Attention-deficit/hyperactivity disorder and smoking habits in pregnant women

Andersson, Anneli; Hegvik, Tor‐Arne; Chen, Qi; Rosenqvist, Mina A.; Kvalvik, Liv Grimstvedt; Almqvist, Catarina; D’Onofrio, Brian M.; Hartman, Catharina A.; Klungsøyr, Kari; Haavik, Jan; Tuvblad, Catherine; Larsson, Henrik

doi:10.1371/journal.pone.0234561

Cited by 13 publications

(16 citation statements)

References 47 publications

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“…For example, ADHD traits are linked with a range of adverse physical and behavioral health outcomes during pregnancy and childbirth, including unplanned and early pregnancy. [42][43][44][45][46][47][48] Adult ADHD traits also predict parenting across multiple domains, such as more harsh and lax parenting and lower levels of positive parenting. 49,50 Maternal depression and anxiety also predict adverse pregnancy and perinatal outcomes, as well as parenting behavior.…”

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confidence: 99%

Pregnancy and Parenthood Among Autistic Adults: Implications for Advancing Maternal Health and Parental Well-Being

McDonnell

DeLucia

2021

Autism in Adulthood

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Background: Strikingly little research has considered how autistic adults experience pregnancy and parenthood, two key transition periods in adult development with potentially far-reaching implications for physical and psychosocial health outcomes across the lifespan. This article reviews the research on pregnancy and parenthood among autistic adults, to summarize existing research and identify future directions to advance this critical area of study. Methods: We conducted a systematic review of the literature on pregnancy and parenthood among autistic adults. Researchers extracted selected articles for key information, including methodology and sample size, study location, demographic characteristics of participants, measurement approaches, and key study findings. Results: Overall, we identified 13 studies that used a range of quantitative and qualitative approaches to study pregnancy experiences and outcomes and parenthood among autistic adults. The findings show that autistic adults (1) experience difficulties and dissatisfaction communicating with health care providers throughout pregnancy and birth, (2) are more likely to experience depression during and after pregnancy, and (3) experience higher rates of pregnancy complications, including preterm birth, cesarean delivery, and pre-eclampsia. During parenthood, autistic adults report lower parenting competence, experience parenthood as isolating, have difficulty communicating with professionals about their child and are questioned by providers about their ability to parent, experience high rates of involvement with child protective services, and express a desire for increased parenting support. Autistic adults also reported parenting strengths, including high levels of finding parenthood rewarding and putting their children's needs ahead of their own. Conclusions: A key limitation of the literature is the significant lack of sociodemographic diversity among participants, the small number of existing studies, and reliance on cross-sectional mono-method designs. Future research should be conducted in partnership with autistic adults to develop assessment and intervention approaches for supporting pregnancy health and parental well-being among diverse and underserved communities.

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confidence: 99%

Pregnancy and Parenthood Among Autistic Adults: Implications for Advancing Maternal Health and Parental Well-Being

McDonnell

DeLucia

2021

Autism in Adulthood

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“…The way from the “Health card for pregnant women” at the first antenatal check-up in primary care, via the hospitals births records, to the MBRN, where also informed consent is required, is certainly not less complicated. In a recent study about hyperactivity disorder and maternal smoking in Norway, almost one of five deliveries were excluded because of missing or incomplete smoking information [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Electronic records may give fewer opportunities to ignore required information. Problems of using smoking information from years with a highly varying unknown category of smoking, as well as the need to omit large numbers of births with incomplete data in research studies have been described elsewhere [ 2 , 6 ]. Information about the magnitude of possible errors due to incomplete data on smoking during pregnancy would facilitate appropriate use of the data in future research and public health surveillance.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of incomplete maternal smoking data using machine learning algorithms: a study from the Medical Birth Registry of Norway

Grøtvedt

Egeland

Kvalvik

et al. 2020

BMC Pregnancy Childbirth

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Background The Medical Birth Registry of Norway (MBRN) provides national coverage of all births. While retrieval of most of the information in the birth records is mandatory, mothers may refrain to provide information on her smoking status. The proportion of women with unknown smoking status varied greatly over time, between hospitals, and by demographic groups. We investigated if incomplete data on smoking in the MBRN may have contributed to a biased smoking prevalence. Methods In a study population of all 904,982 viable and singleton births during 1999–2014, we investigated main predictor variables influencing the unknown smoking status of the mothers’ using linear multivariable regression. Thereafter, we applied machine learning to predict annual smoking prevalence (95% CI) in the same group of unknown smoking status, assuming missing-not-at-random. Results Overall, the proportion of women with unknown smoking status was 14.4%. Compared to the Nordic country region of origin, women from Europe outside the Nordic region had 15% (95% CI 12–17%) increased adjusted risk to have unknown smoking status. Correspondingly, the increased risks for women from Asia was 17% (95% CI 15–19%) and Africa 26% (95% CI 23–29%). The most important machine learning prediction variables regarding maternal smoking were education, ethnic background, marital status and birth weight. We estimated a change from the annual observed smoking prevalence among the women with known smoking status in the range of − 5.5 to 1.1% when combining observed and predicted smoking prevalence. Conclusion The predicted total smoking prevalence was only marginally modified compared to the observed prevalence in the group with known smoking status. This implies that MBRN-data may be trusted for health surveillance and research.

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“…Smoking during adolescence increases the risk of developing psychiatric disorders and cognitive impairment in later life (80,81). In addition, adolescent smokers suffer from attention deficits, which aggravate with the years of smoking (82)(83)(84). Recent studies in rodents reveal the molecular changes induced by adolescent nicotine exposure that alter the functioning of synapses in the PFC and that underlie the lasting effects on cognitive function (85).…”

Section: Structural Changes In the Adolescent Brainmentioning

confidence: 99%

Multifactorial Etiology of Adolescent Nicotine Addiction: A Review of the Neurobiology of Nicotine Addiction and Its Implications for Smoking Cessation Pharmacotherapy

Mahajan

Homish

Quisenberry

2021

Front. Public Health

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Nicotine is the primary pharmacologic component of tobacco, and its highly addictive nature is responsible for its widespread use and significant withdrawal effects that result in challenges to smoking cessation therapeutics. Nicotine addiction often begins in adolescence and this is at least partially attributed to the fact that adolescent brain is most susceptible to the neuro-inflammatory effects of nicotine. There is increasing evidence for the involvement of microglial cells, which are the brain's primary homeostatic sensor, in drug dependence and its associated behavioral manifestations particularly in the adolescent brain. A hallmark of neuro-inflammation is microglial activation and activation of microglia by nicotine during adolescent development, which may result in long-term addiction to nicotine. This non-systematic review examines multifactorial etiology of adolescent nicotine addiction, neurobiology of nicotine addiction and the potential mechanisms that underlie the effects of nicotine on inflammatory signaling in the microglia, understanding how nicotine affects the adolescent brain. We speculate, that modulating homeostatic balance in microglia, could have promising therapeutic potential in withdrawal, tolerance, and abstinence-related neural adaptations in nicotine addiction, in the adolescent brain. Further, we discuss nicotine addiction in the context of the sensitization-homeostasis model which provides a theoretical framework for addressing the potential role of microglial homeostasis in neural adaptations underlying nicotine abuse.

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Attention-deficit/hyperactivity disorder and smoking habits in pregnant women

Cited by 13 publications

References 47 publications

Pregnancy and Parenthood Among Autistic Adults: Implications for Advancing Maternal Health and Parental Well-Being

Pregnancy and Parenthood Among Autistic Adults: Implications for Advancing Maternal Health and Parental Well-Being

Evaluation of incomplete maternal smoking data using machine learning algorithms: a study from the Medical Birth Registry of Norway

Multifactorial Etiology of Adolescent Nicotine Addiction: A Review of the Neurobiology of Nicotine Addiction and Its Implications for Smoking Cessation Pharmacotherapy

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