In this issue of Pediatrics, Shenouda et al1 present new prevalence estimates of autistic children with intellectual disability, based on active surveillance in the New York– New Jersey Metropolitan Area between 2000 and 2016. Findings from this study revealed that 1 in 3 autistic children had a cooccurring intellectual disability, with disparate estimates identified for Black and Hispanic children. This study is particularly timely because the Centers for Disease Control and Prevention Autism and Developmental Disabilities Monitoring (ADDM) Network recently determined the updated autism prevalence to be 1 in 44.2 To be sure, population-level surveillance efforts are critical for tracking and improving health equity for distinct demographic groups. The findings presented by Shenouda et al, as well as the vast majority of autism prevalence research, are, however, inherently limited by a lack of capacity to extrapolate findings beyond racial and ethnic group comparisons and link them to...
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February 2023
Commentaries|
January 26 2023
Prioritizing Social Determinants of Health in Public Health Surveillance for Autism
Emily Hotez, PhD;
aDepartment General Internal Medicine, Health Services Research, University of California, Los Angeles (UCLA) David Geffen School of Medicine, Los Angeles, California
Address correspondence to Dr Emily Hotez, UCLA David Geffen School of Medicine, Department of General Internal Medicine, Health Services Research, 911 Broxton Ave, Los Angeles CA 90024. E-mail: ehotez@mednet.ucla.edu
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Lindsay Shea, DrPH
Lindsay Shea, DrPH
bA.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania
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Address correspondence to Dr Emily Hotez, UCLA David Geffen School of Medicine, Department of General Internal Medicine, Health Services Research, 911 Broxton Ave, Los Angeles CA 90024. E-mail: ehotez@mednet.ucla.edu
Pediatrics (2023) 151 (2): e2022059541.
Article history
Accepted:
September 08 2022
Connected Content
This is a commentary to:
Prevalence and Disparities in the Detection of Autism Without Intellectual Disability
Citation
Emily Hotez, Lindsay Shea; Prioritizing Social Determinants of Health in Public Health Surveillance for Autism. Pediatrics February 2023; 151 (2): e2022059541. 10.1542/peds.2022-059541
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