Largest Multi-Cohort Study Finds No Link Between Prenatal Cannabis and Autism After Controlling for Tobacco

In 11,570 children from 34 cohorts, prenatal cannabis was not associated with autism after controlling for tobacco.

Nutor, Chaela et al.·Autism research : official journal of the International Society for Autism Research·2024·Strong EvidenceProspective Cohort
RTHC-05598Prospective CohortStrong Evidence2024RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Prospective Cohort
Evidence
Strong Evidence
Sample
N=11,570

What This Study Found

Associations between prenatal cannabis and ASD traits were not significant when controlling for covariates, particularly tobacco. Sex did not moderate.

Key Numbers

11,570 children; 34 cohorts; ages 1-18; 53% male; not significant after controlling for tobacco

How They Did This

Multi-cohort analysis from 34 NIH ECHO cohorts with 11,570 children using generalized linear mixed models.

Why This Research Matters

Largest study to date. Apparent associations disappear when accounting for tobacco, suggesting it is the key confounder.

The Bigger Picture

Strong evidence that prenatal cannabis is not an independent autism risk factor when confounders are accounted for.

What This Study Doesn't Tell Us

Self-reported exposure. Different ASD measures across cohorts. Could not control for potency.

Questions This Raises

  • ?Should screening focus more on tobacco?
  • ?Do high-potency products pose different risks?

Trust & Context

Key Stat:
11,570 children showed no cannabis-autism link after controlling for tobacco
Evidence Grade:
Very large multi-cohort study with diverse sample and appropriate controls.
Study Age:
Published in 2024.
Original Title:
Examining the association between prenatal cannabis exposure and child autism traits: A multi-cohort investigation in the environmental influences on child health outcome program.
Published In:
Autism research : official journal of the International Society for Autism Research, 17(8), 1651-1664 (2024)
Database ID:
RTHC-05598

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

Enrolls participants and follows them forward in time.

What do these levels mean? →

Frequently Asked Questions

Does cannabis during pregnancy cause autism?

This large study found no association after controlling for tobacco.

Why does tobacco matter?

When controlled for, the cannabis-autism link disappeared, suggesting tobacco was the real confounder.

Read More on RethinkTHC

Cite This Study

RTHC-05598·https://rethinkthc.com/research/RTHC-05598

APA

Nutor, Chaela; Dickerson, Aisha S; Hsu, Tingju; Al-Jadiri, Aseel; Camargo, Carlos A; Schweitzer, Julie B; Shuster, Coral L; Karagas, Margaret R; Madan, Juliette C; Restrepo, Bibiana; Schmidt, Rebecca J; Lugo-Candelas, Claudia; Neiderhiser, Jenae; Sathyanarayana, Sheela; Dunlop, Anne L; Brennan, Patricia A. (2024). Examining the association between prenatal cannabis exposure and child autism traits: A multi-cohort investigation in the environmental influences on child health outcome program.. Autism research : official journal of the International Society for Autism Research, 17(8), 1651-1664. https://doi.org/10.1002/aur.3185

MLA

Nutor, Chaela, et al. "Examining the association between prenatal cannabis exposure and child autism traits: A multi-cohort investigation in the environmental influences on child health outcome program.." Autism research : official journal of the International Society for Autism Research, 2024. https://doi.org/10.1002/aur.3185

RethinkTHC

RethinkTHC Research Database. "Examining the association between prenatal cannabis exposure..." RTHC-05598. Retrieved from https://rethinkthc.com/research/nutor-2024-examining-the-association-between

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.