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. 2023 Oct 16;28(9):3760–3768. doi: 10.1038/s41380-023-02284-9

Table 3.

Individual associations between early-life factors and (i) maternal 8-OHGua during pregnancy and (ii) child total EBP in early childhood.

Maternal OS Biomarker Child Total EBP
8-OHGua, ng/mL 2 years 4 years
Key early-life factors β (95% CI)* P β (95% CI) P β (95% CI) P
Sociodemographic
  Maternal age (<25 years) 0.11 (−0.23, 0.44) 0.53 6.31 (2.87, 9.74) <0.001 2.27 (0.78, 3.75) 0.003
  Maternal education (lower)a 0.17 (0.02, 0.32) 0.02 1.46 (0.09, 2.83) 0.04 1.40 (0.74, 2.06) <0.001
  Household income, $10,000 AUDb 0.04 (−0.04, 0.11) 0.37 1.84 (1.14, 2.54) <0.001 0.89 (0.56, 1.22) <0.001
  Residential SED (lowest tertile)c 0.22 (0.06, 0.38) 0.01 0.89 (−0.63, 2.42) 0.25 0.80 (0.08, 1.52) 0.03
Household composition
  Single-parent family −0.37 (−0.92, 0.19) 0.20 3.88 (0.31, 7.46) 0.03 3.81 (1.76, 5.86) <0.001
  Multiparity −0.06 (−0.21, 0.08) 0.40 −1.48 (−2.81, −0.14) 0.03 −1.28 (−1.91, −0.64) <0.001
Prenatal
  Gestational age, weeks 0.07 (0.01, 0.14) 0.02 0.01 (−0.46, 0.49) 0.96 −0.05 (−0.28, 0.18) 0.67
  Perceived stress, score −0.001 (−0.01, 0.02) 0.97 0.31 (0.20, 0.41) <0.001 0.15 (0.10, 0.21) <0.001
  Prescription medication use 0.16 (0.01, 0.30) 0.04 −0.04 (−1.39, 1.32) 0.96 0.85 (0.20, 1.49) 0.01
  Tobacco smoking 0.31 (0.09, 0.53) 0.006 3.36 (1.28, 5.43) 0.002 1.39 (0.38, 2.40) 0.007
  SHS exposure 0.19 (0.003, 0.38) 0.05 1.95 (−0.08, 3.97) 0.06 1.59 (0.62, 2.56) 0.001
  Air freshener use 0.13 (−0.02, 0.29) 0.10 1.94 (0.32, 3.55) 0.02 1.17 (0.41, 1.94) 0.003
  Paint use −0.21 (−0.38, −0.03) 0.02 0.89 (−0.82, 2.6) 0.31 0.38 (−0.47, 1.22) 0.38
  Herbicide use (weed killer) −0.22 (−0.42, −0.01) 0.04 −0.56 (−2.31, 1.19) 0.53 0.01 (−0.89, 0.91) 0.98

For an extension of associations between early-life factors and maternal OS biomarkers and childhood EBP, see Supplementary Materials Table S4.

8-OHGua 8-hydroxyguanosine, AUD Australian dollars, CI confidence interval, EBP emotional and behavioural problems, ng/mL per 1 nanogram per millilitre, OS oxidative stress, SED socioeconomic disadvantage, SHS secondhand smoke.

*Minimally adjusted for child’s sex and gestational age at the time of urine collection.

Minimally adjusted for child’s sex and time of behavioural assessment.

aMaternal education level (lower indicates no university degree).

bHousehold income (by $10,000 AUD) was standardised to have a mean of 0 and SD of 1.

cResidential SED (lowest tertile indicates greater disadvantage).