Is prenatal alcohol exposure related to inattention and hyperactivity symptoms in children? Disentangling the effects of social adversity

Background: Studies concerning whether exposure to low levels of maternal alcohol consumption during fetal development is related to child inattention and hyperactivity symptoms have shown conflicting results. We examine the contribution of covariates related to social adversity to resolve some inc...

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Bibliographic Details
Published in:	Journal of child psychology and psychiatry Vol. 50; no. 9; pp. 1073 - 1083
Main Authors:	Rodriguez, A., Olsen, J., Kotimaa, A.J., Kaakinen, M., Moilanen, I., Henriksen, T.B., Linnet, K.M., Miettunen, J., Obel, C., Taanila, A., Ebeling, H., Järvelin, M.R.
Format:	Journal Article
Language:	English
Published:	Oxford, UK Blackwell Publishing Ltd 01-09-2009 Wiley-Blackwell Blackwell
Subjects:	ADHD Adversity alcohol Alcohol consumption Alcohol Drinking - adverse effects Alcohol Education Alcohol use Attention Deficit Disorder with Hyperactivity - etiology Attention Deficit Disorders Attention deficit disorders. Hyperactivity Attention deficit hyperactivity disorder behavior problems Biological and medical sciences Child Child clinical studies Child psychology Children Cohort Studies Comparative Analysis cross-cultural Denmark Disadvantaged Drinking Female Females Fetal Alcohol Syndrome Fetal exposure Finland Foreign Countries Health Status Humans Hyperactivity inattention/hyperactivity symptoms Logistic Models longitudinal studies Male Measures (Individuals) Medical sciences Pregnancy Pregnant women prenatal Prenatal Exposure Delayed Effects - psychology Prenatal Influences Psychology Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psykologi Questionnaires Risk Risk factors SAMHÄLLSVETENSKAP Scores Sex Factors Smoking social factors Social Problems SOCIAL SCIENCES Socialvetenskap Symptoms Symptoms (Individual Disorders) Young Adult Denmark Finland Social environment Human alcohol ADHD Crosscultural study social factors Alcoholism Exposure inattention/hyperactivity symptoms Behavioral disorder Pregnancy Prenatal Alcoholic beverage Symptomatology Follow up study cross-cultural Attention disorder with hyperactivity behavior problems Child Social aspect longitudinal studies
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Summary:	Background: Studies concerning whether exposure to low levels of maternal alcohol consumption during fetal development is related to child inattention and hyperactivity symptoms have shown conflicting results. We examine the contribution of covariates related to social adversity to resolve some inconsistencies in the extant research by conducting parallel analyses of three cohorts with varying alcohol consumption and attitudes towards alcohol use. Methods: We compare three population‐based pregnancy–offspring cohorts within the Nordic Network on ADHD from Denmark and Finland. Prenatal data were gathered via self‐report during pregnancy and birth outcomes were ed from medical charts. A total of 21,678 reports concerning inattention and hyperactivity symptoms in children were available from the Strengths and Difficulties Questionnaire or the Rutter Scale completed by parents and/or teachers. Results: Drinking patterns differed cross‐nationally. Women who had at least some social adversity (young, low education, or being single) were more likely to drink than those better off in the Finnish cohort, but the opposite was true for the Danish cohorts. Prenatal alcohol exposure was not related to risk for a high inattention‐hyperactivity symptom score in children across cohorts after adjustment for covariates. In contrast, maternal smoking and social adversity during pregnancy were independently and consistently associated with an increase in risk of child symptoms. Conclusions: Low doses of alcohol consumption during pregnancy were not related to child inattention/hyperactivity symptoms once social adversity and smoking were taken into account.
Bibliography:	istex:DA772DA6FD2E10A98B6D2E3BA1CA43C7E22EE316 ark:/67375/WNG-8M61KN6L-5 ArticleID:JCPP2071 Conflict of interest statement: No conflicts declared. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	0021-9630 1469-7610 1469-7610
DOI:	10.1111/j.1469-7610.2009.02071.x