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Pre- and postnatal tobacco and cannabis exposure and child behavior problems: Bidirectional associations, joint
Rina D Eiden1, Junru Zhao1, Meghan Casey1
1Research Institute on Addictions, University at Buffalo, State University of New York.
Insights
Prenatal tobacco exposure impacts girls' behavior more, while maternal cannabis use and child behavior problems show a two-way link over time. This research highlights substance use effects on child development.
Area of Science:
- Developmental Psychology
- Maternal and Child Health
- Neuroscience
Background:
- Prenatal and postnatal substance exposure can impact child development.
- Understanding the joint effects of tobacco and cannabis is crucial.
- Bidirectional relationships between maternal substance use and child behavior require further investigation.
Purpose of the Study:
- To examine associations between prenatal/postnatal tobacco and cannabis exposure and child behavior problems.
- To investigate sex differences in these associations.
- To explore bidirectional links between maternal postnatal substance use and child behavior.
Main Methods:
- Prospective study of 247 mother-child dyads.
- Assessment of maternal substance use (tobacco, cannabis) and child behavior problems from pregnancy to 3 years.
- Analysis of prenatal exposure, postnatal substance use, and child behavior outcomes.
Main Results:
- Prenatal tobacco exposure was linked to higher internalizing, attention, and sleep problems in girls.
- Higher maternal cigarette consumption during pregnancy showed stronger associations with anxiety/depression and attention problems in girls.
- Bidirectional associations were found between child behavior problems and maternal postnatal cannabis use.
Conclusions:
- Prenatal tobacco exposure has a more pronounced effect on girls' behavior problems.
- Maternal substance use and child behavior problems can influence each other over time.
- Findings emphasize the need to consider joint substance exposures and bidirectional effects in research and interventions.
Aims:
We examined prospective associations between pre-and-postnatal tobacco and cannabis exposure on child behavior problems from 2 to 3 years of child age, sex differences in these associations, and bidirectional associations between maternal postnatal substance use and child behavior problems across time.
Methods:
The sample consisted of 247 primarily young, unmarried, low-income, minority mothers and their children (97 prenatally exposed to tobacco and cannabis, 81 exposed to tobacco only, and 69 non-exposed). Mothers were assessed during each trimester of pregnancy, at 2, 9, 16 months, 2 and 3 years of child age.
Results:
Bivariate results indicated significant differences mainly for girls. Girls in the prenatal tobacco exposure group had higher internalizing problems compared to the other two groups, and higher attention and sleep problems at 3 years compared to the control group. Higher number of cigarettes per day during pregnancy was significantly associated with higher anxiety/depression and higher attention problems at 3 years, and the associations were stronger for girls compared to boys. In model testing controlling for prenatal exposure, results indicated bidirectional associations between behavior problems at 2 years and maternal postnatal cannabis use, such that higher cannabis use across the infant toddler period predicted higher behavior problems at 2 years, which in turn predicted higher cannabis use a year later.
Conclusions:
Results add to the literature on joint effects of tobacco and cannabis, highlight the importance of considering bidirectional associations between maternal substance use and child behavior problems, and indicate generally stronger prenatal tobacco exposure effects for girls.
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