Evidence map›Paper›PMID 32555596›Full record

ArticlePloS one2020

Attention-deficit/hyperactivity disorder and smoking habits in pregnant women.

Anneli Andersson, Tor-Arne Hegvik, Qi Chen, Mina A Rosenqvist, Liv Grimstvedt Kvalvik, Catarina Almqvist, Brian M D'Onofrio, Catharina Hartman, Kari Klungsøyr, Jan Haavik and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 4 countries.

Anneli AnderssonSchool of Medical Sciences, Orebro University, Orebro, Sweden.ORCID 0000-0002-9375-6303
Tor-Arne HegvikDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Qi ChenDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Mina A RosenqvistDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Liv Grimstvedt KvalvikDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Catarina AlmqvistDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Brian M D'OnofrioDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Catharina HartmanDepartment of Psychiatry, University of Groningen University Medical Center, Groningen, The Netherlands.
Kari KlungsøyrDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Jan HaavikDepartment of Biomedicine, University of Bergen, Bergen, Norway.
Catherine TuvbladSchool of Psychology, Law and Social Work, Orebro University, Orebro, Sweden.
Henrik LarssonSchool of Medical Sciences, Orebro University, Orebro, Sweden.
Karolinska Institutet · SEÖrebro University · SEHaukeland University Hospital · NOKarolinska University Hospital · SENorwegian Institute of Public Health · NOUniversity Medical Center Groningen · NLUniversity of Bergen · NOUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention-deficit/hyperactivity disorder (ADHD) has been associated with an increased risk of tobacco smoking, and more difficulties with smoking cessation compared to non-ADHD individuals. Women with ADHD may therefore show elevated rates of smoking during pregnancy.

aimsTo examine the association between ADHD and smoking habits among pregnant women in Sweden and Norway.

methodsWomen pregnant for the first time were identified in Sweden (n = 622,037), and Norway (n = 293,383), of which 1.2% (n = 7,444), and 1.7% (n = 4,951) were defined as having ADHD, respectively. Data on smoking habits were collected early and late in pregnancy.

resultsIn Sweden, ADHD was associated with an increased risk of smoking early in pregnancy, adjusted risk ratio (adjRR) 2.69 (95% confidence interval, 2.58-2.81), and late in pregnancy, adjRR 2.95 (2.80-3.10). Similar findings were observed in the Norwegian data, early in pregnancy, adjRR 2.31 (2.21-2.40), and late in pregnancy, adjRR 2.56 (2.42-2.70). Women with ADHD were more likely to continue smoking during pregnancy, compared to women without ADHD, both in Sweden adjRR 1.13 (1.10-1.17), and in Norway, adjRR 1.16 (1.12-1.20). Having a sibling diagnosed with ADHD was associated with an increased risk of smoking early and late in pregnancy, in both Sweden and Norway.

conclusionsWomen with ADHD are considerably more likely to smoke early and late in (their first) pregnancy and are less likely to stop smoking between the two time points. Smoking, early and late in pregnancy, co-aggregates in families with ADHD. Smoking prevention and intervention programs should be targeted towards women with ADHD, specifically during their childbearing years, to ensure better mother and child outcomes.

Indexed as

Attention Deficit Disorder with HyperactivityCohort StudiesFemaleHumansNorwayPregnancyPregnancy Trimester, FirstPregnancy Trimester, ThirdRisk FactorsSiblingsSmoking CessationSwedenTobacco Smoking

Identifiers

PMID32555596
PMCPMC7302708
OpenAlexW3036331801

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.