• Fathmawati Fathmawati Environmental Health Department, Politeknik Kesehatan Kemenkes Pontianak, Jl. 28 Oktober Siantan Hulu Pontianak 78241, West Kalimantan Province, Indonesia
  • Lola Andari Environmental Health Department, Politeknik Kesehatan Kemenkes Pontianak, Jl. 28 Oktober Siantan Hulu Pontianak 78241, West Kalimantan Province, Indonesia
  • Jaleha Saimin Environmental Health Department, Politeknik Kesehatan Kemenkes Pontianak, Jl. 28 Oktober Siantan Hulu Pontianak 78241, West Kalimantan Province, Indonesia
  • Dini Fitri Damayanti Midwifery Department, Politeknik Kesehatan Kemenkes Pontianak, Jl. Dr. Sudarso Pontianak 78124, West Kalimantan Province, Indonesia
  • Zainal Akhmadi Environmental Health Department, Politeknik Kesehatan Kemenkes Pontianak, Jl. 28 Oktober Siantan Hulu Pontianak 78241, West Kalimantan Province, Indonesia
  • Eko Dian Septiawan Mempawah District Health Office, Jl. Raden Kusno No. 32, Mempawah 78912, West Kalimantan Province, Indonesia




autism syndrome disorder; children; spatial distribution


The prevalence of autism spectrum disorder (ASD) data is still limited, especially in developing countries. Meanwhile, an increase in ASD children has occurred almost all over the world, including in Indonesia. The Ministry of Health of the Republic of Indonesia reported more than 5,500 cases of child development disorders – including autism disorders – that received services at primary health centres during 2020 – 2021. Data on the prevalence of autistic disorders have been estimated to increase by 500 per year. The Disability and Assessment Centre Service in Pontianak records an increase in children with autistic disorders every year. This study aims to map the spread of autism in Pontianak. This is an observational study to map the distribution of ASD children in Pontianak. The data sources are medical records from Pontianak Psychiatry Hospital and registration at Disability and Assessment Centre Services, recorded from 2015 to 2020. This study collected 147 cases of autism recorded at both service units. After screening for data duplication, 143 cases were used. Only 83 cases had a complete address that can determine coordinates. Using the determination of coordinates based on addresses obtained using GPS and spatial analysis using ArcGIS, the results showed that the distribution pattern of ASD children in Pontianak City was clustered. Most ASD children live in densely populated areas. Urban environments with high population density have problems that can affect the health of their residents. Further research is needed to determine the relationship between environmental factors and the incidence of autism in Pontianak.


American Psychiatric Association. The Diagnostic and Statistical Manual of Mental Disorders: Fifth edition (DSM-5). 2013.

Liew Z, Ritz B, Ehrenstein OS von, et al. Attention deficit/hyperactivity disorder and childhood autism in association with prenatal exposure to perfluoroalkyl substances?: A nested case – control study in the Danish national birth cohort. Child Heal. 2015;123(4):367–73.

Hodges H, Fealko C, Soares N. Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. Transl Pediatr. 2020;9(S1):S55–65.

Risch N, Hoffmann TJ, Anderson M, et al. Familial recurrence of autism spectrum disorder: Evaluating genetic and environmental contributions. Am J Psychiatry. 2014;171(11):1206–13.

Sandin S, Lichtenstein P, Kuja-Halkola R, et al. The familial risk of autism. JAMA. 2014;311(17):1770–7.

Kim H, Keifer C, Rodriguez-Seijas C, et al. Quantifying the optimal structure of the autism phenotype: A comprehensive comparison of dimensional, categorical, and hybrid models. J Am Acad Child Psy. 2019;58(9):876-886.e2.

Hegarty JP, Pegoraro LFL, Lazzeroni LC, et al. Genetic and environmental influences on structural brain measures in twins with autism spectrum disorder. Mol Psychiatry Psychiatry. 2020;25:2556–66.

Roman-Urrestarazu A, Yang JC, van Kessel R, et al. Autism incidence and spatial analysis in more than 7 million pupils in English schools: a retrospective, longitudinal, school registry study. Lancet Child Adolesc Heal. 2022;6(12):857–68.

Zablotsky B, Maenner MJ, Blumberg SJ. Geographic disparities in treatment for children with autism spectrum disorder. Acad Pediatr. 2019;19(7):740–7.

Baio J, Wiggins L, Christensen DL, et al. Prevalence of autism spectrum disorder among children aged 8 Years - Autism and developmental disabilities monitoring network, 11 Sites, United States, 2014. MMWR Surveill Summ. 2018;67(6).

Baxter AJ, Brugha TS, Erskine HE, et al. The epidemiology and global burden of autism spectrum disorders. Psychol Med. 2015;45:601–13.

Maenner MJ, Shaw KA, Baio J, et al. Prevalence of autism spectrum disorder among children aged 8 Years - Autism and developmental disabilities monitoring network, 11 Sites, United States, 2014. Vol. 69, MMWR Surveill Summ. 2020.

Pérez-Crespo L, Prats-Uribe A, Tobias A, et al. Temporal and geographical variability of prevalence and incidence of Autism Spectrum Disorder Diagnoses in Children in Catalonia, Spain. Autism Res. 2019;12(11):1693–705.

Tamba A. Tren Penderita Autisme Meningkat. Harian Nasional [Internet]. 2018 Apr 2; Available from: http://harnas.co/2018/04/01/tren-penderita-autisme-meningkat

Ministry of Health of Republic of Indonesia. Autisme A-Z Webinar Peringatan Hari Peduli Autisme Sedunia 2022 [Internet]. 2022 [cited 2023 Feb 19]. Available from: https://kesmas.kemkes.go.id/konten/133/0/autisme-a-z-webinar-peringatan-hari-peduli-autisme-sedunia-2022

BPS Kota Pontianak. Pontianak Municipality in Figures [Internet]. Pontianak: BPS Kota Pontianak; 2022. Available from: https://pontianakkota.bps.go.id/publication/2022/02/25/125ffb2696a0108f62d7d6f0/kota-pontianak-dalam-angka-2022.html

UPTD Autis Center. Pontianak Hadirkan Layanan Autis Center Gratis [Internet]. 2016 [cited 2022 Jun 16]. Available from: http://autiscenter.dindikptk.net/html/index.php?id=berita&kode=2

Loomes R, Hull L, Mandy WPL. What is the male-to-female ratio in autism spectrum disorder? A systematic review and meta-analysis. J Am Acad Child Adolesc Psychiatry. 2017;56(6):466–74.

de Giambattista C, Ventura P, Trerotoli P, et al. Sex differences in autism spectrum disorder: Focus on high functioning children and adolescents. Front Psychiatry. 2021;12(July):1–13.

Deng Z, Wang S. Sex differentiation of brain structures in autism: Findings from a gray matter asymmetry study. Autism Res. 2021;14(6):1115–26.

Zhang Y, Li N, Li C, et al. Genetic evidence of gender difference in autism spectrum disorder supports the female-protective effect. Transl Pediatr. 2020;10(4).

UPTD Autis Center. Profil UPTD Autis Center [Internet]. 2016 [cited 2022 Jul 5]. Available from: http://autiscenter.dindikptk.net/html/profil.php

Dickerson AS, Rahbar MH, Han I, et al. Autism spectrum disorder prevalence and proximity to industrial facilities releasing arsenic, lead or mercury. Sci Total Env. 2015;536:245–51.

Ye BS, Leung AOW, Wong MH. The association of environmental toxicants and autism spectrum disorders in children. Env Pollut. 2017;227:234–42.

Mouat JS, Li X, Neier K, et al. Networks of placental DNA methylation correlate with maternal serum PCB concentrations and child neurodevelopment. Env Res. 2023;220(January):115227.

Vecchione R, Vigna C, Whitman C, et al. The association between maternal prenatal fish intake and child autism-related traits in the EARLI and HOME Studies. J Autism Dev Disord. 2020;51:487–500.

Rahayu W. Pengaruh perbedaan waktu depurasi terhadap penurunan kadar Pb dan Coliform pada kerang Corbicula largillierti dari Sungai Kapuas, Pontianak, Kalimantan Barat [Internet]. Universitas Brawijaya; 2021. Available from: http://repository.ub.ac.id/id/eprint/186868/

Apriyanti E, Ihwan A, Jumarang MI. Analisis kualitas air di parit besar Sungai Jawi Kota Pontianak. Prism Fis. 2016;IV(03):101–9.

Sugandi D, Agustiawan D, Viana S, et al. Identifikasi jenis mikroplastik dan logam berat di air sungai Kapuas Kota Pontianak. Positron. 2021;11(2):112–20.

Masudi H, Alwi A, Rustamaji RM. Kajian tingkat kejenuhan lalu lintas pada jembatan Kapuas I di kota Pontianak. Jurnal Teknik Sipil. 2017;17(1).

Malluluang EM, Alwi A, Rustamaji RM. Analisis tingkat pelayanan jalan (LoS) dan karakteristik lalu lintas pada ruas jalan Gusti Situt Mahmud Kota Pontanak. Jurnal Teknik Sipil. 2017;17(2).

Maulana R, Jati DR, Fitria L. Analisa jumlah titik panas (hotspot) terhadap Indeks Standar Pencemar Udara (ISPU) sebagai indikator kualitas udara di Kota Pontianak. Jurnal Teknologi Lingkungan Lahan Basah. 2017;5(1):1–11.

Chun H, Leung C, Wu S, et al. Maternal exposure to air pollution and risk of autism in children?: A systematic review and meta-analysis. Env Pollut. 2020;256:113307.

Dutheil F, Comptour A, Morlon R, et al. Autism spectrum disorder and air pollution?: A systematic review and meta analysis. Env Pollut. 2021;278:116856.

Yu X, Rahman MM, Wang Z, et al. Evidence of susceptibility to autism risks associated with early life ambient air pollution: A systematic review. Env Res. 2022;208(May):112590.

Kerin T, Volk H, Li W, et al. Association between air pollution exposure, cognitive and adaptive function, and ASD severity among children with autism spectrum disorder. J Autism Dev Disord. 2017.

Jung C-R, Lin Y-T, Hwang B-F. Air pollution and newly diagnostic autism spectrum disorders: A population-based cohort study in Taiwan. PLoS One. 2013;8(9):e75510.

Ritz B, Liew Z, Yan Q, et al. Air pollution and autism in Denmark. Environ Epidemiol. 2018;2:e028.

Manor-Binyamini I. Listening to Bedouin fathers of children with autism spectrum disorder. Transcult Psychiatry. 2018;56(2):345–58.

Farooq A, Ahmed S. Sociocultural barriers to early diagnosis of autism spectrum disorder. Life Sci. 2020;1(4):139–44.

Kelly B, Williams S, Collins S, et al. The association between socioeconomic status and autism diagnosis in the United Kingdom for children aged 5–8 years of age: Findings from the Born in Bradford cohort. Autism. 2019;23(1):131–40.

Zahra SS, Mahmoud RA, Lateef RKA, et al. Socio-economic status in Egyptian patients with autism spectrum disorder. Does it affect autism severity? Egypt J Hosp Med. 2022;89(2):6532–40.

Schuck RK, Tagavi DM, Baiden KMP, et al. Neurodiversity and autism intervention: Reconciling perspectives through a naturalistic developmental behavioral intervention framework. J Autism Dev Disord. 2021.




How to Cite

Fathmawati, F., Lola Andari, Jaleha Saimin, Dini Fitri Damayanti, Zainal Akhmadi, & Eko Dian Septiawan. (2023). DISTRIBUTION OF AUTISTIC CHILDREN IN PONTIANAK, WEST KALIMANTAN PROVINCE, INDONESIA. Malaysian Journal of Public Health Medicine, 23(2), 124–130. https://doi.org/10.37268/mjphm/vol.23/no.2/art.1826