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2-169 - Using Family-Based Designs to Test Associations between Pregnancy-Related Risks and Adverse Offspring Outcomes

Fri, April 7, 2:15 to 3:45pm, Austin Convention Center, Meeting Room 12A

Session Type: Paper Symposium

Integrative Statement

Pregnancy-related risks have been associated with adverse offspring birth, socio-emotional, and neurodevelopmental outcomes. However, much of the work examining pregnancy-related risk factors typically studies samples of one mother and her biologically related child per family. This design makes it impossible to determine if pregnancy-related risk factors causally impact offspring outcomes or if associations are due to confounding by genetic and environmental influences shared by family members. To account for these confounding factors, the papers in this symposium use family-based designs to assess associations between pregnancy-related risks and offspring outcomes. The first paper compares siblings differentially exposed to SSRIs to evaluate links with adverse birth outcomes. The second paper uses cousin and sibling comparisons to examine associations between labor induction and offspring neurodevelopmental outcomes (i.e., ADHD and low academic achievement). The third paper examines the influence of illicit drug use during pregnancy and heritable influences on child anger and overreactive parenting using an adoption design. The fourth paper examines mothers’ retrospective recall of prenatal experiences using an adoption design to control for the influence of concurrent child behaviors on mothers recall ability. Thus, this symposium uses designs that can account for unmeasured genetic and environmental confounding factors to test causal hypotheses. Findings from these studies increase the need for researchers to consider genetic confounds while investigating potential prenatal risks, as well as inform prevention science about potential prenatal risks that may be effective targets for intervention.

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