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. 2023 Mar 24;72(2):1–14. doi: 10.15585/mmwr.ss7202a1

TABLE 2. Prevalence* of autism spectrum disorder among children aged 8 years, overall and by sex — Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2020.

Site Overall
Male prevalence (95% CI) Female prevalence (95% CI) Male-to-female prevalence ratio (95% CI)§
No. with ASD Total population Prevalence (95% CI)
Arizona
360
13,118
27.4 (24.8–30.4)
43.8 (39.2–49.0)
10.3 (8.1–13.1)
4.3 (3.3–5.5)
Arkansas
362
15,432
23.5 (21.2–26.0)
36.3 (32.4–40.6)
9.6 (7.6–12.1)
3.8 (2.9–4.9)
California
710
15,828
44.9 (41.7–48.2)
69.4 (64.1–75.1)
19.1 (16.3–22.4)
3.6 (3.0–4.3)
Georgia
553
21,921
25.2 (23.2–27.4)
40.2 (36.7–44.0)
9.7 (8.0–11.7)
4.2 (3.4–5.1)
Maryland
491
21,278
23.1 (21.1–25.2)
36.9 (33.5–40.6)
8.6 (7.0–10.6)
4.3 (3.4–5.4)
Minnesota
482
16,150
29.8 (27.3–32.6)
47.8 (43.4–52.6)
11.0 (9.0–13.6)
4.3 (3.4–5.4)
Missouri
601
24,561
24.5 (22.6–26.5)
38.7 (35.4–42.2)
9.3 (7.8–11.2)
4.1 (3.4–5.1)
New Jersey
544
18,940
28.7 (26.4–31.2)
44.5 (40.5–48.7)
12.2 (10.2–14.7)
3.6 (3.0–4.5)
Tennessee
713
25,588
27.9 (25.9–30.0)
43.9 (40.5–47.5)
11.1 (9.4–13.1)
4.0 (3.3–4.8)
Utah
621
24,734
25.1 (23.2–27.1)
37.6 (34.4–41.1)
11.8 (10.0–13.9)
3.2 (2.6–3.8)
Wisconsin
808
28,789
28.1 (26.2–30.0)
42.6 (39.4–45.9)
13.0 (11.2–15.0)
3.3 (2.8–3.9)
Total 6,245 226,339 27.6 (26.9–28.3) 43.0 (41.9–44.2) 11.4 (10.7–12.0) 3.8 (3.6–4.0)

Abbreviation: ASD = autism spectrum disorder.

* Per 1,000 children aged 8 years.

All children are included in the total regardless of sex or race and ethnicity.

§ Wilson score 95% CIs exclude 1.0 in all sites, indicating significantly higher prevalence among males than among females; Mantel Haenszel (Woolf) test of homogeneity of prevalence ratios across sites, p value = 0.15, indicating little heterogeneity in prevalence ratios across sites.