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. 2019 Mar 1;143(3):e20183144. doi: 10.1542/peds.2018-3144

TABLE 1.

Association Between Maternal Serum Cotinine (Log-Transformed and 3-Class Categorical Variables) and Offspring ADHD

Patient Control Association With Maternal Serum Cotinine
OR 95% CI P
Maternal cotinine levels (ng/mL), median 27.4 11.3
Log-transformed analysis
 Unadjusted 1.14 1.11–1.17 <.001
 Model 1a 1.09 1.06–1.13 <.001
 Model 2b 1.10 1.06–1.13 <.001
Categorical analysis
 Unadjusted
  Reference, n (%)c 777 (72.0) 936 (86.8)
  Moderated 84 (7.8%) 54 (5.0%) 1.92 1.33–2.77 <.001
  Heavy exposuree 218 (20.2%) 89 (8.2%) 2.95 2.25–3.88 <.001
 Model 1a
  Moderate exposured 1.27 0.84–1.92 .25
  Heavy exposuree 2.21 1.64–2.99 <.001
 Model 2b
  Moderate exposured 1.31 0.87–1.96 .20
  Heavy exposuree 2.27 1.69–3.07 <.001

—, not applicable.

a

Model 1: adjusted for BWGA, maternal SES, maternal age, maternal psychopathology, maternal substance abuse, paternal age, and paternal psychopathology.

b

Model 2: adjusted for BWGA, maternal SES, maternal age, maternal psychopathology, maternal substance abuse, and paternal age.

c

Reference: <20 ng/mL.

d

Moderate exposure: 20–50 ng/mL.

e

Heavy exposure: >50 ng/mL.