Autism Among 4-year-old and 8-year-old Children: An Easy-Read Summary
This is an Easy-Read Summary of two reports.
Identifying Autism Early Among 4-year-old Children
What was this study about?
- This study is about the number of 4-year-old children who have autism in 11 different areas of the United States.
- This study also looks at what age children with autism are being identified and the impact COVID-19 has had on autism identification.

What did this study find?

- Children born in 2016 were more likely (56%) to receive an autism diagnosis by age 4 compared with children born in 2012.
- Among 4-year-old children in the 11 ADDM areas in 2020:
- After COVID-19 started, fewer children were evaluated for or identified with autism.
- For every one girl identified with autism, three boys were identified with autism.
- More Black, Hispanic, and Asian or Pacific Islander children were identified with autism than White children. This finding among 4-year-old children was first observed by the ADDM Network in 2018.
- About three out of every four children identified with autism had been tested by the time they were 3 years old.
Why are these findings important?
The earlier a child can be identified with autism, the sooner the child can receive services and support. These services can help the child develop important skills in childhood and as they become teens and adults.
The Number of 8-year-old Children with Autism
What was this study about?
This study is about the number of 8-year-old children in 11 different areas of the United States who have autism.

What did this study find?
Among 8-year-old children living in the 11 ADDM areas in 2020:

*11 U.S. Communities
- One in every 36 children had autism. This was more than what was found in earlier studies (1 in every 44 children had autism in the previous study)
- More Black, Hispanic, and Asian or Pacific Islander children were identified with autism than White children. This is the first time the ADDM Network observed this finding among 8-year-old children.
- For every one girl identified with autism, four boys were identified with autism.
- More Black children with autism also had an intellectual disability than White and Hispanic children with autism.
Why are these findings important?
These findings will help CDC determine if autism is more common in some groups than in others. This information can also help CDC find new and better ways to support these children and their families.
- CDC is working to learn if some children are more likely to have autism than other children.
- CDC is working to understand if some children are identified with autism sooner than others.
- CDC is working to understand if there are things that might put a child at risk for having autism.
- CDC is working to teach people, including parents and those who work in doctors’ offices and schools what autism looks like, so that children with autism are identified and helped as early as possible.
- ADDM collects information about the number of 4-year-old and 8-year-old children with autism in the United States.
- ADDM collects this information from 11 different areas in the United States.
- ADDM gives scientists information about what age children with autism are being identified.
- The information from ADDM helps CDC
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- Learn if autism is more common in some children
- Identify changes in the number of children with autism
- Compare how common autism is in different areas of the United States
Shaw KA, Bilder DA, McArthur D, et al. Early Identification of Autism Spectrum Disorder Among Children Aged 4 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. MMWR Surveill Summ 2023, 72 (No.SS-1): 1-15.
Maenner MJ, Warren Z, Williams AR, et al. Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2020. MMWR Surveill Summ 2023, 72 (No.SS-2): 1-14.
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