed than girls. The Discussion instead distinguishes diagnosis from underlying ASD prevalence: it reports about four diagnosed males per female, while its estimate of the true ASD ratio is closer to three to one. The paper supports a male excess in ASD, but not the cited three-to-one figure for diagnoses. (LLM, conf=0.87)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredEpidemiological studies indicate that ASD is more common among males than females, with a ratio estimate from the 2010 Global Burden of Disease study revealing a ratio of 4:1.
“Epidemiological studies indicate that ASD is more common among males than females, with a ratio estimate from the 2010 Global Burden of Disease study revealing a ratio of 4:1 (Brugha et al. 2016; Loomes et al. 2017).”
From The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond (2021) · cites this paper as Loomes et al. 2017
The Introduction reports that ASD is more commonly diagnosed in males and describes 4:1 as a widely cited estimate from prevalence studies. The Discussion reports an overall pooled odds ratio of 4.20, but argues that the true ratio is below 3.5:1. Our copy does not attribute a 4:1 estimate to the 2010 Global Burden of Disease study. (LLM, conf=0.87)
Experimental — accuracy not yet measuredASD is more common in males than in females, with reported ratios ranging from 2.1 to 5.1, and an estimate of 4.1 in the 2010 Global Burden of Disease study.
“Epidemiological administrative and community-based [Au:OK?YES] studies have suggested that ASD is more common in males than in females, with reported ratios [Au:OK to add 'with reported ratios' here?] ranging from 2.1 -5. 1, with an estimate of 4.1 in the 2010 [Au:OK?] Global Burden of Disease study 3,4 .”
From Autism spectrum disorder (2020) · cites this paper as [3]
The Introduction states that ASD is more commonly diagnosed in males and that male-to-female ratios vary substantially across epidemiological studies. The cited paper does not report the claimed 2.1–5.1 range or attribute a 4.1 estimate to the 2010 Global Burden of Disease study; its Discussion instead reports a pooled odds ratio of 4.20 from its own meta-analysis. Page numbers were not provided in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA recent meta-analysis by Loomes et al (2017) estimated a male:female ratio of 3:1, and found that this did not differ greatly by intellectual dis/ability.
“A recent meta-analysis by Loomes et al (2017) estimated a male:female ratio of 3:1, and importantly found that this did not differ greatly by intellectual dis/ability.”
From Annual Research Review: Looking back to look forward – changes in the concept of autism and implications for future research (2020) · cites this paper as Loomes et al (2017)
The Discussion estimates a male-to-female ratio a little over 3:1 in the more methodologically reliable studies. But the ‘Influences on the ASD Male-to-Female Odds Ratio’ section reports that IQ remained a significant predictor: studies with a higher proportion of autistic participants with intellectual disability had a lower male-to-female ratio. That does not support the claim that the ratio did not differ greatly by intellectual disability. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA recent review and meta-analysis suggests a male:female ratio of 3:1 in ASD.
“Historically, ASD has been thought of as a predominantly male disorder, with a recent review and meta-analysis suggesting a male:female ratio of 3:1 (Loomes et al. 2017).”
From Barriers to Autism Spectrum Disorder Diagnosis for Young Women and Girls: a Systematic Review (2021) · cites this paper as Loomes et al. 2017
Autistic females are being missed, diagnosed later than males, or misdiagnosed.
“There are increasing concerns that autistic females are being missed, diagnosed later than males or misdiagnosed (Giarelli et al. 2010; Holtmann et al. 2007; Loomes et al. 2017; Shattuck et al. 2009).”
From Barriers to Autism Spectrum Disorder Diagnosis for Young Women and Girls: a Systematic Review (2021) · cites this paper as Loomes et al. 2017
A previous meta-analysis showed that studies reporting registry and administrative prevalence produced a substantially higher sex ratio than studies relying on active case finding.
“This result was consistent with a previous meta-analysis which showed that studies reporting registry and administrative prevalence produced a substantially higher sex ratio than studies relying on active case finding.27”
From The global epidemiology and health burden of the autism spectrum: findings from the Global Burden of Disease Study 2021. (2025) · cites this paper as [27]
The obtained ASD male-to-female ratio estimate is equal to proportions found in the systematic review by Zeidan et al. and the meta-analysis by Loomes et al.
“For the whole group of ASD, the obtained estimate is equal to the proportions found in the systematic review of the ASD prevalence performed by Zeidan et al. (18) and in the meta-analysis of Loomes et al. (93), focusing specifically on the male-to-female ratio.”
From The global prevalence of autism spectrum disorder: A three-level meta-analysis (2023) · cites this paper as Loomes et al. (93)
There is a potential sex bias for receiving diagnoses of autism spectrum disorder.
“This meta-analysis illustrated a potential sex bias for receiving diagnoses of autism spectrum disorder”
From The global epidemiology and health burden of the autism spectrum: findings from the Global Burden of Disease Study 2021. (2025) · cites this paper as [27]
The current study cannot distinguish the female protective effect due to common or rare variants from diagnostic bias.
“We cannot, however, distinguish the female protective effect due to common or rare variants from diagnostic bias in the current study24,51.”
From Genetic correlates of phenotypic heterogeneity in autism (2022) · cites this paper as [51]
The sex difference in SNP heritability was observed across a range of prevalence estimates after downsampling males to match females and varying the male:female ratio to 3.3:1.
“This difference was observed across a range of prevalence estimates (Fig. 7c and Supplementary Table 19) after downsampling the number of autistic males to match the number of autistic females (Supplementary Table 18) and varying the male:female ratio to 3.3:1 to account for diagnostic bias51 (Supplementary Table 18).”
From Genetic correlates of phenotypic heterogeneity in autism (2022) · cites this paper as [51]
Several social factors can influence diagnosis in a sex-differential manner.
“Several social factors can influence diagnosis in a sex-differential manner”
From Genetic correlates of phenotypic heterogeneity in autism (2022) · cites this paper as [51]
Diagnostic bias may inflate the male:female ratio in autism.
“to account for diagnostic bias that may inflate the ratio.”
From Genetic correlates of phenotypic heterogeneity in autism (2022) · cites this paper as [51]
ASD is diagnosed three to four times more frequently in males than in females.
“Autism spectrum disorder (ASD) is diagnosed three to four times more frequently in males than in females.1, 2, 3”
From The female protective effect against autism spectrum disorder (2022) · cites this paper as [3]
One well-known influence on differential rates of ASD diagnosis is diagnostic bias, which may occur for many reasons, including societal norms of behavior, bias in assessment tools, the sex of evaluators, misdiagnosis of female cases, better "masking" of autistic traits in females, and sex differences in internal and externalizing features of autism.
“One well-known influence is diagnostic bias, which may occur for many reasons, including societal norms of behavior, bias in assessment tools, the sex of evaluators, misdiagnosis of female cases, better “masking” of autistic traits in females, and sex differences in internal and externalizing features of autism.3,33”
From The female protective effect against autism spectrum disorder (2022) · cites this paper as [3]
Autism spectrum disorder (ASD) is a behaviorally defined condition predominantly found in males.
“Autism spectrum disorder (ASD) is a behaviorally defined condition predominantly found in males [10, 19, 40, 49].”
From Linguistic camouflage in girls with autism spectrum disorder (2017) · cites this paper as [40]
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Cites
(2000) · Cited by 9,198 · see citing works
Forming inferences about some intraclass correlation coefficients.
McGraw, K. O., & Wong, S. P. (1996) · Psychological Methods · doi:10.1037/1082-989x.1.1.30 · Cited by 6,903 · see citing works
Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., Kurzius-Spencer, M., Zahorodny, W., Robinson, C., Rosenberg, et al. (2018) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6706a1 · Cited by 6,078 · see citing works
A Re-Evaluation of Random-Effects Meta-Analysis
Higgins, J. P. T., Thompson, S. G., & Spiegelhalter, D. J. (2009) · Journal of the Royal Statistical Society Series A: Statistics in Society · doi:10.1111/j.1467-985x.2008.00552.x · Cited by 2,569 · see citing works
Hoy, D., Brooks, P., Woolf, A., Blyth, F., March, L., Bain, C., Baker, P., Smith, E., & Buchbinder, R. (2012) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2011.11.014 · Cited by 2,555 · see citing works
A modified test for small‐study effects in meta‐analyses of controlled trials with binary endpoints
Harbord, R. M., Egger, M., & Sterne, J. A. C. (2006) · Statistics in Medicine · doi:10.1002/sim.2380 · Cited by 2,267 · see citing works
Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006) · The Lancet · doi:10.1016/s0140-6736(06)69041-7 · Cited by 2,104 · see citing works
The extreme male brain theory of autism
Baron-Cohen, S. (2002) · Trends in Cognitive Sciences · doi:10.1016/s1364-6613(02)01904-6 · Cited by 2,007 · see citing works
Epidemiology of Pervasive Developmental Disorders
Fombonne, E. (2009) · Pediatric Research · doi:10.1203/pdr.0b013e31819e7203 · Cited by 1,971 · see citing works
Prevalence of Autism Spectrum Disorders in a Total Population Sample
Kim, Y. S., Leventhal, B. L., Koh, Y.-J., Fombonne, E., Laska, E., Lim, E.-C., Cheon, K.-A., Kim, S.-J., Kim, Y.-K., Lee, H., et al. (2011) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.10101532 · Cited by 1,524 · see citing works
The Extreme Male-Brain Theory of Autism
Baron‐Cohen, S. (1999) · The MIT Press eBooks · doi:10.7551/mitpress/4945.003.0023 · Cited by 1,413 · see citing works
Autistic Traits in the General Population: A Twin Study
Constantino, J. N., & Todd, R. D. (2003) · Archives of General Psychiatry · doi:10.1001/archpsyc.60.5.524 · Cited by 1,317 · see citing works
Prevalence of Autism in a US Metropolitan Area
Yeargin-Allsopp, M., Rice, C., Karapurkar, T., Doernberg, N., Boyle, C., & Murphy, C. (2003) · JAMA · doi:10.1001/jama.289.1.49 · Cited by 1,248 · see citing works
Pervasive Developmental Disorders in preschool children
Chakrabarti, S. (2001) · JAMA · doi:10.1001/jama.285.24.3093 · Cited by 1,132 · see citing works
Sex/Gender Differences and Autism: Setting the Scene for Future Research
Lai, M.-C., Lombardo, M. V., Auyeung, B., Chakrabarti, B., & Baron-Cohen, S. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.10.003 · Cited by 1,120 · see citing works
Bargiela, S., Steward, R., & Mandy, W. (2016) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-016-2872-8 · Cited by 1,087 · see citing works
Self-citationPrevalence of Parent-Reported Diagnosis of Autism Spectrum Disorder Among Children in the US, 2007
Kogan, M. D., Blumberg, S. J., Schieve, L. A., Boyle, C. A., Perrin, J. M., Ghandour, R. M., Singh, G. K., Strickland, B. B., Trevathan, E., & van Dyck, P. C. (2009) · Pediatrics · doi:10.1542/peds.2009-1522 · Cited by 892 · see citing works
A Screening Instrument for Autism at 18 Months of Age: A 6-Year Follow-up Study
BAIRD, G., CHARMAN, T., BARON-COHEN, S., COX, A., SWETTENHAM, J., WHEELWRIGHT, S., & DREW, A. (2000) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200006000-00007 · Cited by 804 · see citing works
What should autism research focus upon? Community views and priorities from the United Kingdom
Pellicano, E., Dinsmore, A., & Charman, T. (2014) · Autism · doi:10.1177/1362361314529627 · Cited by 800 · see citing works
Pervasive Developmental Disorders in Preschool Children: Confirmation of High Prevalence
Chakrabarti, S., & Fombonne, E. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.6.1133 · Cited by 791 · see citing works
Rice, C. E. (2009) · PsycEXTRA Dataset · doi:10.1037/e562722010-001 · Cited by 760 · see citing works
Diagnostic and Statistical Manual
(2009) · Springer eBooks · doi:10.1007/978-0-387-78665-0_5484 · Cited by 733 · see citing works
Mandy, W., Chilvers, R., Chowdhury, U., Salter, G., Seigal, A., & Skuse, D. (2012) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1356-0 · Cited by 715 · see citing works
Self-citationDworzynski, K., Ronald, A., Bolton, P., & Happé, F. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.05.018 · Cited by 633 · see citing works
Jacquemont, S., Coe, B. P., Hersch, M., Duyzend, M. H., Krumm, N., Bergmann, S., Beckmann, J. S., Rosenfeld, J. A., & Eichler, E. E. (2014) · The American Journal of Human Genetics · doi:10.1016/j.ajhg.2014.02.001 · Cited by 605 · see citing works
Prevalence of Autism in a United States Population: The Brick Township, New Jersey, Investigation
Bertrand, J., Mars, A. E., Boyle, C. A., Bove, F., Yeargin‐Allsopp, M., & Decouflé, P. (2001) · PEDIATRICS · doi:10.1542/peds.108.5.1155 · Cited by 573 · see citing works
The Complete Guide to Asperger’s Syndrome
McKenzie, K. (2007) · Learning Disability Practice · doi:10.7748/ldp.10.2.26.s17 · Cited by 571 · see citing works
Mack, A. H. (2011) · Yearbook of Psychiatry and Applied Mental Health · doi:10.1016/j.ypsy.2010.11.009 · Cited by 500 · see citing works
Sibling Recurrence and the Genetic Epidemiology of Autism
Constantino, J. N., Zhang, Y., Frazier, T., Abbacchi, A. M., & Law, P. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09101470 · Cited by 481 · see citing works
Sensitivity and specificity of proposed DSM-5 diagnostic criteria for autism spectrum disorder
McPartland, J. C., Reichow, B., & Volkmar, F. R. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.01.007 · Cited by 476 · see citing works
Frazier, T. W., Georgiades, S., Bishop, S. L., & Hardan, A. Y. (2014) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2013.12.004 · Cited by 409 · see citing works
Totsika, V., Hastings, R. P., Emerson, E., Lancaster, G., & Berridge, D. M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02295.x · Cited by 409 · see citing works
Fombonne, E., Zakarian, R., Bennett, A., Meng, L., & McLean-Heywood, D. (2006) · Pediatrics · doi:10.1542/peds.2005-2993 · Cited by 399 · see citing works
Sex differences in the evaluation and diagnosis of autism spectrum disorders among children
Giarelli, E., Wiggins, L. D., Rice, C. E., Levy, S. E., Kirby, R. S., Pinto-Martin, J., & Mandell, D. (2010) · Disability and Health Journal · doi:10.1016/j.dhjo.2009.07.001 · Cited by 398 · see citing works
The Complete Guide to Asperger’s Syndrome
Attwood, T. (2007) · Jessica Kingsley Publishers eBooks · doi:10.5040/9781805014300 · Cited by 357 · see citing works
Huerta, M., Bishop, S. L., Duncan, A., Hus, V., & Lord, C. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.12020276 · Cited by 341 · see citing works
Sex differences in pervasive developmental disorders
Volkmar, F. R., Szatmari, P., & Sparrow, S. S. (1993) · Journal of Autism and Developmental Disorders · doi:10.1007/bf01046103 · Cited by 329 · see citing works
Mandy, W., & Lai, M. (2016) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12501 · Cited by 283 · see citing works
Self-citationAutism Spectrum Disorders in the Stockholm Youth Cohort: Design, Prevalence and Validity
Idring, S., Rai, D., Dal, H., Dalman, C., Sturm, H., Zander, E., Lee, B. K., Serlachius, E., & Magnusson, C. (2012) · PLoS ONE · doi:10.1371/journal.pone.0041280 · Cited by 275 · see citing works
Prevalence of Parent-Reported ASD and ADHD in the UK: Findings from the Millennium Cohort Study
Russell, G., Rodgers, L. R., Ukoumunne, O. C., & Ford, T. J. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-013-1849-0 · Cited by 274 · see citing works
Autism and Associated Medical Disorders in a French Epidemiological Survey
Fombonne, E. J., du Mazaubrun, C., Cans, C., & Grandjean, H. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/s0890-8567(09)66566-7 · Cited by 252 · see citing works
Autism Spectrum Disorder, ADHD, Epilepsy, and Cerebral Palsy in Norwegian Children
Surén, P., Bakken, I. J., Aase, H., Chin, R., Gunnes, N., Lie, K. K., Magnus, P., Reichborn-Kjennerud, T., Schjølberg, S., Øyen, A.-S., et al. (2012) · Pediatrics · doi:10.1542/peds.2011-3217 · Cited by 248 · see citing works
Social and demographic factors that influence the diagnosis of autistic spectrum disorders
Russell, G., Steer, C., & Golding, J. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0294-z · Cited by 239 · see citing works
Fombonne, E. J., Simmons, H., Ford, T. J., Meltzer, H., & Goodman, R. (2001) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-200107000-00017 · Cited by 218 · see citing works
Skuse, D. H., Mandy, W., Steer, C., Miller, L. L., Goodman, R., Lawrence, K., Emond, A., & Golding, J. (2009) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31819176b8 · Cited by 205 · see citing works
Self-citationRutherford, M., McKenzie, K., Johnson, T., Catchpole, C., O’Hare, A., McClure, I., Forsyth, K., McCartney, D., & Murray, A. (2016) · Autism · doi:10.1177/1362361315617879 · Cited by 197 · see citing works
Prevalence and characteristics of autistic spectrum disorders in the ALSPAC cohort
Williams, E., Thomas, K., Sidebotham, H., & Emond, A. (2008) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2008.03042.x · Cited by 196 · see citing works
Kopp, S., & Gillberg, C. (1992) · European Child & Adolescent Psychiatry · doi:10.1007/bf02091791 · Cited by 193 · see citing works
Taylor, B., Jick, H., & MacLaughlin, D. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-003219 · Cited by 176 · see citing works
Brief report: prevalence of autistic spectrum disorders in the sultanate of Oman.
Al-Farsi, Y. M., Al-Sharbati, M. M., Al-Farsi, O. A., Al-Shafaee, M. S., Brooks, D. R., & Waly, M. I. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1094-8 · Cited by 171 · see citing works
Cumulative Incidence and Prevalence of Childhood Autism in Children in Japan
Honda, H., Shimizu, Y., Misumi, K., Niimi, M., & Ohashi, Y. (1996) · The British Journal of Psychiatry · doi:10.1192/bjp.169.2.228 · Cited by 166 · see citing works
A national study of the prevalence of autism among five-year-old children in Iran
Samadi, S. A., Mahmoodizadeh, A., & McConkey, R. (2012) · Autism · doi:10.1177/1362361311407091 · Cited by 161 · see citing works
Oliveira, G., Ataíde, A., Marques, C., Miguel, T. S., Coutinho, A. M., Mota‐Vieira, L., Gonçalves, E., Mendes-Lopes, N., Rodrigues, V., da Mota, H. C., et al. (2007) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2007.00726.x · Cited by 146 · see citing works
Kawamura, Y., Takahashi, O., & Ishii, T. (2008) · Psychiatry and Clinical Neurosciences · doi:10.1111/j.1440-1819.2008.01748.x · Cited by 145 · see citing works
Cumulative incidence of childhood autism: a total population study of better accuracy and precision
Honda, H., Shimizu, Y., Imai, M., & Nitto, Y. (2005) · Developmental Medicine & Child Neurology · doi:10.1017/s0012162205000034 · Cited by 143 · see citing works
Mandy, W., & Tchanturia, K. (2015) · Molecular Autism · doi:10.1186/2040-2392-6-6 · Cited by 136 · see citing works
Self-citationAutism and Associated Medical Disorders in a French Epidemiological Survey
Fombonne, E. J., du Mazaubrun, C., Cans, C., et al. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199711000-00019 · Cited by 132 · see citing works
Autism spectrum disorder diagnoses in Stockholm preschoolers
Fernell, E., & Gillberg, C. (2010) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2010.01.007 · Cited by 129 · see citing works
Prevalence of autism spectrum disorders in an Icelandic birth cohort
Sæmundsen, E., Magnússon, P., Georgsdóttir, I., Egilsson, E., & Rafnsson, V. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002748 · Cited by 126 · see citing works
The Incidence of Autism in Olmsted County, Minnesota, 1976-1997
Barbaresi, W. J., Katusic, S. K., Colligan, R. C., Weaver, A. L., & Jacobsen, S. J. (2005) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.159.1.37 · Cited by 124 · see citing works
Prevalence and Incidence of Autism Spectrum Disorder in an Israeli Population
Davidovitch, M., Hemo, B., Manning-Courtney, P., & Fombonne, E. (2013) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-012-1611-z · Cited by 120 · see citing works
Lai, D.-C., Tseng, Y.-C., Hou, Y.-M., & Guo, H.-R. (2012) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2011.12.015 · Cited by 115 · see citing works
Sponheim, E., & Skjeldal, O. H. (1998) · Journal of Autism and Developmental Disorders · doi:10.1023/a:1026017405150 · Cited by 113 · see citing works
Toward specifying pervasive developmental disorder-not otherwise specified
Mandy, W., Charman, T., Gilmour, J., & Skuse, D. (2011) · Autism Research · doi:10.1002/aur.178 · Cited by 103 · see citing works
Self-citationNygren, G., Cederlund, M., Sandberg, E., Gillstedt, F., Arvidsson, T., Gillberg, I. C., Andersson, G. W., & Gillberg, C. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1391-x · Cited by 102 · see citing works
Cumulative incidence of childhood autism: a total population study of better accuracy and precision
Honda, H., Shimizu, Y., Imai, M., & Nitto, Y. (2007) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2005.tb01034.x · Cited by 102 · see citing works
Windham, G. C., Anderson, M., Croen, L., Smith, K. S., Collins, J., & Grether, J. K. (2010) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-010-1160-2 · Cited by 85 · see citing works
A Comparison of Autism Prevalence Trends in Denmark and Western Australia
Parner, E. T., Thorsen, P., Dixon, G., de Klerk, N. H., Leonard, H., Nassar, N., Bourke, J., Bower, C. I., & Glasson, E. J. (2011) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-011-1186-0 · Cited by 84 · see citing works
Raz, R., Weisskopf, M. G., Davidovitch, M., Pinto, O., & Levine, H. (2015) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-014-2262-z · Cited by 84 · see citing works
Childhood autism spectrum disorder in the Barwon region: A community based study
Icasiano, F., Hewson, P. H., Machet, P., Cooper, C., & Marshall, A. (2004) · Journal of Paediatrics and Child Health · doi:10.1111/j.1440-1754.2004.00513.x · Cited by 82 · see citing works
Autism in 3–6-year-old children in a suburb of goteborg, sweden
Arvidsson, T., Danielsson, B., Forsberg, P., Gillberg, C., Johansson, M., & Kjellgren, G. (1997) · Autism · doi:10.1177/1362361397012004 · Cited by 81 · see citing works
Prevalence of pervasive developmental disorders among children at the English Montreal School Board
Lazoff, T., Zhong, L., Piperni, T., & Fombonne, E. (2010) · The Canadian Journal of Psychiatry · doi:10.1177/070674371005501105 · Cited by 79 · see citing works
Epidemiological findings of pervasive developmental disorders in a Venezuelan study
Montiel‐Nava, C., & Peña, J. A. (2008) · Autism · doi:10.1177/1362361307086663 · Cited by 76 · see citing works
Autism in the Faroe Islands. An Epidemiological Study
Ellefsen, A., Kampmann, H., Billstedt, E., Gillberg, I. C., & Gillberg, C. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0178-y · Cited by 62 · see citing works
Observed prevalence of autism spectrum disorders in two Norwegian counties
Isaksen, J., Diseth, T. H., Schjølberg, S., & Skjeldal, O. H. (2012) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2012.01.014 · Cited by 59 · see citing works
A Danish population-based twin study on autism spectrum disorders
Nordenbæk, C. M., Jørgensen, M., Kyvik, K. O., & Bilenberg, N. (2013) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-013-0419-5 · Cited by 56 · see citing works
Tebruegge, M., Nandini, V., & Ritchie, J. (2004) · BMC Pediatrics · doi:10.1186/1471-2431-4-4 · Cited by 56 · see citing works
Nicholas, J. S., Carpenter, L. A., King, L., Jenner, W., & Charles, J. M. (2009) · Annals of Epidemiology · doi:10.1016/j.annepidem.2009.04.005 · Cited by 55 · see citing works
Sun, X., Allison, C. L., Bonnie Auyeung, B., Baron‐Cohen, S., & Brayne, C. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2014.07.037 · Cited by 54 · see citing works
Harrison, M. J. (2005) · Archives of Disease in Childhood · doi:10.1136/adc.2004.049601 · Cited by 49 · see citing works
Autism and mental retardation of young children in China.
Zhang, X., & Ji, C.-Y. (2005) · PubMed · Cited by 47 · see citing works
Huang, J. P., Cui, S. S., Han, Y., Hertz‐Picciotto, I., Qi, L., & Zhang, X. (2014) · PubMed · doi:10.3967/bes2014.008 · Cited by 35 · see citing works
Prevalence of treated autism spectrum disorders in Aruba
van Balkom, I. D. C., Bresnahan, M. A., Vogtländer, M. F., van Hoeken, D., Minderaa, R. B., Susser, E., & Hoek, H. W. (2009) · Journal of Neurodevelopmental Disorders · doi:10.1007/s11689-009-9011-1 · Cited by 31 · see citing works
Trends in Special Education Code Assignment for Autism: Implications for Prevalence Estimates
Ouellette-Kuntz, H. M. J., Coo, H., Lloyd, J. E. V., Kasmara, L., Holden, J. J. A., & Lewis, M. E. S. (2007) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0326-4 · Cited by 27 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [11]11. Medical Research Council. MRC review of autism research: Epidemiology and causes. London: Author; 2001.
- [26]26. Center for Disease Control. Prevalence of autism spectrum disorders -autism and developmental disabilities monitoring network, 14 sites, United States, 2008. MMWR Surveill Summ. 2012;61:1-19.
Cited by
Sorted by citations
Lai, M.-C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., Szatmari, P., & Ameis, S. H. (2019) · The Lancet Psychiatry · doi:10.1016/s2215-0366(19)30289-5 · Cited by 1,892 · see citing works
Self-citationLord, C., Brugha, T. S., Charman, T., Cusack, J., Dumas, G., Frazier, T., Jones, E. J. H., Jones, R. M., Pickles, A., State, M. W., et al. (2020) · Nature Reviews Disease Primers · doi:10.1038/s41572-019-0138-4 · Cited by 1,859 · see citing works
Autism spectrum disorder: Definition, epidemiology, causes, and clinical evaluation
Hodges, H., Fealko, C., & Soares, N. (2020) · Translational Pediatrics · doi:10.21037/tp.2019.09.09 · Cited by 1,127 · see citing works
The Lancet Commission on the future of care and clinical research in autism
Lord, C., Charman, T., Havdahl, A., Carbone, P., Anagnostou, E., Boyd, B., Carr, T., de Vries, P. J., Dissanayake, C., Divan, G., et al. (2022) · The Lancet · doi:10.1016/s0140-6736(21)01541-5 · Cited by 924 · see citing works
Maternal immune activation and neuroinflammation in human neurodevelopmental disorders
Han, V. X., Patel, S., Jones, H. F., & Dale, R. C. (2021) · Nature Reviews Neurology · doi:10.1038/s41582-021-00530-8 · Cited by 683 · see citing works
Understanding the reasons, contexts and costs of camouflaging for autistic adults
Cage, E., & Troxell-Whitman, Z. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-03878-x · Cited by 661 · see citing works
Fu, J. M., Satterstrom, F. K., Peng, M., Brand, H., Collins, R. L., Dong, S., Wamsley, B., Klei, L., Wang, L., Hao, S. P., et al. (2022) · Nature Genetics · doi:10.1038/s41588-022-01104-0 · Cited by 640 · see citing works
The Female Autism Phenotype and Camouflaging: a Narrative Review
Hull, L., Petrides, K. V., & Mandy, W. (2020) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-020-00197-9 · Cited by 614 · see citing works
Self-citationWarrier, V., Greenberg, D. M., Weir, E., Buckingham, C., Smith, P., Lai, M.-C., Allison, C., & Baron-Cohen, S. (2020) · Nature Communications · doi:10.1038/s41467-020-17794-1 · Cited by 595 · see citing works
Salari, N., Rasoulpoor, S., Rasoulpoor, S., Shohaimi, S., Jafarpour, S., Abdoli, N., Khaledi-Paveh, B., & Mohammadi, M. (2022) · Italian Journal of Pediatrics · doi:10.1186/s13052-022-01310-w · Cited by 571 · see citing works
“Based on a comprehensive systematic review, the male to female ratio in children with ASD has been described as three to one [106], indicating a higher prevalence of ASD in males [92, 107, 108].”
BackgroundGenetic Causes and Modifiers of Autism Spectrum Disorder
Rylaarsdam, L. E., & Guemez‐Gamboa, A. (2019) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2019.00385 · Cited by 575 · see citing works
Development and validation of the camouflaging autistic traits questionnaire (CAT-Q)
Hull, L., Mandy, W., Lai, M.-C., Baron-Cohen, S., Allison, C., Smith, P., & Petrides, K. V. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3792-6 · Cited by 496 · see citing works
Self-citationBury, S. M., Jellett, R., Spoor, J. R., & Hedley, D. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04425-3 · Cited by 452 · see citing works
Happé, F., & Frith, U. (2020) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13176 · Cited by 438 · see citing works
Mesa‐Gresa, P., Gil-Gómez, H., Lozano-Quilis, J.-A., & Gil‐Gómez, J. (2018) · Sensors · doi:10.3390/s18082486 · Cited by 410 · see citing works
Time trends in autism diagnosis over 20 years: a UK population‐based cohort study
Russell, G., Stapley, S., Newlove‐Delgado, T., Salmon, A., White, R., Warren, F., Pearson, A., & Ford, T. (2022) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13505 · Cited by 399 · see citing works
Russell, G., Mandy, W., Elliott, D., White, R., Pittwood, T., & Ford, T. (2019) · Molecular Autism · doi:10.1186/s13229-019-0260-x · Cited by 366 · see citing works
Self-citationEliot, L., Ahmed, A., Khan, H., & Patel, J. Y. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.02.026 · Cited by 351 · see citing works
Barriers to Autism Spectrum Disorder Diagnosis for Young Women and Girls: a Systematic Review
Lockwood Estrin, G., Milner, V., Spain, D., Happé, F., & Colvert, E. (2021) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-020-00225-8 · Cited by 357 · see citing works
Leedham, A. T., Thompson, A. R., Smith, R. S., & Freeth, M. (2019) · Autism · doi:10.1177/1362361319853442 · Cited by 364 · see citing works
Johnson, N. M., Hoffmann, A. R., Behlen, J. C., Lau, C., Pendleton, D., Harvey, N., Shore, R., Li, Y., Chen, J., Tian, Y., et al. (2021) · Environmental Health and Preventive Medicine · doi:10.1186/s12199-021-00995-5 · Cited by 339 · see citing works
“Boys are approximately three times more likely to be diagnosed than girls [119].”
BackgroundWhat about the girls? Sex-based differences in autistic traits and adaptive skills
Ratto, A. B., Kenworthy, L., Yerys, B. E., Bascom, J., Wieckowski, A. T., White, S. W., Wallace, G. L., Pugliese, C., Schultz, R. T., Ollendick, T. H., et al. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3413-9 · Cited by 342 · see citing works
The global prevalence of autism spectrum disorder: A three-level meta-analysis
Talantseva, O. I., Romanova, R. S., Shurdova, E. M., Dolgorukova, T. A., Sologub, P. S., Titova, O. S., Kleeva, D. F., & Grigorenko, E. L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1071181 · Cited by 318 · see citing works
The Diagnosis of Autism: From Kanner to DSM-III to DSM-5 and Beyond
Rosen, N. E., Lord, C., & Volkmar, F. R. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-04904-1 · Cited by 302 · see citing works
Shaw, K. A., Maenner, M. J., Baio, J., EdS1, Washington, A., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., White, T., et al. (2020) · MMWR. Surveillance Summaries · doi:10.15585/mmwr.ss6903a1 · Cited by 286 · see citing works
Rosenfeld, C. S. (2021) · Journal of Neuroscience Research · doi:10.1002/jnr.24603 · Cited by 280 · see citing works
Autism Diagnosis in the United Kingdom: Perspectives of Autistic Adults, Parents and Professionals
Crane, L., Batty, R., Adeyinka, H., Goddard, L., Henry, L. A., & Hill, E. L. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3639-1 · Cited by 275 · see citing works
Sacco, R., Camilleri, N., Eberhardt, J., Umla‐Runge, K., & Newbury‐Birch, D. (2022) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-022-02131-2 · Cited by 302 · see citing works
Demetriou, E. A., DeMayo, M. M., & Guastella, A. J. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00753 · Cited by 274 · see citing works
Botha, M., & Cage, E. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.1050897 · Cited by 180 · see citing works
A qualitative exploration of the female experience of autism spectrum disorder (ASD)
Milner, V., McIntosh, H., Colvert, E., & Happé, F. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-03906-4 · Cited by 262 · see citing works
Signalling pathways in autism spectrum disorder: mechanisms and therapeutic implications
Jiang, C.-C., Lin, L., Long, S., Ke, X., Fukunaga, K., Lu, Y., & Han, F. (2022) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-022-01081-0 · Cited by 272 · see citing works
Lai, M.-C., Anagnostou, E., Wiznitzer, M., Allison, C., & Baron-Cohen, S. (2020) · The Lancet Neurology · doi:10.1016/s1474-4422(20)30034-x · Cited by 250 · see citing works
Research priorities of the autism community: A systematic review of key stakeholder perspectives
Roche, L., Adams, D., & Clark, M. (2020) · Autism · doi:10.1177/1362361320967790 · Cited by 222 · see citing works
Sex and gender in neurodevelopmental conditions
Bölte, S., Neufeld, J., Marschik, P. B., Williams, Z. J., Gallagher, L., & Lai, M.-C. (2023) · Nature Reviews Neurology · doi:10.1038/s41582-023-00774-6 · Cited by 249 · see citing works
Risk and protective factors underlying depression and suicidal ideation in Autism Spectrum Disorder
Hedley, D., Uljarević, M., Foley, K.-R., Richdale, A., & Trollor, J. (2018) · Depression and Anxiety · doi:10.1002/da.22759 · Cited by 246 · see citing works
Enhancing the Validity of a Quality of Life Measure for Autistic People
McConachie, H., Mason, D., Parr, J. R., Garland, D., Wilson, C., & Rodgers, J. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3402-z · Cited by 245 · see citing works
Sex and gender impacts on the behavioural presentation and recognition of autism
Lai, M.-C., & Szatmari, P. (2020) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000575 · Cited by 237 · see citing works
Sex Differences in Autism Spectrum Disorder: Diagnostic, Neurobiological, and Behavioral Features
Napolitano, A., Schiavi, S., Rosa, P. L., Rossi‐Espagnet, M. C., Petrillo, S., Bottino, F., Tagliente, E., Longo, D., Lupi, E., Casula, L., et al. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.889636 · Cited by 251 · see citing works
Sex differences in neurodevelopmental disorders
May, T., Adesina, I., McGillivray, J., & Rinehart, N. J. (2019) · Current Opinion in Neurology · doi:10.1097/wco.0000000000000714 · Cited by 235 · see citing works
Genomics, convergent neuroscience and progress in understanding autism spectrum disorder
Willsey, H. R., Willsey, A. J., Wang, B., & State, M. W. (2022) · Nature reviews. Neuroscience · doi:10.1038/s41583-022-00576-7 · Cited by 229 · see citing works
Sex/Gender Differences in Camouflaging in Children and Adolescents with Autism
Wood‐Downie, H., Wong, B., Kovshoff, H., Mandy, W., Hull, L., & Hadwin, J. A. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04615-z · Cited by 236 · see citing works
Self-citationPreterm or Early Term Birth and Risk of Autism
Crump, C., Sundquist, J., & Sundquist, K. (2021) · PEDIATRICS · doi:10.1542/peds.2020-032300 · Cited by 223 · see citing works
Kallitsounaki, A., & Williams, D. M. (2023) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-022-05517-y · Cited by 235 · see citing works
The co-occurrence of epilepsy and autism: A systematic review
Lukmanji, S., Manji, S., Kadhim, S., Sauro, K. M., Wirrell, E. C., Kwon, C., & Jetté, N. (2019) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2019.07.037 · Cited by 225 · see citing works
O’Nions, E., Petersen, I., Buckman, J. E. J., Charlton, R. A., Cooper, C., Corbett, A., Happe, F. G. E., Manthorpe, J., Richards, M., Saunders, R., et al. (2023) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2023.100626 · Cited by 218 · see citing works
Self-citationSantomauro, D. F., Erskine, H. E., Mantilla Herrera, A. M., Miller, P. A., Shadid, J., Hagins, H., Addo, I. Y., Adnani, Q. E. S., Ahinkorah, B. O., Ahmed, A., et al. (2025) · The Lancet Psychiatry · doi:10.1016/s2215-0366(24)00363-8 · Cited by 223 · see citing works
The Role of Estrogen Receptors and Their Signaling across Psychiatric Disorders
Hwang, W. J., Lee, T. Y., Kim, N. S., & Kwon, J. S. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms22010373 · Cited by 208 · see citing works
Papadopoulos, D. (2021) · Brain Sciences · doi:10.3390/brainsci11030309 · Cited by 206 · see citing works
Baron-Cohen, S., Tsompanidis, A., Auyeung, B., Nørgaard-Pedersen, B., Hougaard, D. M., Abdallah, M., Cohen, A., & Pohl, A. (2020) · Molecular Psychiatry · doi:10.1038/s41380-019-0454-9 · Cited by 200 · see citing works
You’ve got male: Sex and the microbiota-gut-brain axis across the lifespan
Jaggar, M., Rea, K., Spichak, S., Dinan, T. G., & Cryan, J. F. (2020) · Frontiers in Neuroendocrinology · doi:10.1016/j.yfrne.2019.100815 · Cited by 200 · see citing works
A 20‐year study of suicide death in a statewide autism population
Kirby, A. V., Bakian, A. V., Zhang, Y., Bilder, D. A., Keeshin, B. R., & Coon, H. (2019) · Autism Research · doi:10.1002/aur.2076 · Cited by 192 · see citing works
Canetto, S. S., & Chen, J. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108561716.042 · Cited by 194 · see citing works
Sedgewick, F., Hill, V., & Pellicano, E. (2018) · Autism · doi:10.1177/1362361318794930 · Cited by 191 · see citing works
Fuentes, J., Amaia Hervas, G., Howlin, P., & Party), (. A. W. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01587-4 · Cited by 211 · see citing works
D’Mello, A. M., Frosch, I. R., Li, C. E., Cardinaux, A. L., & Gabrieli, J. D. E. (2022) · Autism Research · doi:10.1002/aur.2795 · Cited by 194 · see citing works
Brede, J., Babb, C., Jones, C., Elliott, M., Zanker, C., Tchanturia, K., Serpell, L., Fox, J., & Mandy, W. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04479-3 · Cited by 184 · see citing works
Self-citationGenetic contributions to autism spectrum disorder
Havdahl, A., Niarchou, M., Starnawska, A., Uddin, M., van der Merwe, C., & Warrier, V. (2021) · Psychological Medicine · doi:10.1017/s0033291721000192 · Cited by 193 · see citing works
Linguistic camouflage in girls with autism spectrum disorder
Parish-Morris, J., Liberman, M. Y., Cieri, C., Herrington, J. D., Yerys, B. E., Bateman, L., Donaher, J., Ferguson, E., Pandey, J., & Schultz, R. T. (2017) · Molecular Autism · doi:10.1186/s13229-017-0164-6 · Cited by 181 · see citing works
Challenges Surrounding the Diagnosis of Autism in Children
Hus, Y., & Segal, O. (2021) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s282569 · Cited by 201 · see citing works
Green, R. M., Travers, A. M., Howe, Y., & McDougle, C. J. (2019) · Current Psychiatry Reports · doi:10.1007/s11920-019-1006-3 · Cited by 174 · see citing works
Toward Neurosubtypes in Autism
Hong, S., Vogelstein, J. T., Gozzi, A., Bernhardt, B. C., Yeo, B. T. T., Milham, M. P., & Martino, A. D. (2020) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.03.022 · Cited by 167 · see citing works
Social Camouflaging in Females with Autism Spectrum Disorder: A Systematic Review
Tubío-Fungueiriño, M., Cruz, S., Sampaio, A., Carracedo, Á., & Fernández‐Prieto, M. (2020) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-020-04695-x · Cited by 170 · see citing works
Health comorbidities and cognitive abilities across the lifespan in Down syndrome
Startin, C. M., D’Souza, H., Ball, G., Hamburg, S., Hithersay, R., Hughes, K. M. O., Massand, E., Karmiloff‐Smith, A., Thomas, M. S. C., & Strydom, A. (2020) · Journal of Neurodevelopmental Disorders · doi:10.1186/s11689-019-9306-9 · Cited by 170 · see citing works
Bermudez-Martin, P., Becker, J. A. J., Caramello, N., Fernández, S. P., Campos, R. C., Canaguier, J., Barbosa, S., Martínez-Gili, L., Myridakis, A., Dumas, M., et al. (2021) · Microbiome · doi:10.1186/s40168-021-01103-z · Cited by 164 · see citing works
Wood‐Downie, H., Wong, B., Kovshoff, H., Cortese, S., & Hadwin, J. A. (2021) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13337 · Cited by 162 · see citing works
“This difference suggests there is a diagnostic gender bias, such that there are females not known to clinical services but who, if assessed, would potentially meet diagnostic criteria for ASD (Loomes et al., 2017).”
BackgroundMethodIn Our Own Words: The Complex Sensory Experiences of Autistic Adults
MacLennan, K., O’Brien, S., & Tavassoli, T. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05186-3 · Cited by 163 · see citing works
Saito, M., Hirota, T., Sakamoto, Y., Adachi, M., Takahashi, M., Osato-Kaneda, A., Kim, Y. S., Leventhal, B., Shui, A., Kato, S., et al. (2020) · Molecular Autism · doi:10.1186/s13229-020-00342-5 · Cited by 161 · see citing works
Anxiety and Depression from Adolescence to Old Age in Autism Spectrum Disorder
Uljarević, M., Hedley, D., Foley, K., Magiati, I., Cai, R. Y., Dissanayake, C., Richdale, A. L., & Trollor, J. N. (2019) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-019-04084-z · Cited by 164 · see citing works
A comparative study of autistic and non-autistic women’s experience of motherhood
Pohl, A. L., Crockford, S. K., Blakemore, M., Allison, C. L., & Baron‐Cohen, S. (2020) · Molecular Autism · doi:10.1186/s13229-019-0304-2 · Cited by 153 · see citing works
Genetic correlates of phenotypic heterogeneity in autism
Warrier, V., Zhang, X., Reed, P., Havdahl, A., Moore, T. M., Cliquet, F., Leblond, C. S., Rolland, T., Rosengren, A., LEAP, E.-A., et al. (2022) · Nature Genetics · doi:10.1038/s41588-022-01072-5 · Cited by 152 · see citing works
Maurin, T., Lebrigand, K., Castagnola, S., Paquet, A. C., Jarjat, M., Popa, A., Grossi, M., Rage, F., & Bardoni, B. (2018) · Nucleic Acids Research · doi:10.1093/nar/gky267 · Cited by 152 · see citing works
A systematic review of emotion regulation in children with Autism Spectrum Disorder
Cibralic, S., Kohlhoff, J. R., Wallace, N. M., McMahon, C. A., & Eapen, V. (2019) · Research in Autism · doi:10.1016/j.rasd.2019.101422 · Cited by 149 · see citing works
English, M. C. W., Gignac, G. E., Visser, T. A. W., Whitehouse, A., Enns, J. T., & Maybery, M. T. (2021) · Molecular Autism · doi:10.1186/s13229-021-00445-7 · Cited by 160 · see citing works
Brain Connectivity and Neuroimaging of Social Networks in Autism
Müller, R., & Fishman, I. (2018) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2018.09.008 · Cited by 143 · see citing works
Epidemiological surveys of ASD: advances and remaining challenges
Fombonne, E., MacFarlane, H., & Salem, A. C. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05005-9 · Cited by 147 · see citing works
Suicidality in autistic youth: A systematic review and meta-analysis
O'Halloran, L., Coey, P., & Wilson, C. (2022) · Clinical Psychology Review · doi:10.1016/j.cpr.2022.102144 · Cited by 146 · see citing works
Prevalence of epilepsy in autism spectrum disorders: A systematic review and meta-analysis
Liu, X., Sun, X., Sun, C., Zou, M., Chen, Y., Huang, J., Wu, L., & Chen, W.-X. (2022) · Autism · doi:10.1177/13623613211045029 · Cited by 145 · see citing works
Melancia, F., Schiavi, S., Servadio, M., Cartocci, V., Campolongo, P., Palmery, M., Pallottini, V., & Trezza, V. (2018) · British Journal of Pharmacology · doi:10.1111/bph.14435 · Cited by 145 · see citing works
Dechsling, A., Orm, S., Kalandadze, T., Sütterlin, S., Øien, R. A., Shic, F., & Nordahl‐Hansen, A. (2021) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-021-05338-5 · Cited by 153 · see citing works
Santos, S., Ferreira, H., Martins, J., Gonçalves, J., & Castelo-Branco, M. S. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104577 · Cited by 141 · see citing works
Newell, V., Phillips, L., Jones, C., Townsend, E., Richards, C., & Cassidy, S. (2023) · Molecular Autism · doi:10.1186/s13229-023-00544-7 · Cited by 143 · see citing works
The role of gender in the perception of autism symptom severity and future behavioral development
Geelhand, P., Bernard, P., Klein, O., van Tiel, B., & Kissine, M. (2019) · Molecular Autism · doi:10.1186/s13229-019-0266-4 · Cited by 141 · see citing works
Prevalence and Characteristics of Autism Spectrum Disorder Among Spanish School-Age Children
Morales‐Hidalgo, P., Castellví, J. R., Hernández‐Martínez, C., Voltas, N., & Canals, J. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3581-2 · Cited by 137 · see citing works
Oomen, D., Nijhof, A. D., & Wiersema, J. R. (2021) · Molecular Autism · doi:10.1186/s13229-021-00424-y · Cited by 136 · see citing works
Posserud, M., Skretting Solberg, B., Engeland, A., Haavik, J., & Klungsøyr, K. (2021) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13368 · Cited by 135 · see citing works
Neural self-representation in autistic women and association with ‘compensatory camouflaging’
Lai, M.-C., Lombardo, M. V., Chakrabarti, B., Ruigrok, A. N., Bullmore, E. T., Suckling, J., Auyeung, B., Happé, F., Szatmari, P., Baron-Cohen, S., et al. (2019) · Autism · doi:10.1177/1362361318807159 · Cited by 134 · see citing works
Sex-dependent behavioral deficits and neuropathology in a maternal immune activation model of autism
Haïda, O., Sagheer, T. A., Balbous, A., Francheteau, M., Matas, E., Soria, F. N., Fernagut, P., & Jaber, M. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0457-y · Cited by 131 · see citing works
Haruvi-Lamdan, N., Horesh, D., Zohar, S., Kraus, M., & Golan, O. (2020) · Autism · doi:10.1177/1362361320912143 · Cited by 126 · see citing works
Autism Diagnosis Among US Children and Adults, 2011-2022
Grosvenor, L. P., Croen, L., Lynch, F. L., Marafino, B. J., Maye, M. P., Penfold, R. B., Simon, G. E., & Ames, J. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.42218 · Cited by 143 · see citing works
Early detection for autism spectrum disorder in young children
Zwaigenbaum, L., Brian, J. A., & Ip, A. (2019) · Paediatrics & Child Health · doi:10.1093/pch/pxz119 · Cited by 134 · see citing works
Sex differences in social attention in autism spectrum disorder
Harrop, C., Jones, D. R., Zheng, S., Nowell, S. W., Boyd, B. A., & Sasson, N. J. (2018) · Autism Research · doi:10.1002/aur.1997 · Cited by 125 · see citing works
The female protective effect against autism spectrum disorder
Wigdor, E. M., Weiner, D. J., Grove, J., Fu, J. M., Thompson, W. K., Carey, C. E., Baya, N., van der Merwe, C., Walters, R. K., Satterstrom, F. K., et al. (2022) · Cell Genomics · doi:10.1016/j.xgen.2022.100134 · Cited by 124 · see citing works
Androgens increase excitatory neurogenic potential in human brain organoids
Kelava, I., Chiaradia, I., Pellegrini, L., Kalinka, A. T., & Lancaster, M. A. (2022) · Nature · doi:10.1038/s41586-021-04330-4 · Cited by 123 · see citing works
The female protective effect against autism spectrum disorder
Wigdor, E. M., Weiner, D. J., Grove, J., Fu, J. M., Thompson, W. K., Carey, C. E., Baya, N., van der Merwe, C., Walters, R. K., Satterstrom, F. K., et al. (2021) · doi:10.1101/2021.03.29.21253866 · Cited by 124 · see citing works
Allely, C. S. (2019) · Advances in Autism · doi:10.1108/aia-09-2018-0036 · Cited by 123 · see citing works
Synthesizing Views to Understand Sex Differences in Response to Early Life Adversity
Bath, K. G. (2020) · Trends in Neurosciences · doi:10.1016/j.tins.2020.02.004 · Cited by 124 · see citing works
Watkins, L., Ledbetter‐Cho, K., O’Reilly, M. F., Barnard-Brak, L. M., & García‐Grau, P. (2019) · Psychological Bulletin · doi:10.1037/bul0000190 · Cited by 122 · see citing works
Sex differences matter: Males and females are equal but not the same
Szadvári, I., Ostatníková, D., & Durdiaková, J. (2022) · Physiology & Behavior · doi:10.1016/j.physbeh.2022.114038 · Cited by 131 · see citing works
Tillmann, J., Ashwood, K., Absoud, M., Bölte, S., Bonnet-Brilhault, F., Buitelaar, J. K., Calderoni, S., Calvo, R., Canal-Bedia, R., Canitano, R., et al. (2018) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-018-3510-4 · Cited by 121 · see citing works
- Authors
- Loomes, R., Hull, L., & Mandy, W. P. L.
- Affiliations
- University College London (GB)
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 56
- Issue
- 6
- Pages
- 466-474
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2604697269
- Cited by
- 2,804
- References
- 86
- Citations by year
- 2026: 371 · 2025: 334 · 2024: 398 · 2023: 355 · 2022: 357 · 2021: 366 · 2020: 331 · 2019: 177 · 2018: 91 · 2017: 19 · 2014: 1 · 2012: 1
- FWCI
- 18.91
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Explore Bristol Research (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Sexual Differentiation and Disorders
- Keywords
- autism spectrum disorder, sex ratio, male-to-female ratio, prevalence, risk of bias
- MeSH terms
- Autism Spectrum Disorder, Cross-Sectional Studies, Female, Humans, Male, Population Surveillance, Sex Factors
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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