Risks of attention-deficit/hyperactivity disorder, autism spectrum disorder, and intellectual disability in children delivered by caesarean section: A population-based cohort study

被引:3
|
作者
Lin, Pei-Yun [1 ,2 ,3 ]
Chen, Yi-Lung [4 ,5 ]
Hsiao, Ray C. [6 ,7 ]
Chen, Hsiu-Lin [8 ,9 ]
Yen, Cheng-Fang [2 ,3 ,10 ]
机构
[1] Kaohsiung Municipal Siaogang Hosp, Dept Psychiat, Kaohsiung, Taiwan
[2] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Psychiat, Kaohsiung, Taiwan
[3] Kaohsiung Med Univ, Coll Med, Sch Med, Dept Psychiat, Kaohsiung, Taiwan
[4] Asia Univ, Dept Psychol, Taichung, Taiwan
[5] Asia Univ, Dept Healthcare Adm, Taichung, Taiwan
[6] Univ Washington, Sch Med, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
[7] Seattle Childrens, Dept Psychiat, Seattle, WA USA
[8] Kaohsiung Med Univ, Coll Med, Dept Resp Therapy, Kaohsiung, Taiwan
[9] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Pediat, Div Neonatol, Kaohsiung, Taiwan
[10] Natl Pingtung Univ Sci & Technol, Coll Profess Studies, Pingtung, Taiwan
关键词
Attention-deficit; hyperactivity disorder; Autism spectrum disorder; Cesarean section; Intellectual disability; Psychological well-being; MICROBIOME; PREGNANCY; BIRTH;
D O I
10.1016/j.ajp.2022.103334
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
This population-based study investigated the risks of attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and intellectual disabilities among children delivered by Cesarean section (CS) in comparison with those who were delivered by vaginal delivery (VD). The Taiwan Maternal and Child Health Database from 2004 to 2016 registered 675,718 and 1,208,983 children delivered by CS and by VD, respectively. The results of Cox proportional hazards regression model demonstrated that children delivered by CS had significantly higher risks of ADHD, ASD, and intellectual disability than those delivered by VD after the confounding effects of maternal and child factors were controlled for.
引用
收藏
页数:3
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