Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study
Abstract There is increasing evidence that the life-course origins of health and development begin before conception. We examined associations between timing and frequency of preconception cannabis and tobacco use and next generation preterm birth (PTB), low birth weight (LBW) and small for gestatio...
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Nature Portfolio
2021
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oai:doaj.org-article:4e86ae8612e74a4f92cd9e4829ee85812021-12-02T17:08:35ZCannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study10.1038/s41598-021-95460-22045-2322https://doaj.org/article/4e86ae8612e74a4f92cd9e4829ee85812021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-95460-2https://doaj.org/toc/2045-2322Abstract There is increasing evidence that the life-course origins of health and development begin before conception. We examined associations between timing and frequency of preconception cannabis and tobacco use and next generation preterm birth (PTB), low birth weight (LBW) and small for gestational age. 665 participants in a general population cohort were repeatedly assessed on tobacco and cannabis use between ages 14–29 years, before pregnancy. Associations were estimated using logistic regression. Preconception parent (either maternal or paternal) daily cannabis use age 15–17 was associated with sixfold increases in the odds of offspring PTB (aOR 6.65, 95% CI 1.92, 23.09), and offspring LBW (aOR 5.84, 95% CI 1.70–20.08), after adjusting for baseline sociodemographic factors, parent sex, offspring sex, family socioeconomic status, parent mental health at baseline, and concurrent tobacco use. There was little evidence of associations with preconception parental cannabis use at other ages or preconception parental tobacco use. Findings support the hypothesis that the early life origins of growth begin before conception and provide a compelling rationale for prevention of frequent use during adolescence. This is pertinent given liberalisation of cannabis policy.Lindsey A. HinesElizabeth A. SpryMargarita Moreno-BetancurHanafi Mohamad HusinDenise BeckerMelissa MiddletonJeffrey M. CraigLex W. DoyleCraig A. OlssonGeorge PattonNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
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Medicine R Science Q Lindsey A. Hines Elizabeth A. Spry Margarita Moreno-Betancur Hanafi Mohamad Husin Denise Becker Melissa Middleton Jeffrey M. Craig Lex W. Doyle Craig A. Olsson George Patton Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
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Abstract There is increasing evidence that the life-course origins of health and development begin before conception. We examined associations between timing and frequency of preconception cannabis and tobacco use and next generation preterm birth (PTB), low birth weight (LBW) and small for gestational age. 665 participants in a general population cohort were repeatedly assessed on tobacco and cannabis use between ages 14–29 years, before pregnancy. Associations were estimated using logistic regression. Preconception parent (either maternal or paternal) daily cannabis use age 15–17 was associated with sixfold increases in the odds of offspring PTB (aOR 6.65, 95% CI 1.92, 23.09), and offspring LBW (aOR 5.84, 95% CI 1.70–20.08), after adjusting for baseline sociodemographic factors, parent sex, offspring sex, family socioeconomic status, parent mental health at baseline, and concurrent tobacco use. There was little evidence of associations with preconception parental cannabis use at other ages or preconception parental tobacco use. Findings support the hypothesis that the early life origins of growth begin before conception and provide a compelling rationale for prevention of frequent use during adolescence. This is pertinent given liberalisation of cannabis policy. |
format |
article |
author |
Lindsey A. Hines Elizabeth A. Spry Margarita Moreno-Betancur Hanafi Mohamad Husin Denise Becker Melissa Middleton Jeffrey M. Craig Lex W. Doyle Craig A. Olsson George Patton |
author_facet |
Lindsey A. Hines Elizabeth A. Spry Margarita Moreno-Betancur Hanafi Mohamad Husin Denise Becker Melissa Middleton Jeffrey M. Craig Lex W. Doyle Craig A. Olsson George Patton |
author_sort |
Lindsey A. Hines |
title |
Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
title_short |
Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
title_full |
Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
title_fullStr |
Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
title_full_unstemmed |
Cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
title_sort |
cannabis and tobacco use prior to pregnancy and subsequent offspring birth outcomes: a 20-year intergenerational prospective cohort study |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/4e86ae8612e74a4f92cd9e4829ee8581 |
work_keys_str_mv |
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