Maternal Prenatal Hair Cortisol Is Associated with Child Wheeze among Mothers and Infants with Tobacco Smoke Exposure and Who Face High Socioeconomic Adversity

Ashley Scherman, Eliot R. Spindel, Byung Park, Robert Tepper, David W. Erikson, Cynthia Morris and Cindy T. McEvoy
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Ashley Scherman: Department of Pediatrics, Oregon Health & Science University, Portland, OR 97239, USA
Eliot R. Spindel: Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR 97006, USA
Byung Park: Biostatistics Shared Resource, the Knight Cancer Institute, Oregon Health & Science University, Portland, OR 97201, USA
Robert Tepper: Herman B. Wells Center for Pediatric Research, Pediatric Pulmonology, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA
David W. Erikson: Oregon National Primate Research Center, Oregon Health & Science University, Beaverton, OR 97006, USA
Cynthia Morris: Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR 97239, USA
Cindy T. McEvoy: Department of Pediatrics, Oregon Health & Science University, Portland, OR 97239, USA

IJERPH, 2021, vol. 18, issue 5, 1-10

Abstract: The association of co-occurring prenatal stress and tobacco exposures on childhood wheezing and asthma are not well established. In this study, we compared maternal prenatal hair cortisol concentration (HCC) to the maternal report of infant wheezing (y/n) in the first year of life among mother–infant dyads exposed to tobacco smoke and socioeconomic adversity. Data were obtained from the Vitamin C to Decrease Effects of Smoking in Pregnancy on Infant Lung Function study. Maternal adversity was defined by the level of education, household income, and health insurance provider. Hair was collected at delivery, representing average circulating third-trimester cortisol levels. HCC was log transformed and dichotomized into high/low cortisol groups that were placed into a multivariate model predicting wheeze. Subjects ( n = 132) were primarily White with ?high school education and receiving government-provided health insurance. Forty-five percent of infants wheezed. Average HCC was 3.39 pg/mg hair. Women with HCC > 3.55 pg/mg were more than twice as likely to report having a child who wheezed (odds ratio 2.56, 95% confidence interval 1.22–5.40; p = 0.01), adjusting for insurance provider and maternal asthma. Among this sample of dyads with prenatal smoke exposure, elevated maternal HCC was associated with child wheeze that was not diminished after consideration of covariates.

Keywords: pregnancy; psychological stress; smoking; disparities; asthma; in utero (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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