Assessment & Research

A Systematic Review of U.S. Studies on the Prevalence of Intellectual or Developmental Disabilities Since 2000.

Anderson et al. (2019) · Intellectual and developmental disabilities 2019
★ The Verdict

Official U.S. prevalence figures for ID/DD are all over the map and barely cover adults, so double-check any number before you use it.

✓ Read this if BCBAs who write grant applications, design district-wide programs, or sit on state planning councils.
✗ Skip if Clinicians who only need single-client assessment data and never touch policy or funding arguments.

01Research in Context

01

What this study did

Lahti and colleagues hunted every U.S. study since 2000 that counted kids or adults with intellectual or developmental disabilities.

They compared how each study defined ID/DD and what age groups were included.

The goal was to see if we have a clear national picture of how many people actually have these diagnoses.

02

What they found

Child numbers swing wildly: anywhere from 11 to 69 kids per 1,000 depending on the definition used.

Almost no reliable numbers exist for adults; most studies stop at age 18.

The review shows we are flying blind when it comes to knowing the true U.S. prevalence.

03

How this fits with other research

Amaral et al. (2019) offers a fix the target paper misses: an all-payer claims algorithm that can find adults with IDD in insurance databases.

Humphries et al. (2009) shows another gap—adult nutrition studies exist but are scattered, proving data are hiding in specialty topics.

Together these papers say the data aren’t absent; they just live in silos that standard prevalence reviews never reach.

04

Why it matters

When you write goals or fight for funding, you often need hard local numbers. This review warns that any single prevalence stat you quote is probably shaky, especially for adults. Push your state to link Medicaid, education, and insurance datasets—exactly the move Amaral et al. (2019) modeled—to get real counts you can defend in IEP meetings or budget requests.

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Ask your agency’s data team if they can run the G et al. (2019) claims algorithm on your own files to get a local adult count.

02At a glance

Intervention
not applicable
Design
systematic review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

This systematic review examined 14 U.S. studies published since 2000 reporting prevalence estimates for intellectual disability (ID) or developmental disability (DD). Prevalence rates for children were between 11.0 and 13.4 per 1,000 for ID and between 45.8 and 69.9 per 1,000 for DD using data from 2010 or later. A 2015 Ohio study of adults yielded a prevalence estimate of 41.0 per 1,000 for DD. The only study of ID in adults and the only study incorporating DD Act definitions used the 1994/1995 NHIS-D yielding prevalence estimates for ID and/or DD of 38.2 per 1,000 for children birth to 5 years, 31.7 for children 6 to 18 years, and 7.9 per 1,000 for adults. Notable differences in prevalence estimates by age and operational definition have important implications for public policy and research. Serious surveillance gaps limit our understanding of service utilization rates, unmet needs, and health and other outcomes for adults with ID or DD.

Intellectual and developmental disabilities, 2019 · doi:10.1352/1934-9556-57.5.421