The latest figures may reflect a more accurate picture of autism spectrum disorder, said the report by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics, and so does not necessarily mean that there is a ballooning autism epidemic.
In fact, the study found that while autism spectrum diagnoses are more frequent than in the past, the overall number of people affected by neurodevelopmental problems has not risen, but has remained steady over time.
"There have been some significant changes in the way that they are asking the questions," added Walton, a psychologist at the Ohio State University's Nisonger Center.
The report found that in 2014, one in 45 children had autism spectrum disorder, or 2.24 percent.
When the survey was given in 2011-2013, one in 80 children was diagnosed with ASD (1.25 percent).
Autism spectrum disorder is a developmental disability that may cause a person to have difficulty behaving, learning, communicating and interacting with people. It is believed to be influenced by genetic and environmental factors, though scientists do not fully understand all its causes.
There is no known cure, but early intervention in toddlers as young as two can sometimes help.
Officials changed the order of the questions posed in the latest survey, completed by more than 11,000 parents, a process that may have resulted in more of them acknowledging a diagnosis of ASD.
Since the United States does not maintain national health registries, telephone surveys are among the ways that experts assess the rate of autism.
School and medical records have also been used to project a nationwide autism rate of one in 68 children, according to another CDC report issued in 2014.
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