Bayesian prevalence of autism and unmet special education needs in Chile in a sample of three million school-age children

dc.catalogadorgjm
dc.contributor.authorRomán Urrestarazú, Andrés
dc.contributor.authorTyson, Adele
dc.contributor.authorGatica Bahamondes, Gabriel Guillermo
dc.contributor.authorKessel, Robin van
dc.contributor.authorYang, Justin
dc.contributor.authorMansilla, Carola
dc.contributor.authorZúñiga, Isabel
dc.contributor.authorMéndez-Fadol, Alejandra
dc.contributor.authorLarraín, Blanca
dc.contributor.authorGarcía, Ricardo
dc.contributor.authorKoch, Damaris
dc.contributor.authorFord, Tamsin
dc.contributor.authorGroot, Wim
dc.contributor.authorPavlova, Milena
dc.contributor.authorCzabanowska, Katarzyna
dc.date.accessioned2025-08-29T14:41:00Z
dc.date.available2025-08-29T14:41:00Z
dc.date.issued2025
dc.description.abstractAutism spectrum disorder prevalence estimates in Latin America have been limited by a lack of reliable data. This cohort study aimed to estimate autism spectrum disorder prevalence in Chile by linking school registries with electronic health records. Probabilistic data linking was conducted between the 2021 Chilean school registry and 2003−2015 health records from the Araucania Sur Health Service. Bayesian prevalence estimation was used, considering variables such as age, sex, immigration status, ethnicity and rurality. Autism spectrum disorder prevalence across 29 health services was analysed for students aged 6 to 18 years. Regression models assessed unmet needs for special education services, validated using Araucania Sur Health Service health records. The study included 3,056,306 pupils (51.34% boys; mean age 11.6 years), with 14,549 having autism spectrum disorder. The national standardized school prevalence was 0.46%. Boys had 6 times higher odds of receiving special education services support than girls. In Araucania Sur Health Service, the adjusted clinical prevalence from health records was 1.22%. The Bayesian projected national autism spectrum disorder prevalence was 1.31%. This study, the largest of its kind in Latin America, revealed a higher autism spectrum disorder prevalence than previously reported, with one in 76 children affected. Disparities were observed across sex, ethnicity and health services.
dc.fechaingreso.objetodigital2025-08-29
dc.format.extent12 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1177/13623613251342310
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/105364
dc.identifier.urihttps://doi.org/10.1177/13623613251342310
dc.information.autorucEscuela de Medicina; Román Urrestarazú, Andrés; S/I; 1331015
dc.information.autorucEscuela de Medicina; Gatica Bahamondes, Gabriel Guillermo; S/I; 1324736
dc.language.isoen
dc.nota.accesocontenido completo
dc.revistaAutism
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 Attribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectASD prevalence
dc.subjectBayesian methods
dc.subjectChile
dc.subjectLatin America
dc.subjectSpecial education needs
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.ods04 Quality education
dc.subject.odspa03 Salud y bienestar
dc.subject.odspa04 Educación de calidad
dc.titleBayesian prevalence of autism and unmet special education needs in Chile in a sample of three million school-age children
dc.typeartículo
sipa.codpersvinculados1331015
sipa.codpersvinculados1324736
sipa.trazabilidadORCID;2025-08-22
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