Impact of prenatal cocaine exposure on child behavior problems through school age.

Impact of prenatal cocaine exposure on child behavior problems through school age. Research Abstract Details 

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Impact of prenatal cocaine exposure on child behavior problems through school age. Abstract Text:

Henrietta S Bada,Abhik Das,Charles R Bauer,Seetha Shankaran,Barry Lester,Linda LaGasse,Jane Hammond,Linda L Wright,Rosemary Higgins,

OBJECTIVE: We examined the trajectory of childhood behavior problems after prenatal cocaine exposure. METHODS: The Maternal Lifestyle Study, a longitudinal cohort study, enrolled children between 1993 and 1995 at 4 centers. Prenatal cocaine exposure was determined from mothers who admitted use and/or meconium results. Exposed children were matched with a group of nonexposed children within site and by gestational age, gender, race, and ethnicity. The study began at the 1-month corrected age with a total of 1388 children enrolled. A total of 1056 were assessed for internalizing, externalizing, and total behavior problems at ages 3, 5, and 7 years using the Child Behavior Checklist. Longitudinal hierarchical linear models were used to determine the effect of prenatal cocaine exposure on behavior problem trajectories while controlling for other prenatal exposures; time-varying covariates, including ongoing caregiver use of legal and illegal substances; demographic factors; family violence; and caregiver psychological distress. RESULTS: High prenatal cocaine exposure was associated with the trajectory of internalizing, externalizing, and total behavior problems; these effects were independent of and less than the significant combined effect of prenatal and postnatal tobacco and alcohol exposures. Caregiver depression and family violence had independent negative influence on all behavior outcomes. CONCLUSIONS: Prenatal cocaine exposure has a negative impact on the trajectories of childhood behavior outcomes. When they co-occur with prenatal cocaine exposure, prenatal and postnatal tobacco and alcohol exposures have added negative effects on behavior outcomes.

Impact of prenatal cocaine exposure on child behavior problems through school age. Publishing Authors By Initials

HS Bada,A Das,CR Bauer,S Shankaran,B Lester,L LaGasse,J Hammond,LL Wright,R Higgins,

For similar female urogenital diseases and pregnancy complications: pregnancy complications: prenatal injuries: prenatal exposure delayed effects research abstracts see: female urogenital diseases and pregnancy complications: pregnancy complications: prenatal injuries: prenatal exposure delayed effects research

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Impact of prenatal cocaine exposure on child behavior problems through school age. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Pediatrics

VOLUME: 119

Page Numbers: e348-59

Journal Abbreviation: Pediatrics

ISSN: 1098-4275

DAY: 3

MONTH: Feb

YEAR: 2007

Impact of prenatal cocaine exposure on child behavior problems through school age. Information

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LANGUAGE: eng

NlmUniqueID: 376422

Impact of prenatal cocaine exposure on child behavior problems through school age. Keywords Mesh Terms:

KEYWORDS: Prenatal Exposure Delayed Effects

MESH TERMS: chemically induced

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Grant and Affiliation Information for Impact of prenatal cocaine exposure on child behavior problems through school age.

AFFILIATION: Department of Pediatrics, University of Kentucky College of Medicine, Lexington, Kentucky, USA. hbada2@uky.edu

Country: United States

AGENCY: United States NICHD

GRANT: U10 HD 27904

ACRONYM: HD

MEDLINETA: Pediatrics

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