I don't buy the 1-88 number.

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I donno after a rescent trip to my home town, I've realized that the rate in my home town is 1-33 at it's lowest. Likely 1-20.

Of course I live in a place where everyone is related so it wouldn't be a huge surprise that there are some sellective pressures that allow for a divergence.

However with that said, I still don't understand how the number of 1-88 or 1-200 etc, can be considered as realistic.

Obviously the gender inbalance of diagnosis may be a large part of this, as I know near equal numbers of both men and woman, however I think their has to be more to it than this.

If you consider the apparent increase in Autism among children born to mothers who have low levels of Vitamin D, it makes sense that in places where sun exposure is minimal and there are fewer sources of Vitamin D in foods (such as cod liver oil), that Autism rates may be higher than normal.

I would expect that along the Gulf Coast and in Florida and in Hawaii, rates would likely be quite a bit lower than in places further north.

In what part of the world do you live? Is it into the higher latitudes (north or south)?

What are you using for ASD diagnosis besides "being a nerd" or something? In my life the people I've met with ASD is like under a dozen.

If we have an individual who regularly engages in stim activities, abnormal eye movements, shows a narrow repetative set of interests, has a narrow range of voice/affect, regularly engages in one sided conversation in socially inapproprate ways, has a history of poor interpersonal relationships, and yet....has no problem maintaining a job, personal residence, or position, that person might not meet the DSM-5 standards as most are interperting them. They may meet ICD-10 standards, I'm not sure.

At what point do we seperate the socially imposed portions out from the critera for AS/ASD?

Aspie twirling keys is a stim, NT twirling keys is a .....nervous habit.

I used to twirl my hat on my fingers in class quite a bit. I had one philosophy professor who would get so involved watching the hat spin that he would stumble when he forgot what he was saying.