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These associations remained significant after adjusting for birth year, sex, adjusted maternal age, paternal age, and parity but lost significance when also adjusting for maternal/paternal education, maternal/paternal occupational class, family, income, and maternal origin of birth [ A meta-analysis also investigated whether an association exists between PNE and ASD risk in offspring using a random-effects model to combine results in individual studies (6 cohort studies and 9 case-control studies

N Engl J Med 382:697705

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