“…Model 2 includes maternal characteristics available from the TBDR and vital records that have been previously associated with birth defects in other studies: smoking (checked off in the vital record vs. not checked; Hackshaw, Rodeck, & Boniface, 2011), plurality of birth (1 fetus, 2 or more fetuses; Dawson et al, 2016;Langlois & Scheuerle, 2015), maternal age (≤19, 20-24, 25-29, 30-34, 35-39, 40≥ years;Gill et al, 2012;Rittler et al, 2015), race/ethnicity (White non-Hispanic, Black non-Hispanic, Hispanic, other non-Hispanic) (Canfield et al, 2006(Canfield et al, , 2014Ibrahim et al, 2014), and education group (less than high school, high school, greater than high school; Yang et al, 2008;Yu et al, 2014). Only deliveries with complete data were included in each analysis; missingness for the selected covariates were less than 1%.…”