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J Pediatr ; 260: 113468, 2023 09.
Artículo en Inglés | MEDLINE | ID: mdl-37182662

RESUMEN

OBJECTIVES: To predict behavioral disruptions in middle childhood, we identified latent classes of prenatal substance use. STUDY DESIGN: As part of the Environmental influences on Child Health Outcomes Program, we harmonized prenatal substance use data and child behavior outcomes from 2195 women and their 6- to 11-year-old children across 10 cohorts in the US and used latent class-adjusted regression models to predict parent-rated child behavior. RESULTS: Three latent classes fit the data: low use (90.5%; n = 1986), primarily using no substances; licit use (6.6%; n = 145), mainly using nicotine with a moderate likelihood of using alcohol and marijuana; and illicit use (2.9%; n = 64), predominantly using illicit substances along with a moderate likelihood of using licit substances. Children exposed to primarily licit substances in utero had greater levels of externalizing behavior than children exposed to low or no substances (P = .001, d = .64). Children exposed to illicit substances in utero showed small but significant elevations in internalizing behavior than children exposed to low or no substances (P < .001, d = .16). CONCLUSIONS: The differences in prenatal polysubstance use may increase risk for specific childhood problem behaviors; however, child outcomes appeared comparably adverse for both licit and illicit polysubstance exposure. We highlight the need for similar multicohort, large-scale studies to examine childhood outcomes based on prenatal substance use profiles.


Asunto(s)
Trastornos de la Conducta Infantil , Efectos Tardíos de la Exposición Prenatal , Problema de Conducta , Trastornos Relacionados con Sustancias , Embarazo , Humanos , Niño , Femenino , Análisis de Clases Latentes , Trastornos Relacionados con Sustancias/epidemiología , Conducta Infantil , Trastornos de la Conducta Infantil/epidemiología , Trastornos de la Conducta Infantil/etiología , Efectos Tardíos de la Exposición Prenatal/epidemiología
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