Objective: Prenatal alcohol and tobacco exposure continue to impact a significant portion of the US population every year. Differences in neighborhood environment may be a contributing factor. The current study examines whether prenatal alcohol and tobacco exposure differ by neighborhood environment.
Methods: We utilized neighborhood environment data linked to a US based, nationally representative cohort of adolescents (N = 8731 (47.2% female); Age: = 118.6 months, = 7.4 months).
Results: Lower neighborhood deprivation, less air pollution, higher lead risk and perceived neighborhood safety were associated with prenatal alcohol exposure, while higher neighborhood deprivation and lower perceived neighborhood safety were associated with prenatal tobacco exposure.
Conclusions: Neighborhood environments differ between prenatal alcohol exposed children and unexposed children, as well as between prenatal tobacco exposed children and unexposed children. Future research should consider the cumulative and interactive effects of prenatal exposure to alcohol and tobacco and neighborhood environment.
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http://dx.doi.org/10.15288/jsad.24-00083 | DOI Listing |
J Stud Alcohol Drugs
January 2025
Joe C. Wen School of Population & Public Health, University of California, Irvine. UCI Health Sciences Complex, 856 Health Sciences Quad, University of California, Irvine, Irvine, CA 92697-3957.
Objective: Prenatal alcohol and tobacco exposure continue to impact a significant portion of the US population every year. Differences in neighborhood environment may be a contributing factor. The current study examines whether prenatal alcohol and tobacco exposure differ by neighborhood environment.
View Article and Find Full Text PDFBackground: Fetal Alcohol Spectrum Disorders (FASD) describes a wide range of neurological defects and craniofacial malformations associated with prenatal ethanol exposure. While there is growing evidence for a genetic component to FASD, little is known of the cellular mechanisms underlying these ethanol-sensitive loci in facial development. Endoderm morphogenesis to form lateral protrusions called pouches is one key mechanism in facial development.
View Article and Find Full Text PDFDrug Alcohol Depend
December 2024
School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, USA.
Background: The potential risks of prenatal cannabis use may vary depending on how cannabis is administered, but little is known about modes of prenatal cannabis use. This study characterized prevalence and sociodemographic correlates of modes of prenatal cannabis use in California.
Methods: This cross-sectional study included patients with pregnancies between January 1, 2021 and December 31, 2022 in a large healthcare system (3507 pregnancies [3454 individuals]) who self-reported prenatal cannabis use and mode of use (smoke, vape, edibles, dabs, and topicals) during universal screening at entrance to prenatal care.
J Addict Med
November 2024
From the National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD (AA); Department of Obstetrics, Gynecology, and Reproductive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY (ML, HP); and Department of Psychology, Stony Brook University, Stony Brook, NY (ML, CH, HP).
Introduction: There is an urgent need to improve the identification of psychosocial vulnerabilities in clinical practice (eg, stress, unstable living conditions) and examine their contribution to prenatal substance use, especially for legal substances such as alcohol, tobacco, and recently, cannabis.
Methods: We conducted a retrospective chart review of 1842 patients who completed the PROMOTE screening instrument during their first prenatal visit to outpatient clinics of a New York State health system in 6/2019-11/2020. The PROMOTE includes 18 core items to assess psychosocial vulnerabilities including the NIDA Quick Screen assessing past year substance use.
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