Ions for diabetic drugs over 3 years of data*; (d) OR 1+ hospitalizations with gestational diabetes or diabetes mellitus in pregnancy (ICD 9 648.8 or ICD 10 024)** Hypertension A woman was classified as having hypertension if she had: at least one physician visit or one hospitalization related to hypertension prior to pregnancy (ICD-9-CM codes 401?05 OR ICD-10-CA codes I10-I13, I15); OR two or more prescriptions for hypertension qhw.v5i4.5120 drugs*; OR at least one physician visit or one hospitalization during pregnancy related to hypertension (ICD-9-CM code 642 OR ICD10-CA codes 010-O16).** BEHAVIORAL Prenatal substance use Composite measure of alcohol use, drug use, OR smoking during pregnancy. Includes a `yes’ response to one or more of the following items on the Families First screen: i) `alcohol use by mother during pregnancy’; ii) `drug use by mother during pregnancy’; iii) `maternal smoking during pregnancy’. Male versus female 5-minute Apgar score 7 Delivery at <37 weeks birth weight <10th percentile for gestational age and sex Initiation in hospital: yes versus noINFANT Infant sex Apgar score Preterm birth Small for gestational age Breastfeeding initiationNote. We hypothesized that low maternal education, prenatal substance use, social isolation, and relationship distress could adversely impact child anxiety. These variables were unavailable in the main administrative databases. Thus, we abstracted them from the Families First screen data that are collected by Healthy Child Manitoba. The Families First screen is conducted by public health nurses during a home visit scheduled shortly after delivery and is intended to identify biological and social risk factors as well as provide education and links to community support (http://www.gov.mb.ca/healthychild/familiesfirst/). Some data (e.g., education) on the Families First screen are missing if they were not collected at the time of the public health nurse visit.aManitoba Jobs and the Economy currently administers the income assistance data; formerly Manitoba Family Services. *See list of drugs used in Manitoba RHA Indicators Atlas 2009. **Based on previous definitions used by the Manitoba Centre for Health Policy http://mchp-appserv.cpe. umanitoba.ca/deliverablesList.html. doi:10.1371/journal.pone.0129339.tage (<20 years) was associated with significantly lower odds of FCCP biological activity Childhood anxiety compared to women aged 20?4 years. The only significant obstetrical factor related to childhood anxiety was parity, where children of multiparous mothers were 27 1.07839E+15 less likely to develop childhood anxiety. Among the psychosocial factors, maternal psychological distress from birth to 12 months, and 13 months to 5 years were independently associated with increased odds of childhood anxiety. Prenatal psychological distress was significantly related to childhood anxiety in unadjusted analyses, but not in the final multivariable model. None of the medical or behavioral variables were significant. While preterm children were less likely to develop childhood anxiety, children with Apgar Olumacostat glasaretil site scores of 7 had almost twice the odds of being affected.PLOS ONE | DOI:10.1371/journal.pone.0129339 July 9,6 /Predictors of Childhood AnxietyTable 2. Prenatal, Postnatal, and Early Childhood Predictors of Childhood Anxiety in a Population-based Sample (Manitoba, Canada). Independent variable Childhood anxiety (n = 591) N ( ) N ( ) Maternal age at birtha <20 years 20?4 years 35 years Completed high school No Yes Missing On income assistan.Ions for diabetic drugs over 3 years of data*; (d) OR 1+ hospitalizations with gestational diabetes or diabetes mellitus in pregnancy (ICD 9 648.8 or ICD 10 024)** Hypertension A woman was classified as having hypertension if she had: at least one physician visit or one hospitalization related to hypertension prior to pregnancy (ICD-9-CM codes 401?05 OR ICD-10-CA codes I10-I13, I15); OR two or more prescriptions for hypertension qhw.v5i4.5120 drugs*; OR at least one physician visit or one hospitalization during pregnancy related to hypertension (ICD-9-CM code 642 OR ICD10-CA codes 010-O16).** BEHAVIORAL Prenatal substance use Composite measure of alcohol use, drug use, OR smoking during pregnancy. Includes a `yes’ response to one or more of the following items on the Families First screen: i) `alcohol use by mother during pregnancy’; ii) `drug use by mother during pregnancy’; iii) `maternal smoking during pregnancy’. Male versus female 5-minute Apgar score 7 Delivery at <37 weeks birth weight <10th percentile for gestational age and sex Initiation in hospital: yes versus noINFANT Infant sex Apgar score Preterm birth Small for gestational age Breastfeeding initiationNote. We hypothesized that low maternal education, prenatal substance use, social isolation, and relationship distress could adversely impact child anxiety. These variables were unavailable in the main administrative databases. Thus, we abstracted them from the Families First screen data that are collected by Healthy Child Manitoba. The Families First screen is conducted by public health nurses during a home visit scheduled shortly after delivery and is intended to identify biological and social risk factors as well as provide education and links to community support (http://www.gov.mb.ca/healthychild/familiesfirst/). Some data (e.g., education) on the Families First screen are missing if they were not collected at the time of the public health nurse visit.aManitoba Jobs and the Economy currently administers the income assistance data; formerly Manitoba Family Services. *See list of drugs used in Manitoba RHA Indicators Atlas 2009. **Based on previous definitions used by the Manitoba Centre for Health Policy http://mchp-appserv.cpe. umanitoba.ca/deliverablesList.html. doi:10.1371/journal.pone.0129339.tage (<20 years) was associated with significantly lower odds of childhood anxiety compared to women aged 20?4 years. The only significant obstetrical factor related to childhood anxiety was parity, where children of multiparous mothers were 27 1.07839E+15 less likely to develop childhood anxiety. Among the psychosocial factors, maternal psychological distress from birth to 12 months, and 13 months to 5 years were independently associated with increased odds of childhood anxiety. Prenatal psychological distress was significantly related to childhood anxiety in unadjusted analyses, but not in the final multivariable model. None of the medical or behavioral variables were significant. While preterm children were less likely to develop childhood anxiety, children with Apgar scores of 7 had almost twice the odds of being affected.PLOS ONE | DOI:10.1371/journal.pone.0129339 July 9,6 /Predictors of Childhood AnxietyTable 2. Prenatal, Postnatal, and Early Childhood Predictors of Childhood Anxiety in a Population-based Sample (Manitoba, Canada). Independent variable Childhood anxiety (n = 591) N ( ) N ( ) Maternal age at birtha <20 years 20?4 years 35 years Completed high school No Yes Missing On income assistan.