ASD more common in rich peole?
There's a study (discussed here: http://neuroskeptic.blogspot.com/2010/0 ... ealth.html ) that found that wealthier families are more likely to have ASD in the family than poorer ones.
The author speculates that it could be because people with some ASD traits have an aptitude for high-paying jobs in the sciences, IT, etc. and are also more likely to have autistic children, since ASD runs so closely in families.
Do you think this is plausible, or that the study is flawed? And if you think it's plausible what do you think are the reasons?
I'm from a middle class family (not rich), but both of my parents studied engineering (and my mom was one of the only women to graduate in her class in that field in 1953). They don't have ASD, but maybe they have some traits and it helped their studies and careers?
Ambivalence
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Do point her my way.
We've a high incidence (so far as I can tell) of people with ASDs where I work, which is usually cited as being one of the poorest and most deprived areas of the UK. I suspect they've traded one source of sample bias for another.
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No one has gone missing or died.
The year is still young.
How about this:
Families with higher income levels are more likely to be able to afford the diagnostic process than poor folk.
If you have no health insurance and are barely surviving from month to month, you're more likely to die of cancer than a rich person who develops cancer - because they're more likely to get regular checkups, discover it early and get treatment. If you're poor you probably won't know you're sick until you're already eaten up with it.
I think you're both right. I live near Seattle, WA and just east of us is Microsoft, and Nintendo, and generally a lot of rich computer engineers. I did hear they have a high incidence of autism, and they have the money to pump into the school system, the health care industry, etc. There are several Ph.D. autism specialist floating around to soak up all the money.
Families with higher income levels are more likely to be able to afford the diagnostic process than poor folk.
If you have no health insurance and are barely surviving from month to month, you're more likely to die of cancer than a rich person who develops cancer - because they're more likely to get regular checkups, discover it early and get treatment. If you're poor you probably won't know you're sick until you're already eaten up with it.
This issue is treated in the article:
An important new PLoS paper from Wisconsin's Durkin et al suggests that, while ascertainment bias does happen, it doesn't explain the whole effect in the USA: richer American families really do have more autism than poorer ones. The authors made use of the ADDM Network which covers about 550,000 8 year old children from several sites across the USA. (This paper also blogged about here at C6-H12-O6 blog.)
ADDM attempts to count the number of children with autism based on
abstracted data from records of multiple educational and medical sources to determine the number of children who appear to meet the ASD case definition, regardless of pre-existing diagnosis. Clinicians determine whether the ASD case definition is met by reviewing a compiled record of all relevant abstracted data.
Basically, this allowed them to detect autism even in kids who haven't got a formal diagnosis, based on reports of behavioural problems at school etc indicative of autism. Clearly, this is going to underestimate autism somewhat, because some autistic kids do well at school and don't cause any alarm bells, but it has the advantage of reducing ascertainment bias.
What happened? The overall prevalence of autism was 0.6%. This is a lot lower than recent estimates in 5-9 year olds in the UK (1.5%), but the UK estimates used an even more detailed screening technique which was less likely to leave kids undetected.
(...)
The headline result: autism was more common in kids of richer parents. This held true within all ethnic groups: richer African-American or Hispanic parents were more likely to have autistic children compared to poorer people of the same ethnicity. So it wasn't a product of ethnic disparities.
Crucially, the pattern held true in children who had never been diagnosed with autism, although the effects of wealth were quite a bit smaller:
Very true.
I know a guy who is going through this exact crap while trying to afford medication for his asthma and rent. As for me, we couldn't get a professional diagnosis only a doctor who specialized in aspergers.
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I live as I choose or I will not live at all.
~Delores O’Riordan
My family is the same way. But it's weird, we've had both extremes of AS and bipolar. It also seems so many of us have had trouble with learning disabilities involving facts and figures, all except for my dad who is border line.
_________________
I live as I choose or I will not live at all.
~Delores O’Riordan
Simon Baron-Cohen found that autistic character traits (as measured by his AQ Test) were higher on average for staff and students in faculties such as engineering, computer science, natural science, and especially mathematics, than for students and staff in other faculties. The "non-technical" faculties had AQ Test scores similar to the general non-university population of eastern England. The highest-scoring academic group in his university population sample were people involved in the Mathematics Olympiad at Cambridge University.
Mild autistic personality characteristics can have adaptive value in modern, highly specialised, highly technical societies. So I would not be at all surprised if AS is more common among the children of mathematicians, engineers, natural scientists, and computer scientists - and these tend to be well-paid, and even highly paid, jobs. Put two people together who both have mild autistic characteristics, and the chances of them having a child with a diagnosable ASD is higher than two people with no autistic characteristics. That is quite consistent with what is known about the genetics of ASD, as far as I know. It is also consistent with observations of (say) Silicon Valley.
It is true, of course, that middle class families are more likely to afford and pursue diagnosis, but even after accounting for that, I believe there is a greater likelihood of ASDs occurring in certain types of professional families for perfectly understandable genetic reasons: mild autistic characteristics are an advantage in certain fields, and these traits are inheritable and increase the likelihood of producing children with ASDs.
However, I will found more logical if they had discovered some thing like "ASD more common in middle-class people?" - these kind of high-AQ profession (engineers, cientists, mathematicians, etc.) are middle class professions; the "rich" professions (bussinesmen, CEO, big lawyers, "celebrities", etc.) are usually very social.
But some points:
1 - These study compared the prevalence of ASD for local of residence, not for family* - probably "middle class" and "riches" live in the same general neighborhoods, even if not in the same street.
2 - They compared the prevalence of ASD for 1st, 2nd and 3rd tertiles; bur probably both "riches" and "midlle class" are in the 3rd tertile
* i.e., what the study says is not "sons of rich parents have more ASD" but "sons of parents who live in rich neighborhoods have more ASD"
This issue is treated in the article:
That's right. The study didn't look at kids who were diagnosed, they looked at school records for behaviors that indicated ASD traits.
And I agree about the neighborhoods theory. Perhaps, also, they should have specified what they meant by "rich."
"
The most common CEOs are engineers though.
Their reasoning makes sense, and so does Willards. I've seen more ASD in lower income families but that's just me. Both of my parents have high education and may achieve higher (they make decent money, we are comfortable but not rich) and I anticipate earning a graduate degree and making a fair amount of money as well.
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After a time, you may find that having is not so pleasing a thing, after all, as wanting. It is not logical, but it is often true.
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