Table 1.
The contributions of the environmental factors to ASD development
| Environmental factors | Odds ratio [OR]/Hazard ratios (HR)/Confidence interval [CI] | Increased risk for ASD | Reference |
|---|---|---|---|
| Obesity | OR 1.36, 95% CI 1.08-1.70 | 36% | [16] |
| Maternal diabetes | OR 1.48, 95% CI 1.26-1.75 | 62% | [9] |
| Maternal gestational diabetes mellitus | OR 1.63, 95% CI 1.35-1.97 | 42% | [9] |
| Polycystic ovary syndrome (POS) | OR 1.59, CI 95% 1.34-1.88 | 59% | [17,18] |
| Maternal antidepressant (selective serotonin reuptake inhibitors) | HR 2.17; 95% CI, 1.20-3.93 | N/D | [19] |
| Maternal depression | HR 1.75; 95% CI, 1.03-2.97 | 87% | [20] |
| Maternal hypertension | OR 1.35, 95% CI 1.11-1.64 | 35% | [20] |
| Maternal infection | OR 1.13, 95% CI=1.03-1.23 | 30% | [21] |
| Maternal dichlorodiphenyl dichloroethylene (p,p’-DDE) exposure | OR 2.21, 95% CI 1.32-3.69 | N/D | [22] |
| Prenatal exposure to organophosphate (dialkyl phosphates) | OR 2.0, 95% CI 1.1-3.6 | 60% | [23] |
| In vitro fertilization | OR 1.14, 95% CI 0.94-1.39 | N/D | [24] |
All the analyses were performed using SAS statistical software (SAS Institute Inc., Cary, NC, USA). The distribution of the characteristics of the pregnancy factors was calculated based on the autism and maternal statuses using two-tailed independent sample t-tests of continuous testing and the chi-square tests of the categorical variables. The association between maternal status and ASD was determined using a multivariate logistic regression model to evaluate the odds ratio (OR) and the 95% confidence interval (CI). N/D-Not Defined.