The diffusion of autism spectrum disorder in Costa Rica: Evidence of information spread or environmental effects?

Health & Place
David SchellyPedro J Solís

Abstract

In the U.S., children with autism spectrum disorder (ASD) have been found to live in spatial clusters. Studies have suggested that the clustering is caused by social or environmental factors, but determining the cause of the clustering is difficult in the U.S. setting because of unmeasured variation in healthcare access and diagnostic practices. The present study explores the diffusion of ASD in a small setting in which the diagnosis is not widely publicised and there is no variation in healthcare access or diagnostic practices. Costa Rica provides universal healthcare and only has one diagnosing clinic for young children, and the diagnosis is relatively new and little known among clinicians and parents. In addition, the potential for mercury exposure from the source that has been associated with ASD is absent, and areas with high levels of air pollution are spatially concentrated. Focusing on all young children who underwent an ASD assessment from 2010 to 2013, we identify spatial clusters that suggest a mechanism that does not depend on information about ASD, healthcare access, diagnostic practices, or environmental toxicants. These findings provide details of the "contextual drivers" of the increasing worldwide prevalence of...Continue Reading

References

Feb 5, 2004·Social Science & Medicine·Luis Rosero-Bixby
Aug 17, 2004·Epidemiology·Ezra Susser
Oct 29, 2004·International Journal of Health Geographics·Ella T NkhomaAnn Marie Harris
Jan 15, 2005·International Journal of Health Geographics·Ann Carroll KlassenFrank Curriero
Dec 3, 2005·Pediatrics·David S MandellCynthia D Zubritsky
Apr 21, 2006·Medical Care·James B KirbySamuel H Zuvekas
May 2, 2006·Neurotoxicology and Teratology·Frodi DebesPhilippe Grandjean
Jul 11, 2006·Journal of Health and Social Behavior·James B Kirby, Toshiko Kaneda
Sep 13, 2006·Environmental Health Perspectives·Gayle C WindhamJudith K Grether
Oct 28, 2006·Neurotoxicology and Teratology·Frodi DebesPhilippe Grandjean
Mar 20, 2008·Journal of Developmental and Behavioral Pediatrics : JDBP·Gregory S LiptakG Edgar Fryer
May 30, 2008·International Journal of Health Geographics·Karla C Van MeterTim E Carpenter
Feb 12, 2009·Journal of Personality Assessment·Stefany CoxeLeona S Aiken
Apr 18, 2009·International Journal of Health Geographics·Daniel B Neill
Oct 3, 2009·International Journal of Epidemiology·Michaeline BresnahanEzra Susser
Jan 6, 2010·Autism Research : Official Journal of the International Society for Autism Research·Karla C Van MeterIrva Hertz-Picciotto
Jan 26, 2010·Health & Place·Soumya MazumdarPeter Bearman
May 28, 2010·AJS; American Journal of Sociology·Ka-Yuet LiuPeter S Bearman
May 7, 2011·American Sociological Review·Marissa D King, Peter S Bearman
Jun 7, 2011·Sociological Forum·Christine Fountain, Peter Bearman
Oct 6, 2011·International Journal of Health Geographics·Stéphanie Goujon-BellecJacqueline Clavel
Nov 5, 2011·Nature·Karen Weintraub
Dec 14, 2011·Toxicological and Environmental Chemistry·Matthew Garrecht, David W Austin
Jan 19, 2012·International Journal of Epidemiology·Katherine M KeyesPeter S Bearman
Sep 4, 2012·Journal of Health and Social Behavior·David R Williams
Dec 20, 2012·Environmental Health Perspectives·Tracy Ann BecerraBeate Ritz
Dec 27, 2012·Social Science & Medicine·Soumya MazumdarPeter Bearman
Jun 29, 2013·Journal of Autism and Developmental Disorders·Marlene B LauritsenErik T Parner
Dec 18, 2013·Social Science & Medicine·Xiang SunCarol Brayne
Mar 15, 2014·PLoS Computational Biology·Andrey RzhetskyRobert D Gibbons
Sep 2, 2014·Current Problems in Pediatric and Adolescent Health Care·Ruth Ann Etzel
Sep 10, 2014·Current Problems in Pediatric and Adolescent Health Care·Amy E KalkbrennerAnnie C Penlesky
Jul 1, 2013·Journal of Child and Adolescent Mental Health·Susan Malcolm-SmithPetrus de Vries

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Citations

Nov 13, 2016·Jornal de pediatria·Annio Posar, Paola Visconti
Jun 19, 2019·Health Services Research and Managerial Epidemiology·David SchellyPedro J Solís
Nov 22, 2017·Journal of Environmental Science and Health. Part A, Toxic/hazardous Substances & Environmental Engineering·Tiffani A FordyceEllen T Chang
Oct 12, 2017·Journal of Autism and Developmental Disorders·David SchellyPedro J Solís

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