Ayesha C. Sujan
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View article: Prescribed opioid analgesic use in pregnancy and risk of neurodevelopmental disorders in children: A retrospective study in Sweden
Prescribed opioid analgesic use in pregnancy and risk of neurodevelopmental disorders in children: A retrospective study in Sweden Open
Background The extent to which the documented association between prenatal prescribed opioid analgesic (POA) exposure and neurodevelopmental disorders in children is causal or due to confounding is unknown. The objective of this study was …
View article: Country of Birth, Race, Ethnicity, and Prenatal Depression
Country of Birth, Race, Ethnicity, and Prenatal Depression Open
Importance Non–US-born pregnant individuals have demonstrated better perinatal outcomes compared with their US-born counterparts, yet limited literature has explored this association among mental health conditions in pregnancy and across r…
View article: Psychosocial mechanisms underlying the transition from acute to chronic postsurgical pain in youth following spinal fusion: a 6-month longitudinal study
Psychosocial mechanisms underlying the transition from acute to chronic postsurgical pain in youth following spinal fusion: a 6-month longitudinal study Open
Theoretical and empirical work underscores the role of postsurgical acute pain severity and psychosocial factors in the development of chronic postsurgical pain (CPSP). However, evidence on how psychosocial changes in response to acute pai…
View article: Substance use and mental health characteristics among pregnant individuals with medical and non-medical benzodiazepine use early in pregnancy
Substance use and mental health characteristics among pregnant individuals with medical and non-medical benzodiazepine use early in pregnancy Open
Our results suggest that research relying on prescription data alone and the medical system may be missing pregnant individuals using benzodiazepines. This points to a need for additional measures and screenings (e.g., urine toxicology tes…
View article: Prenatal Depression and Symptom Severity by Maternal Race and Ethnicity
Prenatal Depression and Symptom Severity by Maternal Race and Ethnicity Open
This cross-sectional study compares the prevalence and risk for diagnosed and undiagnosed prenatal depression among pregnant individuals of different races and ethnicities.
View article: The Role of Maternal Depression in Racial Disparities and Birth Weight
The Role of Maternal Depression in Racial Disparities and Birth Weight Open
Introduction Pregnant people experiencing major depression during pregnancy are at increased risk for premature labor and infants with low birth weight, and there are significant racial disparities in these outcomes. Black women are at hig…
View article: Agreement Between Self-reports and Urine Toxicology Measures of Illicit Methamphetamine and Cocaine Use During Early Pregnancy
Agreement Between Self-reports and Urine Toxicology Measures of Illicit Methamphetamine and Cocaine Use During Early Pregnancy Open
Objective This study aimed to assess agreement between self-report and urine toxicology measures assessing use of 2 illicit simulants (methamphetamine and cocaine) during early pregnancy. Methods This cross-sectional study of 203,053 pregn…
View article: A systematic review of in utero cannabis exposure and risk for structural birth defects
A systematic review of in utero cannabis exposure and risk for structural birth defects Open
Introduction Cannabis use among pregnant women has increased over time. Therefore, there is a great public health need to understand the consequences of in utero cannabis exposure. While several meta-analyses and reviews have summarized th…
View article: Association of serum folate levels during pregnancy and prenatal depression
Association of serum folate levels during pregnancy and prenatal depression Open
Results suggest an association between lower pregnancy folate levels and prenatal depression that may be stronger among women with overweight or obesity. Future studies need to clarify the temporal sequence of these associations.
View article: Patterns of Substance Use During Early Pregnancy and Associations With Behavioral Health Characteristics
Patterns of Substance Use During Early Pregnancy and Associations With Behavioral Health Characteristics Open
Objectives The aims of the study are to identify patterns of early pregnancy substance use and to examine how these patterns relate to behavioral health conditions measured in early pregnancy. Methods We conducted a retrospective observati…
View article: In‐utero cannabis exposure and long‐term psychiatric and neurodevelopmental outcomes: The limitations of existing literature and recommendations for future research
In‐utero cannabis exposure and long‐term psychiatric and neurodevelopmental outcomes: The limitations of existing literature and recommendations for future research Open
Given increases in cannabis use in pregnancy and animal model research showing effects of in‐utero cannabis exposure, high‐quality information on long‐term consequences of in‐utero cannabis exposure in humans is needed. While reviews have …
View article: Maternal Serotonergic Antidepressant Use in Pregnancy and Risk of Seizures in Children
Maternal Serotonergic Antidepressant Use in Pregnancy and Risk of Seizures in Children Open
This study provides Class II evidence that exposure to SSRIs/SNRIs in the first trimester of pregnancy is not associated with an increased incidence of neonatal seizures/epilepsy.
View article: Listening to women and pregnant and postpartum people: Qualitative research to inform opioid use disorder treatment for pregnant and postpartum people
Listening to women and pregnant and postpartum people: Qualitative research to inform opioid use disorder treatment for pregnant and postpartum people Open
End-user informed, technology-enhanced SBIRT has the potential to improve the implementation of SBIRT during routine prenatal care, and in turn, improve maternal and child health.
View article: Initiation of Opioid Prescription and Risk of Suicidal Behavior Among Youth and Young Adults
Initiation of Opioid Prescription and Risk of Suicidal Behavior Among Youth and Young Adults Open
BACKGROUND AND OBJECTIVES Opioids are involved in an increasing proportion of suicide deaths. This study examined the association between opioid analgesic prescription initiation and suicidal behavior among young people. METHODS We analyze…
View article: A nation-wide Swedish study of opioid analgesic prescribing patterns during pregnancy and associated preexisting mental health conditions
A nation-wide Swedish study of opioid analgesic prescribing patterns during pregnancy and associated preexisting mental health conditions Open
These results highlight the need for physicians treating pregnant women and women of childbearing age for painful conditions to obtain detailed histories of mental health problems, screen for symptoms of mental health problems, and facilit…
View article: A population‐based study of concurrent prescriptions of opioid analgesic and selective serotonin reuptake inhibitor medications during pregnancy and risk for adverse birth outcomes
A population‐based study of concurrent prescriptions of opioid analgesic and selective serotonin reuptake inhibitor medications during pregnancy and risk for adverse birth outcomes Open
Background Pregnant women with painful conditions often have mental health problems, including depression and anxiety. Co‐morbid conditions may cause pregnant women to use multiple medications, although safety of such practice is poorly un…
View article: Antiseizure medication use during pregnancy and risk of ASD and ADHD in children
Antiseizure medication use during pregnancy and risk of ASD and ADHD in children Open
Objective: To determine whether children born to women who use anti-seizure medications (ASMs) during pregnancy have higher risk of autism spectrum disorder (ASD) and attention-deficit/hyperactivity disorder (ADHD) independent of confoundi…
View article: Association of Opioid Prescription Initiation During Adolescence and Young Adulthood With Subsequent Substance-Related Morbidity
Association of Opioid Prescription Initiation During Adolescence and Young Adulthood With Subsequent Substance-Related Morbidity Open
Among adolescents and young adults analyzed in this study, initial opioid prescription receipt was associated with an approximately 30% to 40% relative increase in risk of subsequent substance-related morbidity in multiple designs that adj…
View article: Risk factors and child outcomes associated with short and long interpregnancy intervals
Risk factors and child outcomes associated with short and long interpregnancy intervals Open
Previous research assessing consequences of interpregnancy intervals (IPIs) on child development is mixed. Utilizing a population-based US sample (n=5,339), we first estimated the associations between background characteristics (e.g., soci…
View article: Maternal prescribed opioid analgesic use during pregnancy and associations with adverse birth outcomes: A population-based study
Maternal prescribed opioid analgesic use during pregnancy and associations with adverse birth outcomes: A population-based study Open
Our results suggested that observed associations between POA use during pregnancy and risk of PTB and SGA were largely due to unmeasured confounding factors, although we could not rule out small independent associations, particularly for p…
View article: Outcome-dependent associations between short interpregnancy interval and offspring psychological and educational problems: a population-based quasi-experimental study
Outcome-dependent associations between short interpregnancy interval and offspring psychological and educational problems: a population-based quasi-experimental study Open
Attenuation of the association in cousin comparisons and comparable post-birth interval associations suggests that familial genetic or environmental confounding accounts for a majority of the association for ADHD, severe mental illness and…
View article: Within-Family Analysis of Interpregnancy Interval and Adverse Birth Outcomes
Within-Family Analysis of Interpregnancy Interval and Adverse Birth Outcomes Open
OBJECTIVE: To examine associations among interpregnancy interval, the duration from the preceding birth to the conception of the next-born index child, and adverse birth outcomes using designs that adjust for measured and unmeasured factor…
View article: Maternal Antidepressant Use and Pregnancy Outcomes
Maternal Antidepressant Use and Pregnancy Outcomes Open
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View article: Associations of Maternal Antidepressant Use During the First Trimester of Pregnancy With Preterm Birth, Small for Gestational Age, Autism Spectrum Disorder, and Attention-Deficit/Hyperactivity Disorder in Offspring
Associations of Maternal Antidepressant Use During the First Trimester of Pregnancy With Preterm Birth, Small for Gestational Age, Autism Spectrum Disorder, and Attention-Deficit/Hyperactivity Disorder in Offspring Open
Among offspring born in Sweden, after accounting for confounding factors, first-trimester exposure to antidepressants, compared with no exposure, was associated with a small increased risk of preterm birth but no increased risk of small fo…
View article: An illustration of how program implementers can use population-specific analyses to facilitate the selection of evidence-based home visiting programs
An illustration of how program implementers can use population-specific analyses to facilitate the selection of evidence-based home visiting programs Open
Given that effective home visiting (HV) programs targeting at-risk families impact different outcomes and associations between risk factors and outcomes may vary across populations, program implementers should evaluate population-specific …