{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:42:27Z","timestamp":1783701747535,"version":"3.55.0"},"reference-count":60,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,28]],"date-time":"2025-12-28T00:00:00Z","timestamp":1766880000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000030","name":"Centers for Disease Control and Prevention","doi-asserted-by":"publisher","award":["1NUR3DD000106"],"award-info":[{"award-number":["1NUR3DD000106"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["U54 HD090256"],"award-info":[{"award-number":["U54 HD090256"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007015","name":"University of Wisconsin-Madison","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007015","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The autistic community is a large, growing, and heterogeneous population, and there is a need for improved methods to describe their diverse needs. Measures of adaptive functioning collected through public health surveillance may provide valuable information on functioning and support needs at a population level. We aimed to use adaptive behavior and cognitive scores abstracted from health and educational records to describe trends over time in the population prevalence of autism by adaptive level and co\u2010occurrence of intellectual disability (ID). Using data from the Autism and Developmental Disabilities Monitoring Network, years 2000 to 2016, we estimated the prevalence of autism per 1000 8\u2010year\u2010old children by four levels of adaptive challenges (moderate to profound, mild, borderline, or none) and by co\u2010occurrence of ID. The prevalence of autism with mild, borderline, or no significant adaptive challenges increased between 2000 and 2016, from 5.1 per 1000 (95% confidence interval [CI]: 4.6\u20135.5) to 17.6 (95% CI: 17.1\u201318.1) while the prevalence of autism with moderate to profound challenges decreased slightly, from 1.5 (95% CI: 1.2\u20131.7) to 1.2 (95% CI: 1.1\u20131.4). The prevalence increase was greater for autism without co\u2010occurring ID than for autism with co\u2010occurring ID. The increase in autism prevalence between 2000 and 2016 was confined to autism with milder phenotypes. This trend could indicate improved identification of milder forms of autism over time. It is possible that increased access to therapies that improve intellectual and adaptive functioning of children diagnosed with autism also contributed to the trends.<\/jats:p>","DOI":"10.1002\/aur.70167","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T07:46:29Z","timestamp":1766994389000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Trends Over Time in the Prevalence of Autism by Adaptive and Intellectual Functioning Levels"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1766-1417","authenticated-orcid":false,"given":"Sarah M.","family":"Furnier","sequence":"first","affiliation":[{"name":"Department of Population Health Sciences University of Wisconsin\u2010Madison  Madison Wisconsin USA"},{"name":"Waisman Center University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2587-6714","authenticated-orcid":false,"given":"Ronald","family":"Gangnon","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences University of Wisconsin\u2010Madison  Madison Wisconsin USA"},{"name":"Department of Biostatistics and Medical Informatics University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen S.","family":"Durkin","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences University of Wisconsin\u2010Madison  Madison Wisconsin USA"},{"name":"Waisman Center University of Wisconsin\u2010Madison  Madison Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,28]]},"reference":[{"issue":"1","key":"e_1_2_11_2_1","first-page":"5","article-title":"CDC's \u201cLearn the Signs. Act Early.\u201d Developmental Milestone Resources to Improve Early Identification of Children With Developmental Delays, Disorders, and Disabilities","volume":"43","author":"Abercrombie J.","year":"2022","journal-title":"Zero to Three"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007\u20102361"},{"key":"e_1_2_11_4_1","unstructured":"American Association on Intellectual and Developmental Disabilities. n.d.\u201cDefining Criteria for Intellectual Disability.\u201dAmerican Association on Intellectual and Developmental Disabilities. 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