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dc.contributor.authorBetts, Kim S
dc.contributor.authorKisely, Steve
dc.contributor.authorAlati, Rosa
dc.date.accessioned2021-07-08T04:06:32Z
dc.date.available2021-07-08T04:06:32Z
dc.date.issued2021
dc.identifier.issn0965-2140
dc.identifier.doi10.1111/add.15629
dc.identifier.urihttp://hdl.handle.net/10072/405834
dc.description.abstractBACKGROUND AND AIMS: Cannabis use is increasing among women of reproductive age, warranting a greater understanding of the impact of prenatal cannabis use on offspring developmental outcomes. We tested for a potential relationship between prenatal cannabis use disorders (CUD) and offspring educational outcomes across primary and secondary school. DESIGN: Data were drawn from the New South Wales (NSW) Perinatal Data Collection, which included all live births in the Australian state of NSW between January 2003 and December 2005. These were linked with the NSW Admitted Patient Data collection for mothers and offspring, and the NSW National Assessment Program - Literacy and Numeracy (NAPLAN). SETTING: New South Wales, Australia. PARTICIPANTS: A total of 189,558 offspring who completed the NAPLAN in grades 3, 5 and 7 (resulting in 568,674 examination periods). MEASUREMENTS: The exposure variable was ICD-10 Cannabis Use Disorders (CUD: F13.0-F13.9). The study included five outcome variables measured at three time points, as not meeting the minimum national standards for: (i) numeracy, (ii) reading, (iii) spelling, (iv) writing, and (v) grammar and punctuation. FINDINGS: In unadjusted analyses, prenatal CUD was associated with an increased risk for not meeting the national minimum standard of all outcomes [odds ratios (OR) ranging from 3.42 (95% confidence interval (CI)=2.94, 3.99) to 4.17 (95% CI=3.55, 4.91)], with no evidence for an interaction across time. However, the associations attenuated greatly after exact matching by covariates, with reading and numeracy no longer associated with prenatal CUD, while the increased risk of the other outcomes ranged OR=1.31 (95% CI=1.09, 1.57) to OR=1.40 (95% CI=1.17, 1.68). CONCLUSION: Socioeconomic status appears to confound the association between prenatal cannabis use disorder and poor educational performance in offspring.
dc.description.peerreviewedYes
dc.languageeng
dc.publisherWiley
dc.relation.ispartofjournalAddiction
dc.subject.fieldofresearchPaediatrics and Reproductive Medicine
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchSecondary Education
dc.subject.fieldofresearchPrimary Education (excl. Maori)
dc.subject.fieldofresearchEducation Systems
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode1114
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode130106
dc.subject.fieldofresearchcode130105
dc.subject.fieldofresearchcode1301
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.subject.keywordsPrenatal cannabis use
dc.subject.keywordshealth administrative data
dc.subject.keywordslongitudinal data
dc.subject.keywordsoffspring educational outcomes
dc.titlePrenatal cannabis use disorders and offspring primary and secondary educational outcomes
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationBetts, KS; Kisely, S; Alati, R, Prenatal cannabis use disorders and offspring primary and secondary educational outcomes, Addiction, 2021
dcterms.dateAccepted2021-06-16
dc.date.updated2021-07-08T03:49:06Z
dc.description.versionAccepted Manuscript (AM)
gro.description.notepublicThis publication has been entered as an advanced online version in Griffith Research Online.
gro.rights.copyright© 2021 Society for the Study of Addiction. This is the peer reviewed version of the following article: Prenatal cannabis use disorders and offspring primary and secondary educational outcomes, Addiction, 2021, which has been published in final form at https://doi.org/10.1111/add.15629. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
gro.hasfulltextFull Text
gro.griffith.authorKisely, Steve R.


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