Spatial analysis of learning and developmental disorders in upper Cape Cod, Massachusetts using generalized additive models

Int J Health Geogr. 2010 Feb 12;9:7. doi: 10.1186/1476-072X-9-7.


The spatial variability of three indicators of learning and developmental disability (LDD) was assessed for Cape Cod, Massachusetts. Maternal reports of receiving special education services, attention deficit hyperactivity disorder, and educational attainment were available for a birth cohort from 1969-1983. Using generalized additive models and residential history, maps of the odds of LDD were produced that also controlled for known risk factors. While results were not statistically significant, they suggest that children living in certain parts of Cape Cod were more likely to have a LDD. The spatial variation may be due to variation in the physical and social environment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Attention Deficit Disorder with Hyperactivity / epidemiology*
  • Case-Control Studies
  • Child
  • Child, Preschool
  • Developmental Disabilities / epidemiology*
  • Education, Special / statistics & numerical data
  • Female
  • Geographic Information Systems
  • Humans
  • Learning Disabilities / epidemiology*
  • Male
  • Massachusetts / epidemiology
  • Models, Statistical
  • Residence Characteristics
  • Retrospective Studies
  • Sex Factors
  • Social Class