Prevalence of intellectual disability: a meta-analysis of population-based studies
Abstract
Intellectual disability is an extremely stigmatizing condition and involves utilization of large public health resources, but most data about its burden is based on studies conducted in developed countries. The aim of this meta-analysis was to collate data from published literature and estimate the prevalence of intellectual disability across all such studies. The review includes studies published between 1980 and 2009, and includes data from populations that provided an overall estimate of the prevalence of intellectual disability. Meta-analysis was done using random effects to account for heterogeneity. Sub-group analyses were also done. The prevalence of intellectual disability across all 52 studies included in the meta-analysis was 10.37/1000 population. The estimates varied according to income group of the country of origin, the age-group of the study population, and study design. The highest rates were seen in countries from low- and middle income countries. Studies based on identification of cases by using psychological assessments or scales showed higher prevalence compared to those using standard diagnostic systems and disability instruments. Prevalence was higher among studies based on children/adolescents, compared to those on adults. Higher prevalence in low and middle income group countries is of concern given the limitations in available resources in such countries to manage intellectual disability. The importance of using standardized diagnostic systems to correctly estimate the burden is underlined. The public health and research implications of this meta-analysis have been discussed.
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If loss of function of a particular gene conferred risk that was purely specific to ASD, the mean IQ associated with de novo pathogenic variants in that gene would not be significantly different from the population mean (100), or at least from the familial background mean, and the expected rate of ID would be no different from the ID rate in the general population (~1.0%-1.3%).
“If loss of function of a particular gene conferred risk that was purely specific to ASD, the mean IQ associated with de novo pathogenic variants in that gene would not be significantly different from the population mean (100), or at least from the familial background mean, and the expected rate of ID would be no different from the ID rate in the general population (∼1.0%–1.3%).26,27”
From Insufficient Evidence for “Autism-Specific” Genes (2020) · cites this paper as [26]
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- Authors
- Maulik, P. K., Mascarenhas, M. N., Mathers, C. D., Dua, T., & Saxena, S.
- Affiliations
- Johns Hopkins University (US)
- World Health Organization (CH)
- Corresponding author
- Maulik, Pallab K.
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 32
- Issue
- 2
- Pages
- 419-436
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W2058579886
- Cited by
- 1,770
- References
- 66
- Citations by year
- 2026: 114 · 2025: 127 · 2024: 159 · 2023: 157 · 2022: 182 · 2021: 192 · 2020: 186 · 2019: 132 · 2018: 136 · 2017: 108 · 2016: 83 · 2015: 83 · 2014: 42 · 2013: 35 · 2012: 19
- FWCI
- 5.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bill & Melinda Gates Foundation
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Down syndrome and intellectual disability research
- Social Sciences › Safety Research › Disability Rights and Representation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- intellectual disability, prevalence, low- and middle-income countries, children and adolescents, diagnostic tools, psychological assessment, public health resources
- MeSH terms
- Demography, Humans, Intellectual Disability, Global Health, Prevalence
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