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Prevalence of Autism Spectrum Disorder in Adolescents Born Weighing <2000 Grams
Open accessAbstract
OBJECTIVE: To estimate the diagnostic prevalence of autism spectrum disorders (ASDs) in a low birth weight (LBW) cohort. METHODS: Participants belonged to a regional birth cohort of infants (N = 1105) born weighing <2000 g between October 1, 1984, and July 3, 1989, and followed up by periodic assessments to 21 years of age. At 16 years (n = 623), adolescents were screened for ASD using a wide net (previous professional diagnosis of an ASD or a score above a liberal cutoff on the Social Communication Questionnaire or the Autism Spectrum Symptoms Questionnaire). At 21 years (n = 189), 60% of screen positives and 24% of screen negatives were assessed for diagnoses of ASD by the Autism Diagnostic Observation Schedule or the Autism Diagnostic Interview–Revised. RESULTS: Samples retained at ages 16 and 21 years were representative of samples assessed at earlier ages except for lower levels of social risk. Of positive screens, 11 of 70 had ASD; of negative screens, 3 of 119 had ASD. The fractions of the 2 screening groups with ASD (14.3% in screen-positives and 2.5% in screen negatives) were weighted by fractions of screen-positives and screen-negatives among the adolescents (18.8% and 81.2%, respectively). This calculation produced an estimated prevalence rate of ASD in the entire cohort of 5% (31 of 623). CONCLUSIONS: The diagnostic prevalence of ASD in this LBW preterm cohort was higher than that reported by the Centers for Disease Control and Prevention for 8-year-olds in the general US population in 2006.
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“PintoMartin et al. (2011) reported a 5% autism prevalence in a cohort of young adults with low birth weight.”
From Diagnosis of autism in adulthood: A scoping review (2020) · cites this paper as Pinto-Martin et al., 2011
In the citing paper
“with a weighted prevalence of 5%.”
From Diagnosis of autism in adulthood: A scoping review (2020) · cites this paper as Pinto-Martin et al. (2011)
In the citing paper
“and 6 had at least one co-occurring psychiatric disorder.”
From Diagnosis of autism in adulthood: A scoping review (2020) · cites this paper as Pinto-Martin et al. (2011)
In the citing paper
“14 young adults (11 male, 3 female) were diagnosed with autism at age 21”
From Diagnosis of autism in adulthood: A scoping review (2020) · cites this paper as Pinto-Martin et al. (2011)
In the citing paper
“6 diagnosed young adults had a prior autism diagnosis”
From Diagnosis of autism in adulthood: A scoping review (2020) · cites this paper as Pinto-Martin et al. (2011)
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Metadata
- Authors
- Pinto-Martin, J. A., Levy, S. E., Feldman, J. F., Lorenz, J. M., Paneth, N., & Whitaker, A. H.
- Affiliations
- University of Pennsylvania School of Nursing and School of Medicine, Philadelphia, Pennsylvania;
- Children's Hospital of Philadelphia (US)
- Columbia University Irving Medical Center (US)
- Columbia University (US)
- University of Pennsylvania (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2011-11-01
- Volume
- 128
- Issue
- 5
- Pages
- 883-891
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC3208957
- OpenAlex
- W2171719310
- Cited by
- 178
- References
- 59
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 5 · 2020: 11 · 2019: 12 · 2018: 16 · 2017: 14 · 2016: 21 · 2015: 15 · 2014: 16 · 2013: 32 · 2012: 18
- FWCI
- 10.72
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH073807)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- autism spectrum disorder, low birth weight, preterm birth, prevalence, adolescents, birth cohort, screening, Social Communication Questionnaire, Autism Diagnostic Observation Schedule, ADI-R
- MeSH terms
- Adolescent, Age Factors, Child, Child Development, Child Development Disorders, Pervasive, Female, Follow-Up Studies, Humans, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Male, Mass Screening, Reference Values, Retrospective Studies, Time Factors, United States, Cohort Studies, Prevalence, Risk Assessment, Young Adult
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