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Interrelations Between Maternal Smoking During Pregnancy, Birth Weight and Sociodemographic Factors in the Prediction
S C J Huijbregts1, J R Séguin2, P D Zelazo3
1Department of Clinical Child and Adolescent Studies, Leiden University, The Netherlands.
Insights
Maternal prenatal smoking and birth weight impact children's cognitive abilities. Birth weight, particularly in lower socioeconomic conditions, showed a stronger influence on cognitive development than prenatal smoking.
Area of Science:
- Child Development
- Cognitive Psychology
- Public Health
Background:
- Maternal prenatal smoking and birth weight are potential influences on child cognitive development.
- Sociodemographic factors may moderate these relationships.
Purpose of the Study:
- To investigate the relationship between maternal prenatal smoking, birth weight, sociodemographic factors, and cognitive abilities in 3.5-year-old children.
- To explore moderating and mediating effects in these associations.
Main Methods:
- Utilized data from 1544 children in the Québec Longitudinal Study of Children's Development.
- Assessed cognitive abilities using the Peabody Picture Vocabulary Test (PPVT) for verbal skills, Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) block design for visuospatial skills, and Visually Cued Recall (VCR) for short-term memory.
Main Results:
- Prenatal smoking showed associations with cognitive performance but was not an independent predictor after accounting for maternal education.
- Birth weight was a robust predictor across all cognitive measures, independently predicting VCR performance.
- Birth weight interacted with family income and maternal education, with greater impact under poorer socioeconomic conditions. Parenting and family functioning mediated effects of education/income on cognition, especially with lower birth weight.
Conclusions:
- Birth weight, especially in conjunction with socioeconomic factors, plays a significant role in early cognitive development.
- Understanding moderating and mediating factors like socioeconomic status and family functioning is crucial for identifying at-risk children and designing targeted interventions.
Abstract:
Maternal prenatal smoking, birth weight and sociodemographic factors were investigated in relation to cognitive abilities of 1544 children (aged 3.5 years) participating in the Québec Longitudinal Study of Children's Development. The Peabody Picture Vocabulary Test (PPVT) was used to assess verbal ability, the Wechsler Preschool and Primary Scale of Intelligence-Revised (WPPSI-R) block design test to assess visuospatial ability, and the Visually Cued Recall (VCR) task to assess short-term memory. Prenatal smoking was related to performance on the WPPSI-R, the PPVT, and the VCR, although it did not independently predict any cognitive ability after maternal education was taken into account. Birth weight was a more robust predictor of all outcome measures and independently predicted VCR-performance. Birth weight interacted significantly with family income and maternal education in predicting visuospatial ability, indicating a greater influence of birth weight under relatively poor socio-economic conditions. Parenting and family functioning mediated associations between maternal education/family income and cognitive task performance under different birth weight conditions, although there were indications for stronger effects under relatively low birth weight. We conclude that investigations of moderating and mediating effects can provide insights into which children are most at risk of cognitive impairment and might benefit most from interventions.
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