{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:04:29Z","timestamp":1790024669749,"version":"4.0.1"},"reference-count":36,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T00:00:00Z","timestamp":1568678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["SPHeRE\/2013\/1"],"award-info":[{"award-number":["SPHeRE\/2013\/1"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001602","name":"Science Foundation Ireland","doi-asserted-by":"publisher","award":["INFANT\u201012\/RC\/2272"],"award-info":[{"award-number":["INFANT\u201012\/RC\/2272"]}],"id":[{"id":"10.13039\/501100001602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Psychology Psychiatry"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The environmental contribution of autism spectrum disorder (ASD) is approximately 17%\u201350%, highlighting the importance of investigating factors potentially contributing to the likelihood of its development, and of gaining a greater understanding of the pathogenesis surrounding ASD. The objective of this study was to examine the association between preeclampsia and ASD using a population\u2010based cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All singleton live births in Sweden from 1982 to 2010 were included, using data from Swedish National Registers. Exposures of interest included: (a) preeclampsia (classified according to ICD\u20108, ICD\u20109 and ICD\u201010) and (b) preeclampsia and small for gestational age (SGA) combined, used as a proxy for preeclampsia with placental dysfunction. ASD status was based on ICD\u20109 and ICD\u201010. The cohort consisted of 2,842,230 children, with 54,071 cases of ASD. Follow\u2010up began from the child's first birthday, and data were censored at first diagnosis of ASD, death, migration or end of study period (31st December 2016). We conducted multivariate Cox proportional hazards regression analysis, adjusting for several perinatal and sociodemographic factors, selected a priori. We further controlled for shared genetic and familial confounding using sibling\u2010matched analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the adjusted Cox proportional hazards regression analysis, preeclampsia was associated with a 25% increase in the likelihood of ASD (Hazard Ratio (HR): 1.25, 95% CI:1.19, 1.30) compared with those unexposed to preeclampsia, while in the sibling\u2010matched analysis the HR was 1.17 (95% CI: 1.06, 1.28). The HR for preeclampsia and SGA combined was 1.66 (95% CI: 1.49, 1.85) in the adjusted Cox model and 1.95 (95% CI: 1.53, 2.48) in the sibling\u2010matched analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Exposure to preeclampsia or preeclampsia\/SGA (i.e. SGA baby exposed to preeclampsia) was associated with ASD. The stronger association with preeclampsia\/SGA than preeclampsia alone suggests that placental pathology may be a mechanism for the increased likelihood of ASD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpp.13127","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T01:38:27Z","timestamp":1568770707000},"page":"131-139","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Association between preeclampsia and autism spectrum disorder: a population\u2010based study"],"prefix":"10.1111","volume":"61","author":[{"given":"Gillian M.","family":"Maher","sequence":"first","affiliation":[{"name":"INFANT Research Centre Cork Ireland"},{"name":"School of Public Health, Western Gateway Building University College Cork Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerard W.","family":"O'Keeffe","sequence":"additional","affiliation":[{"name":"INFANT 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C.","family":"Kenny","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Institute of Translational Medicine Faculty of Health and Life Sciences University of Liverpool Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali S.","family":"Khashan","sequence":"additional","affiliation":[{"name":"INFANT Research Centre Cork Ireland"},{"name":"School of Public Health, Western Gateway Building University College Cork Cork 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