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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Trends in the prevalence of developmental disabilities in US children, 1997-2008
Coleen A Boyle1, Sheree Boulet, Laura A Schieve
1National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. cboyle@cdc.gov
Insights
Developmental disabilities affect about 1 in 6 US children, with autism and ADHD prevalence increasing. Boys and children from low-income families showed higher rates, highlighting needs for health and education services.
Area of Science:
- Pediatric Health
- Developmental Psychology
- Public Health
Background:
- Developmental disabilities represent a significant public health concern, impacting children's health and educational trajectories.
- Accurate prevalence data is essential for effective health and educational planning and resource allocation.
Purpose of the Study:
- To determine the prevalence of various developmental disabilities in US children over a 12-year period.
- To identify demographic and socioeconomic disparities in developmental disability prevalence.
Main Methods:
- Utilized data from the National Health Interview Surveys (1997-2008) for children aged 3-17 years.
- Included parent-reported diagnoses of attention deficit hyperactivity disorder, intellectual disability, cerebral palsy, autism, seizures, stuttering, hearing loss, blindness, learning disorders, and developmental delays.
Main Results:
- Overall prevalence of developmental disabilities increased from 12.84% to 15.04% between 1997 and 2008.
- Boys and children from lower socioeconomic backgrounds exhibited higher prevalence rates.
- Increases were noted in autism, attention deficit hyperactivity disorder, and other developmental delays, while hearing loss declined.
Conclusions:
- Approximately 1 in 6 US children had a developmental disability in 2006-2008.
- The rising prevalence of certain developmental disabilities necessitates enhanced health and educational support systems.
- Further research is needed on risk factors, societal acceptance, and early intervention benefits.
Objective:
To fill gaps in crucial data needed for health and educational planning, we determined the prevalence of developmental disabilities in US children and in selected populations for a recent 12-year period.
Participants And Methods:
We used data on children aged 3 to 17 years from the 1997-2008 National Health Interview Surveys, which are ongoing nationally representative samples of US households. Parent-reported diagnoses of the following were included: attention deficit hyperactivity disorder; intellectual disability; cerebral palsy; autism; seizures; stuttering or stammering; moderate to profound hearing loss; blindness; learning disorders; and/or other developmental delays.
Results:
Boys had a higher prevalence overall and for a number of select disabilities compared with girls. Hispanic children had the lowest prevalence for a number of disabilities compared with non-Hispanic white and black children. Low income and public health insurance were associated with a higher prevalence of many disabilities. Prevalence of any developmental disability increased from 12.84% to 15.04% over 12 years. Autism, attention deficit hyperactivity disorder, and other developmental delays increased, whereas hearing loss showed a significant decline. These trends were found in all of the sociodemographic subgroups, except for autism in non-Hispanic black children.
Conclusions:
Developmental disabilities are common and were reported in ~1 in 6 children in the United States in 2006-2008. The number of children with select developmental disabilities (autism, attention deficit hyperactivity disorder, and other developmental delays) has increased, requiring more health and education services. Additional study of the influence of risk-factor shifts, changes in acceptance, and benefits of early services is needed.
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