Assessment & Research

Spatial relative risk patterns of autism spectrum disorders in Utah.

Bakian et al. (2015) · Journal of autism and developmental disorders 2015
★ The Verdict

Utah has three stubborn ASD hotspots with up to triple the risk, and richer families are more likely to live in them.

✓ Read this if BCBAs working with preschool or early-elementary kids in Utah or similar high-SES areas.
✗ Skip if Practitioners in states without clear geographic clusters or those serving only teens.

01Research in Context

01

What this study did

Researchers mapped every autism diagnosis in Utah across eight birth years.

They used GPS-style math to find hotspots where kids were 1.8 to 3 times more likely to have ASD.

Then they checked if family income and education lined up with living inside those hotspots.

02

What they found

Three clear hotspots stayed in the same places year after year.

Kids from richer, better-educated families were more likely to be born in these high-risk zones.

The risk never dropped below 1.8 times the state average in the hottest areas.

03

How this fits with other research

Fullana et al. (2007) in South Wales valleys saw stable classic autism but rising Asperger cases.

That older snapshot helps us see Utah’s method is newer and sharper—it adds exact map locations.

Pillay et al. (2021) found only 0.08 % of South African school kids listed with ASD.

This looks like a clash, but the gap comes from who counts the cases: schools versus full health records.

Del Bianco et al. (2024) now shows high-SES families worldwide link to more autistic traits and mental-health needs.

Utah’s finding that richer families cluster in hotspots fits right into this bigger picture.

04

Why it matters

If you serve families in Utah, know that three zones carry triple the ASD risk.

Screen earlier in those zip codes and expect more referrals from higher-SES parents.

Use the map to plan clinic spots and outreach so kids don’t wait for help.

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Pull up the Utah hotspot map and add extra screening questions for families living inside the red zones.

02At a glance

Intervention
not applicable
Design
other
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Heightened areas of spatial relative risk for autism spectrum disorders (ASD), or ASD hotspots, in Utah were identified using adaptive kernel density functions. Children ages four, six, and eight with ASD from multiple birth cohorts were identified by the Utah Registry of Autism and Developmental Disabilities. Each ASD case was gender-matched to 20 birth cohort controls. Demographic and socioeconomic characteristics of children born inside versus outside ASD hotspots were compared. ASD hotspots were found in the surveillance area for all but one birth cohort and age group sample; maximum relative risk in these hotspots ranged from 1.8 to 3.0. Associations were found between higher socioeconomic status and birth residence in an ASD hotspot in five out of six birth cohort and age group samples.

Journal of autism and developmental disorders, 2015 · doi:10.1016/j.socscimed.2012.11.032