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Thursday, May 14, 2026

Yet Another Potential Correlate: Maternal Occupation History

 In The Politics of Autism, I discuss various ideas about what causes the condition.  Dozens of potential causes and correlates have been the subject of scientific and medical research.

Abstract

Objectives We investigated associations between maternal occupations and a diagnosis of autism spectrum disorder (ASD) in offspring.

Methods We obtained data for 1702 ASD cases born between 1973 and 2012 from the Danish National Patient Registry and matched each case to up to 100 population based controls based on sex and birth year (n=110 234). Mothers’ employment histories were obtained from the Danish Pension Fund Registry. Conditional logistic regression models were used to test associations between occupations held ever, 1 year before conception, during pregnancy and during infancy, adjusting for the mother’s age and history of neuropsychiatric disorders, parity and residential location.

Results There were increased odds of having a child with ASD for mothers who were employed before conception up to infancy in ground transportation (adjusted OR (aOR) 1.24, 95% CI 1.08 to 1.42; q=0.036), public administration (aOR 1.20, 95% CI 1.07 to 1.35; q=0.018) and military/defence occupations (aOR 1.59, 95% CI 1.39 to 1.82; q<0.001). Associations for judicial occupations and military/defence service were also apparent 1 year before conception and during pregnancy. We observed sex differences, with significant associations in male children for employment in ground transportation and defence occupations.

Conclusions Associations between certain maternal employment categories with high toxicant or psychosocial stress exposure suggest future studies should focus on examining specific toxicant exposures common in those occupations and neurodevelopment in offspring. This is of particular concern for associations seen for occupations held several years before conception.
A partial list of other potential causes and correlates: 
  1. Inflammatory bowel disease
  2. Pesticides
  3. Air pollution and proximity to freeways
  4. Maternal thyroid issues
  5. Autoimmune disorders
  6. Induced labor
  7. Preterm birth
  8. Fever  
  9. Birth by cesarean section;
  10. Anesthesia during cesarean sections
  11. Maternal and paternal obesity
  12. Maternal diabetes
  13. Maternal and paternal age
  14. Grandparental age
  15. Maternal post-traumatic stress disorder
  16. Maternal anorexia
  17. Smoking during pregnancy
  18. Cannabis use during pregnancy
  19. Antidepressant use during pregnancy
  20. Polycystic ovary syndrome
  21. Infant opioid withdrawal
  22. Zinc deficiency
  23. Sulfate deficiency
  24. Processed foods
  25. Maternal occupational exposure to solvents
  26. Congenital heart disease
  27. Insufficient placental allopregnanolone
  28. Estrogen in the womb
  29. Morning sickness;
  30. Paternal family history
  31. Parental preterm birth
  32. Antiseizure meds
  33. Location of forebears
  34. Lithium
  35. Aspartame
  36. BPA
  37. Brain inflammation
  38. Maternal asthma
  39. Infertility
  40. Ultraprocessed foods
  41. Household chemicals
  42. Parental psychiatric disorders
  43. Fluoride
  44. Fatty acids in umbilical cord blood
  45. Maternal inflammation during pregnancy
  46. COVID-19
  47. Wildfire smoke
  48.  Sterol biosynthesis–inhibiting medications (SBIMs)