Journal Article 1 Mention
Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability
Viktor H. Ahlqvist2024
Hugo SjöqvistChristina Dalman
Top 1% · 99th Percentile
102 citations · Public Health, Environmental and Occupational Health
Open Access

Summary

1 Sample Definition And Size

The study was a nationwide cohort study in Sweden including 2,480,797 singleton liveborn children born between July 1, 1995, and December 31, 2019, with follow-up through December 31, 2021. Among these, 185,909 children (7.49%) were exposed to acetaminophen during pregnancy. A sibling control analysis included 1,773,747 full siblings. ([pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/38592388/?utm_source=openai))

2 Study Type

Population-based prospective cohort study with sibling control (matched full-sibling) analysis using stratified Cox regression to control for familial confounding. ([pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/38592388/?utm_source=openai))

3 Conflicts Of Interest

One author disclosed ties to Neobiomics AB; another disclosed ties to law firms and AlphaSights. ([healthday.com](https://www.healthday.com/healthpro-news/child-health/acetaminophen-use-during-pregnancy-not-linked-to-neurodevelopmental-disorders?utm_source=openai))

4 Results Summary

In conventional models without sibling control, acetaminophen use during pregnancy was associated with marginally increased risks: autism (HR 1.05, 95% CI 1.02–1.08; risk difference at 10 years 0.09%, 95% CI –0.01% to 0.20%), ADHD (HR 1.07, 95% CI 1.05–1.10; RD 0.21%, 95% CI 0.08%–0.34%), and intellectual disability (HR 1.05, 95% CI 1.00–1.10; RD 0.04%, 95% CI –0.04% to 0.12%). In sibling control analyses, there was no association: autism (HR 0.98, 95% CI 0.93–1.04), ADHD (HR 0.98, 95% CI 0.94–1.02), intellectual disability (HR 1.01, 95% CI 0.92–1.10). ([pubmed.ncbi.nlm.nih.gov](https://pubmed.ncbi.nlm.nih.gov/38592388/?utm_source=openai))

Abstract

Acetaminophen use during pregnancy was not associated with children's risk of autism, ADHD, or intellectual disability in sibling control analysis. This suggests that associations observed in other models may have been attributable to familial confounding.

Referenced In