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. 2024 Sep 23;7(9):e2435005. doi: 10.1001/jamanetworkopen.2024.35005

Table 1. COMBO Electronic Health Record Cohort Characteristicsa.

Variable Overall sample, No. (%) (N = 1664) Born before vs during pandemic SARS-CoV-2 unexposed vs exposed
Participants, No. (%) Test statistic P value Participants, No. (%) Test statistic P value
Before pandemic (n = 442) During pandemic (n = 1222) Unexposed (n = 997) Exposed (n = 130)
Maternal characteristics
Age at delivery, median (range), y 30 (16-56) 31 (16-56) 30 (17-55) 296 990b .002 30 (17-55) 28 (17-43) 70 947b .08
Insurance
Commercial 419 (25.18) 167 (37.78) 252 (20.62) 49.83c <.001 213 (21.36) 24 (18.46) 0.42c .52
Medicaid 1245 (74.82) 275 (62.22) 970 (79.38) 784 (78.64) 106 (81.54)
Raced
American Indian/Alaska Native 8 (0.48) 2 (0.45) 6 (0.49) 3 (0.30) 1 (0.77)
Asian 65 (3.91) 30 (6.79) 35 (2.86) 597.91c <.001 33 (3.31) 2 (1.54) 8.63c .12
Black or African American 266 (15.99) 71 (16.06) 195 (15.96) 166 (16.65) 18 (13.85)
Native Hawaiian or other Pacific Islander 0 0 0 0 0
White 400 (24.04) 156 (35.29) 244 (19.97) 200 (20.06) 21 (16.15)
Other combinations not described 608 (36.54) 30 (6.79) 578 (47.30) 460 (46.14) 76 (58.46)
Declined 180 (10.82) 16 (3.62) 164 (13.42) 135 (13.54) 12 (9.23)
Unknown 137 (8.23) 137 (31.00) 0 0 0
Ethnicity
Hispanic or Latino/a/x or Spanish 991 (59.56) 144 (32.58) 847 (69.31) 596.41c <.001 669 (67.10) 105 (80.77) 12.31c .002
Not Hispanic or Latino/a/x or Spanish 398 (23.92) 114 (25.79) 284 (23.24) 247 (24.77) 23 (17.69)
Declined 95 (5.71) 4 (0.90) 91 (7.45) 81 (8.12) 2 (1.54)
Unknown 180 (10.82) 180 (40.72) 0 0 0
Infant characteristics
Age at M-CHAT-R, median (range), mo 23.15 (16.03-30.00) 24.48 (16.26-30.00) 21.42 (16.03-30.00) 383 466b <.001 21.42 (16.03-30.00) 23.36 (16.13-28.65) 57 762b .04
Gestational age at birth, median (range), wk 39.00 (23.00-41.57) 39.00 (23.00-41.29) 39.14 (23.86-41.57) 249 410b .02 39.14 (24.14-41.57) 39.00 (24.71-41.29) 68 099b .35
Preterm birth (<37 wk) 204 (12.26) 43 (9.73) 161 (13.18) 3.27c .07 125 (12.54) 20 (15.38) 0.60c .44
Sex
Female 784 (47.12) 184 (41.63) 600 (49.10) 6.97c .01 490 (49.15) 65 (50.00) 0.01c .93
Male 880 (52.88) 258 (58.37) 622 (50.90) 507 (50.85) 65 (50.00)
a

All statistical tests were 2-sided.

b

Mann-Whitney U test (U) for continuous variables.

c

Comparisons performed using χ2 test for categorical variables.

d

Maternal race categories are drawn verbatim from electronic health records.