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. 2018 May 12;14(7):717–725. doi: 10.7150/ijbs.24063

Table 2.

Subgroup analyses of prevalence of ASD and autism based on clinical diagnostic criteria

Number of studies N Event I2 (%) P Prevalence
(per 10000)
95% CI (per 10000)
Lower
95% CI (per 10000)
Upper
u-value P
ASDs 16 87917 320 89.29 <0.001 39.23 28.44 50.03 1457.90
Gender Male 13 41155 253 98.77 <0.001 72.77 54.16 91.39 30.343 <0.001
Female 13 36137 50 93.98 <0.001 16.45 11.85 21.06
Area Urban 6 35744 88 91.27 <0.001 32.73 20.52 44.95 0.216 0.642
Rural 2 8384 26 96.5 <0.001 62.26 37.29 161.80
Study time 2009-2012 9 44882 178 98.55 <0.001 38.72 26.49 50.94 0.689 0.406
>2012 7 43035 136 99.24 <0.001 36.36 19.75 52.98
Study site East of China 11 59665 191 99.16 <0.001 45.81 34.05 57.58 0.392 0.531
West of China --- --- --- --- --- --- --- ---
Central China 5 28252 123 98.51 <0.001 50.85 31.69 70.02
Diagnostic criteria ADOS 1 701 6 - - 85.59 64.88 106.30 1.924 0.588
CCMD 1 6118 39 - - 63.75 57.63 69.87
DSM-4 10 57005 192 98.74 <0.001 41.87 30.26 53.47
DSM-5 4 24093 83 99.52 <0.001 48.96 24.99 72.93
Autism 25 2218950 987 99.975 <0.001 10.18 8.46 11.89 97232.57
Gender Male 14 423777 360 99.69 <0.001 20.50 12.98 28.02 8.679 0.003
Female 14 370495 119 98.80 <0.001 6.12 3.08 9.16
Area Urban 20 304580 434 96.36 <0.001 14.80 9.87 19.72 4.105 0.043
Rural 5 506027 147 95.45 <0.001 6.06 1.13 11.00
Study time 1996-2008 8 657661 199 99.60 <0.001 8.18 4.36 12.00 5.113 0.024
2009-2013 8 85530 200 94.05 <0.001 20.40 14.05 26.74
Study site East of China 14 227497 401 99.38 <0.001 14.62 9.86 19.38 0.556 0.757
West of China 6 1371972 488 99.94 <0.001 6.41 2.41 10.40
Central China 2 19854 18 98.55 <0.001 8.68 3.51 20.87
Diagnostic criteria ABC 1 65651 97 - - 14.78 13.85 15.70 4.149 0.386
CCMD 5 37859 37 94.77 <0.001 10.05 4.52 15.57
DSM-III 1 10140 3 - - 2.96 1.90 4.02
DSM-IV 13 108131 150 97.33 <0.001 17.03 13.09 20.97
ICD-10 4 1994209 691 99.95 <0.001 10.14 8.10 12.19
Age (years) ≤2.08 5 15552 82 96.92 <0.001 40 10 140 0.976 0.323
>2.08 4 40208 128 8.861 <0.001 20 10 70

Diagnosis tools: ABC, Autism Behavior Checklist; ADOS: Autism Diagnostic Observation Schedule; CCMD, Chinese Classification of Mental Disorders; DSM-III, Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, revised; DSM-IV, Diagnostic and Statistical Manual of Mental Disorders, 4th edition; DSM-V, Diagnostic and Statistical Manual of Mental Disorders, 5th edition; ICD-10, International Classification of Diseases, 10th revision