Maternal smoking during pregnancy and failure of the georgia first grade criterion-referenced competency test

Jia Feng, Michael R. Kramer, Bridget V. Dever, Anne L. Dunlop, Bryan Williams, Lucky Jain

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background Maternal smoking during pregnancy (MSDP) has been reported to be associated with impaired measures of cognitive function, but it remains unclear whether exposure to MSDP has an impact upon offspring school performance. We examined the association between MSDP and failure of the Criterion-Referenced Competency Tests (CRCT) among Georgia first grade students. Methods A retrospective cohort was created by deterministically linking 331 531 children born in Georgia from 1998 to 2002 (inclusive) to their individual CRCT education records from 2005 to 2009. We evaluated the association between MSDP (yes/no) and failure of the CRCT Reading, English/Language Arts (ELA), and Mathematics tests, with adjustment for maternal and child sociodemographic characteristics and birth outcomes. Log-binomial models estimated the risk ratios and 95% confidence intervals. Conditional models were fitted to paired sibling data. Results MSDP was associated with CRCT failure with an adjusted risk ratios for Reading: 1.16 [95% CI 1.12, 1.21]; ELA: 1.12 [95%CI 1.10, 1.15]; and Mathematics: 1.13 [95%CI 1.10, 1.16]. The association remained significant in paired sibling analyses. Conclusions MSDP may have independent long-term effects on offspring school performance, which does not appear to be through smoking-related adverse birth outcomes.

Original languageEnglish (US)
Pages (from-to)275-282
Number of pages8
JournalPaediatric and Perinatal Epidemiology
Volume27
Issue number3
DOIs
StatePublished - May 1 2013
Externally publishedYes

Keywords

  • Tobacco smoking
  • intelligence
  • postnatal development
  • pregnancy
  • schools

ASJC Scopus subject areas

  • Epidemiology
  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Maternal smoking during pregnancy and failure of the georgia first grade criterion-referenced competency test'. Together they form a unique fingerprint.

  • Cite this