Incidence
The
incidence of Down syndrome is estimated at one per 800 to one per 1000
births. In 2006, the Centers for Disease Control and Prevention estimated
the rate as one per 733 live births in the United States (5429 new cases
per year). Approximately 95% of these are trisomy 21. Down syndrome
occurs in all ethnic groups and among all economic classes.
Maternal
age influences the chances of conceiving a baby with Down syndrome.
At maternal age 20 to 24, the probability is one in 1562; at age 35
to 39 the probability is one in 214, and above age 45 the probability
is one in 19. Although the probability increases with maternal age,
80% of children with Down syndrome are born to women under the age of
35, reflecting the overall fertility of that age group. Recent data
also suggest that paternal age, especially beyond 42, also increases
the risk of Down Syndrome manifesting in pregnancies in older mothers.
Current research (as of 2008) has shown
that Down syndrome is due to a random event during the formation of
sex cells or pregnancy. There has been no evidence that it is due to
parental behavior (other than age) or environmental factors.