{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T06:07:20Z","timestamp":1789625240716,"version":"build-2803163510"},"reference-count":57,"publisher":"American Medical Association (AMA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"<jats:sec id=\"ab-zoi231548-4\">\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Women with a high level of autistic traits in the general population may experience larger health disparities during pregnancy, particularly women diagnosed with autism spectrum disorder (ASD), which in turn may be associated with increased risk of adverse birth outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi231548-5\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the association between maternal autistic traits and the risk of adverse birth outcomes in the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi231548-6\">\n                    <jats:title>Design, Setting, and Participants<\/jats:title>\n                    <jats:p>This cohort study included mothers of singletons from a nationwide, multicenter prospective birth cohort, the Japan Environmental Children\u2019s Study. Expecting mothers were recruited between January 2011 and March 2014. Data were analyzed between June 2021 and November 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi231548-7\">\n                    <jats:title>Exposures<\/jats:title>\n                    <jats:p>Autistic traits were self-reported during the second and third trimesters using the short form of the Autism-Spectrum Quotient Japanese version (AQ-J10) (score range, 0-10; clinical range, \u22657).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi231548-8\">\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>Data on preterm birth (&amp;amp;lt;37 weeks\u2019 gestation) and neonates born small for gestational age (SGA) were transcribed from medical records. Additional analysis of gestational age groups (very preterm birth, &amp;amp;lt;32 weeks\u2019 gestation; moderate-to-late preterm birth, 32-36 weeks\u2019 gestation) was also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi231548-9\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 87\u202f687 women (mean [SD] age, 31.2 [5.0] years) included in the study, 2350 (2.7%) had AQ-J10 scores within the clinical range yet only 18 (0.02%) were diagnosed with ASD. A higher AQ-J10 score was associated with an increased risk of all birth outcomes, including preterm births (relative risk [RR] per 1-SD increase, 1.06; 95% CI, 1.03-1.09), moderate-to-late preterm births (RR per 1-SD increase, 1.05; 95% CI, 1.01-1.08), very preterm births (RR per 1-SD increase, 1.16; 95% CI, 1.06-1.26), and child born SGA (RR per 1-SD increase, 1.04; 95% CI, 1.01-1.06) after adjusting for maternal and pregnancy-related factors. The risks of all outcomes increased with higher AQ-J10 scores; compared with women below the clinical range, women within the clinical range had greater risk of preterm births (RR, 1.16; 95% CI, 1.07-1.26), moderate-to-late preterm births (RR, 1.12; 95% CI, 1.03-1.22), very preterm births (RR, 1.49; 95% CI, 1.18-1.89), and a child born SGA (RR, 1.11; 95% CI, 1.04-1.19).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"ab-zoi231548-10\">\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>In this cohort study, higher level of maternal autistic traits was associated with increased risk of adverse birth outcomes, particularly very preterm birth. Acknowledging the risks and providing tailored and timely antenatal care support to women with a high level of autistic traits in the general population, particularly women with autistic traits within the clinical range, regardless of formal diagnosis, is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2023.52809","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T11:04:28Z","timestamp":1706007868000},"page":"e2352809","source":"Crossref","is-referenced-by-count":9,"title":["Maternal Autistic Traits and Adverse Birth Outcomes"],"prefix":"10.1001","volume":"7","author":[{"given":"Mariko","family":"Hosozawa","sequence":"first","affiliation":[{"name":"Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, 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