Differences across counties in the registered prevalence of autism, ADHD, epilepsy and cerebral palsy in Norway

Insights

Prevalence of autism spectrum disorders (ASD) and ADHD in Norwegian children varied significantly by county, likely due to diagnostic practices. Treatment is spread across many institutions, raising questions about appropriateness.

Area of Science:

  • Pediatrics
  • Child Neurology
  • Public Health

Background:

  • Previous research in 2012 established the unknown prevalence of childhood developmental disorders and neurological diseases in Norway.
  • This study aims to compare diagnostic and treatment practices for these conditions across different Norwegian counties and institutions.

Purpose of the Study:

  • To estimate the prevalence of autism spectrum disorders (ASD), ADHD, epilepsy, and cerebral palsy in children aged 0-12 years in Norway.
  • To compare the diagnostics and treatment of these conditions across counties and healthcare institutions.
  • To investigate potential reasons for variations in prevalence rates.

Main Methods:

  • Utilized data from the Norwegian Patient Register for the years 2008-2011.
  • Estimated prevalence rates for ASD, ADHD, epilepsy, and cerebral palsy in children aged 0-12.
  • Analyzed diagnostic and treatment distribution across 29 somatic hospitals and 102 child and youth psychiatry units.

Main Results:

  • Nationwide prevalence in 6-12 year olds: ASD 0.6%, ADHD 2.0%, epilepsy 0.9%, cerebral palsy 0.3%.
  • Total prevalence of these diagnoses in twelve-year-olds was 5.0%.
  • Significant county-level variation observed for ASD (0.3%-1.5%) and ADHD (1.1%-3.5%), with minimal variation for epilepsy and cerebral palsy.

Conclusions:

  • Variations in ASD and ADHD prevalence across counties are likely attributable to differing diagnostic practices.
  • The study questions the appropriateness of distributing treatment for these conditions across a large number of institutions.
Abstract

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