Peri-pregnancy cannabis use was not linked to autism in offspring

Maternal cannabis use from 3 months before conception through delivery was not significantly associated with autism spectrum disorder in children, compared to population controls or children with other developmental conditions.

DiGuiseppi, Carolyn et al.·Journal of autism and developmental disorders·2022·Moderate EvidenceCase-Control
RTHC-03808Case ControlModerate Evidence2022RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Case-Control
Evidence
Moderate Evidence
Sample
N=1,428

What This Study Found

Among children assessed at 30-68 months of age, peri-pregnancy cannabis use was reported for 5.2% of ASD cases, 3.2% of children with other developmental delays, and 4.4% of population controls. After adjustment, the odds of peri-pregnancy cannabis use did not differ significantly between groups.

Key Numbers

4,254 children total. ASD: 5.2% cannabis exposed. Other developmental delays: 3.2% exposed. Population controls: 4.4% exposed. No significant differences between groups.

How They Did This

Case-control study comparing children with ASD (N=1,428), other developmental delays (N=1,198), and population controls (N=1,628) born 2003-2011 from the Study to Explore Early Development. Self-reported maternal cannabis use assessed for the period from 3 months pre-conception through delivery.

Why This Research Matters

Animal models and neurobiology have suggested potential risks of prenatal cannabis exposure for neurodevelopment, but this large study found no association with ASD in humans.

The Bigger Picture

While this study found no ASD link, the authors note that cannabis use patterns and perceptions have changed since the 2003-2011 birth cohort, making continued monitoring important.

What This Study Doesn't Tell Us

Self-reported cannabis use likely underestimates true exposure. Birth cohort (2003-2011) predates major legalization and potency increases. Cannot assess dose-response relationships.

Questions This Raises

  • ?Would results differ in more recent cohorts with higher potency cannabis and greater use prevalence?
  • ?Could timing of exposure during pregnancy matter more than any/no exposure?

Trust & Context

Key Stat:
No significant difference in ASD rates by peri-pregnancy cannabis exposure
Evidence Grade:
Large multi-site case-control study with appropriate controls, though self-reported exposure and older birth cohort limit conclusions.
Study Age:
Published in 2022 with children born 2003-2011.
Original Title:
Peri-Pregnancy Cannabis Use and Autism Spectrum Disorder in the Offspring: Findings from the Study to Explore Early Development.
Published In:
Journal of autism and developmental disorders, 52(11), 5064-5071 (2022)
Database ID:
RTHC-03808

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Compares people with a condition to similar people without it.

What do these levels mean? →

Frequently Asked Questions

Does this mean cannabis is safe during pregnancy?

This study only looked at ASD specifically and found no association. It does not address other potential risks of prenatal cannabis exposure, and the authors recommend further studies with more recent cohorts.

How many children were studied?

The study included 4,254 children: 1,428 with ASD, 1,198 with other developmental conditions, and 1,628 population controls.

Read More on RethinkTHC

Cite This Study

RTHC-03808·https://rethinkthc.com/research/RTHC-03808

APA

DiGuiseppi, Carolyn; Crume, Tessa; Van Dyke, Julia; Sabourin, Katherine R; Soke, Gnakub N; Croen, Lisa A; Daniels, Julie L; Lee, Li-Ching; Schieve, Laura A; Windham, Gayle C; Friedman, Sandra; Robinson Rosenberg, Cordelia. (2022). Peri-Pregnancy Cannabis Use and Autism Spectrum Disorder in the Offspring: Findings from the Study to Explore Early Development.. Journal of autism and developmental disorders, 52(11), 5064-5071. https://doi.org/10.1007/s10803-021-05339-4

MLA

DiGuiseppi, Carolyn, et al. "Peri-Pregnancy Cannabis Use and Autism Spectrum Disorder in the Offspring: Findings from the Study to Explore Early Development.." Journal of autism and developmental disorders, 2022. https://doi.org/10.1007/s10803-021-05339-4

RethinkTHC

RethinkTHC Research Database. "Peri-Pregnancy Cannabis Use and Autism Spectrum Disorder in ..." RTHC-03808. Retrieved from https://rethinkthc.com/research/diguiseppi-2022-peripregnancy-cannabis-use-and

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.