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. Author manuscript; available in PMC: 2021 Jul 16.
Published in final edited form as: Paediatr Perinat Epidemiol. 2019 Aug 25;34(3):247–256. doi: 10.1111/ppe.12568

TABLE 4.

Associations between timing of paracetamol exposure and communication and behavioural problems in preschool-aged children

Communication and behavioural problemsa Total n Percentage with outcome Unadjusted RR (95% CI) Adjusted RR (95% CI)
Communication problems
 Paracetamol use in 1st trimester No 23 706 7.4 1.00 (Reference) 1.00 (Reference)
Yes 8383 7.6 1.03 (0.94, 1.12) 0.98 (0.88, 1.08)
 Paracetamol use in 2nd/3rd trimesterb No 17 317 7.4 1.00 (Reference) 1.00 (Reference)
Yes 6389 7.4 1.00 (0.90, 1.10) 0.97 (0.86, 1.10)
Externalising problems
 Paracetamol use in 1st trimester No 23 632 9.7 1.00 (Reference) 1.00 (Reference)
Yes 8352 10.3 1.06 (0.99, 1.14) 0.99 (0.91, 1.08)
 Paracetamol use in 2nd/3rd trimesterb No 17 283 9.4 1.00 (Reference) 1.00 (Reference)
Yes 6349 10.5 1.12 (1.02, 1.21) 1.09 (0.98, 1.20)
Internalising problems
 Paracetamol use in 1st trimester No 23 859 10.0 1.00 (Reference) 1.00 (Reference)
Yes 8411 11.1 1.10 (1.02, 1.19) 0.99 (0.91, 1.07)
 Paracetamol use in 2nd/3rdtrimesterb No 17 446 9.8 1.00 (Reference) 1.00 (Reference)
Yes 6413 10.5 1.06 (0.98, 1.16) 1.05 (0.95, 1.16)

Note: Adjusted estimates are weighted with combined weights (IPTW × IPCW).

Abbreviations: RR, relative risk; CI, confidence interval.

a

Communication skills were assessed by the ASQ and behaviour problems by the CBCL.

b

Paracetamol use in 2nd and/or 3rd trimester, but not in 1st trimester.