Examining the association between prenatal cannabis exposure and child autism traits: A multi‐cohort investigation in the environmental influences on child health outcome program

Author:

Nutor Chaela1ORCID,Dickerson Aisha S.2ORCID,Hsu Tingju2,Al‐Jadiri Aseel3,Camargo Carlos A.4,Schweitzer Julie B.5,Shuster Coral L.6,Karagas Margaret R.7,Madan Juliette C.8,Restrepo Bibiana9ORCID,Schmidt Rebecca J.10ORCID,Lugo‐Candelas Claudia11,Neiderhiser Jenae12,Sathyanarayana Sheela13,Dunlop Anne L.14,Brennan Patricia A.1,

Affiliation:

1. Department of Psychology Emory University Atlanta Georgia USA

2. Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA

3. Institute for Child Development, Hackensack University Medical Center Hackensack New Jersey USA

4. Massachusetts General Hospital, Harvard Medical School Boston Massachusetts USA

5. School of Medicine, University of California Sacramento California USA

6. Women and Infants Hospital of Rhode Island Providence Rhode Island USA

7. Geisel School of Medicine Hanover New Hampshire USA

8. Department of Pediatrics, Psychiatry & Epidemiology Children's Hospital at Dartmouth, Geisel School of Medicine at Dartmouth Hanover New Hampshire USA

9. Department of Pediatrics University of California Davis School of Medicine, MIND Institute Sacramento California USA

10. Department of Public Health Sciences and the MIND Institute University of California Davis School of Medicine Davis California USA

11. Irving Medical Center, Columbia University New York New York USA

12. Department of Psychology Pennsylvania State University University Park Pennsylvania USA

13. Department of Pediatrics University of Washington Seattle Washington USA

14. Department of Gynecology and Obstetrics Emory University Atlanta Georgia USA

Abstract

AbstractThis study examined the association between prenatal cannabis exposure and autism spectrum disorder (ASD) diagnoses and traits. A total sample of 11,570 children (ages 1–18; 53% male; 25% Hispanic; 60% White) from 34 cohorts of the National Institutes of Health‐funded environmental influences on child health outcomes consortium were included in analyses. Results from generalized linear mixed models replicated previous studies showing that associations between prenatal cannabis exposure and ASD traits in children are not significant when controlling for relevant covariates, particularly tobacco exposure. Child biological sex did not moderate the association between prenatal cannabis exposure and ASD. In a large sample and measuring ASD traits continuously, there was no evidence that prenatal cannabis exposure increases the risk for ASD. This work helps to clarify previous mixed findings by addressing concerns about statistical power and ASD measurement.

Publisher

Wiley

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