Maternal use of hormonal contraception and risk of childhood autism spectrum disorders: A Parental Exposures and Child Health (PECH) cohort study

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  • Marie Hargreave
  • Andrea H. Jezek
  • Caroline H. Hemmingsen
  • Elisabeth AW Andersen
  • Pagsberg, Anne Katrine
  • Teresa Holmberg
  • Lina S. Mørch
  • Susanne K. Kjær

A recent hypothesis suggests that maternal hormonal contraception use has contributed to the increasing incidence of autism spectrum disorders (ASD). We used a nationwide population-based cohort (the PECH cohort) including 1,056,149 Danish children born in the period January 1, 1998, to December 31, 2014, to assess associations between maternal hormonal contraception use and childhood ASD (end of follow-up: December 31, 2017). Maternal hormonal contraception use was grouped as “recent use” (≤ 3 months before pregnancy start or during pregnancy), “previous use” (>3 months before pregnancy start) and “never use”, except for few products. Incidence rate ratios (IRRs) were estimated using Poisson regression. During follow-up of nearly 12 million person-years, 19,996 children were diagnosed with ASD. A slightly higher IRR was observed for maternal recent use of any hormonal contraception, compared to previous use. This association was largely driven by the non-oral progestin-only products, and associations were especially seen for infantile autism and other/unspecified ASD. An increased IRR of infantile autism was also observed for recent use of the oral progestin-only products, compared to previous use. Our results suggest that maternal use of hormonal contraception may be associated with ASD risk in children, especially for the progestin-only products.

Original languageEnglish
Article number115695
JournalPsychiatry Research
Volume332
Number of pages7
ISSN0165-1781
DOIs
Publication statusPublished - 2024

Bibliographical note

Publisher Copyright:
© 2023 Elsevier B.V.

    Research areas

  • ASD, Children, Cohort study, Denmark, Drugs in pregnancy, Epidemiology, Parental exposure

ID: 379160577