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. 2021 Nov 22;25(2):54–62. doi: 10.1136/ebmental-2021-300311

Table 3.

HRs and 95% CIs comparing the risk for ASD in exposed and unexposed children by timing and type of antipsychotic exposure

Number with ASD/N Person-years at risk Hazard ratio (95% CI)
Crude Model 1* Model 2†
Antipsychotic exposure
 Unexposed 38436/4 308 620 41 982 697 1.00 (Reference) 1.00 (Reference) 1.00 (Reference)
 Exposed anytime during pregnancy 238/15 466 131 029 2.12 (1.86 to 2.41) 2.11 (1.86 to 2.40) 1.12 (0.97 to 1.29)
Timing of antipsychotic exposure
 First trimester only 105/6478 56 420 2.14 (1.76 to 2.59) 1.96 (1.62 to 2.38) 1.19 (0.97 to 1.44)
 Second/third trimester only 47/3349 28 781 1.96 (1.47 to 2.61) 2.11 (1.58 to 2.80) 1.11 (0.83 to 1.48)
 First trimester and second/third trimester 86/5639 45 826 2.24 (1.80 to 2.78) 2.35 (1.90 to 2.91) 1.04 (0.82 to 1.30)
Type of antipsychotic exposure
 Typical antipsychotics only 113/6896 75 823 1.60 (1.33 to 1.93) 1.66 (1.38 to 2.00) 1.06 (0.87 to 1.28)
 Atypical antipsychotics only 110/7752 48 166 3.09 (2.56 to 3.73) 2.91 (2.41 to 3.52) 1.26 (1.03 to 1.54)

*Adjusted for source country, birth year, sex of child, maternal age, and parity.

†Adjusted for source country, birth year, sex of child, maternal age, parity, maternal education, cohabitation, mother born within source country, BMI, smoking, maternal comorbidity, use of known teratogens, use of suspected teratogens, other medications during pregnancy.

ASD, autism spectrum disorder; BMI, body mass index; CI, confidence interval; HR, hazard ratio.