Table 2.
Odds ratios (with 95 % confidence interval) for substance use-related problems in ASD probands compared to matched non-ASD controls
| Substance-related problem | Bivariate analysis | Multivariate analysisa | ||||||
|---|---|---|---|---|---|---|---|---|
| Comorbidity | Comorbidity | |||||||
| None | ADHD | ID | ADHD + ID | None | ADHD | ID | ADHD + ID | |
| Crude OR (95 % CI) | Crude OR (95 % CI) | Crude OR (95 % CI) | Crude OR (95 % CI) | Adjusted OR (95 % CI) | Adjusted OR (95 % CI) | Adjusted OR (95 % CI) | Adjusted OR (95 % CI) | |
| Any problem | 2.6 (2.4–2.9)*** | 8.3 (7.4–9.2)*** | 1.1 (0.9–1.3) | 4.6 (3.7–5.8)*** | 2.2 (2.0-2.4)*** | 5.0 (4.5–5.6)*** | 1.0 (0.8–1.2) | 3.3 (2.7–4.1)*** |
| Substance use disorder | 4.0 (3.6–4.5)*** | 12.4 (11.0-13.8)*** | 1.8 (1.4–2.2)*** | 7.4 (5.9–9.4)*** | 3.2 (2.9–3.6)*** | 7.2 (6.4–8.1)*** | 1.6 (1.3-2.0)*** | 5.3 (4.2–6.7)*** |
| Alcohol | 3.3 (2.9–3.8)*** | 8.2 (7.1–9.5)*** | 1.6 (1.2–2.1)*** | 6.1 (4.6–8.1)*** | 2.7 (2.4–3.1)*** | 5.0 (4.3–5.6)*** | 1.5 (1.2–1.9)** | 4.6 (3.5–6.1)*** |
| Drugs | 6.0 (5.2-7.0)*** | 23.6 (20.3–27.3)*** | 2.5 (1.8–3.4)*** | 10.7 (7.9–14.6)*** | 4.4 (3.7–5.1)*** | 11.7 (10.0-13.7)*** | 2.2 (1.6-3.0)*** | 7.0 (5.1–9.6)*** |
| Tobacco | 2.4 (0.7–7.6) | 15.8 (7.7–32.3)*** | 5.8 (1.7–19.1)*** | 3.8 (0.5–29.4) | 2.0 (0.6–6.3) | 7.4 (3.4–16.1)*** | 5.4 (1.6–17.7)** | 2.8 (0.4–22.1) |
| Crime | 1.0 (0.8–1.2) | 4.0 (3.3–4.8)*** | 0.2 (0.1–0.4)*** | 1.4 (0.9–2.3) | 0.9 (0.7–1.1) | 2.6 (2.2–3.1)*** | 0.2 (0.1–0.3)*** | 1.1 (0.7–1.7) |
| Death | 3.2 (1.0-10.3) | 5.3 (1.2–22.6)* | –b | 7.1 (0.9–58.1) | 2.5 (0.8–8.2) | –b | –b | –b |
| Somatic disease | 3.6 (0.9–15.0) | 2.9 (0.4–22.1) | 10.0 (2.2–45.6)** | 25.0 (4.6 − 136.5)*** | 2.9 (0.7–12.3) | –b | –b | –b |
Results stratified by comorbidity
ADHD attention deficit hyperactivity disorder, ID intellectual disability
*p value <0.05;**p value <0.01; ***p value <0.001
aAdjustment for parental education, family income and substance use disorder prior to ASD diagnosis
bOR and 95 % CI were not calculable due to no observations