A landmark Danish study of 2.1 million children shows that who gets diagnosed with ADHD and autism has quietly but dramatically shifted over one decade.
Picture two children, both diagnosed with ADHD, born ten years apart in Denmark. They share the same label — but do they share the same story? According to a sweeping new study published in JAMA Psychiatry, they increasingly do not. The research, led by the Barcelona Institute for Global Health (ISGlobal) and Aarhus University, tracked more than 2.
1 million Danish children and adolescents and found that the typical profile of a young person receiving an ADHD or autism spectrum disorder (ASD) diagnosis has shifted in striking ways since 2012. Certain characteristics have long been associated with these diagnoses: being born prematurely, having a low birth weight, growing up in a lower-income household, or having a parent with a psychiatric history. Those links have not disappeared — but they have grown noticeably weaker. At the start of the study period, children born with low birth weight were 54% more likely to later be diagnosed with ADHD or ASD than children born at normal weight.
By 2022, that gap had shrunk to just 17%. Similar declines were recorded for premature birth and several markers of socioeconomic disadvantage. What does this mean? One possibility is that clinicians and families across a broader range of backgrounds are now seeking — and receiving — diagnoses that might once have gone unnoticed.
In other words, the net is being cast wider.