953 - Interpreting the Data on Tylenol, Pregnancy, and Autism
Public Health On Call
The Johns Hopkins Bloomberg School of Public Health
4.6 • 644 Ratings
🗓️ 29 September 2025
⏱️ 31 minutes
🔗️ Recording | iTunes | RSS
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Summary
About this episode:
Does acetaminophen use during pregnancy cause autism in children? In this episode: Brian Lee, who led the largest study on acetaminophen use and neurodevelopmental outcomes, walks through the study's findings—as well as the challenges of researching the causal effects of medication use during pregnancy. Then, biostatistician Elizabeth Stuart discusses how she thinks about assessing potential cause-and-effect relationships when studies have different strengths and weaknesses.
Guest:
Brian Lee, PhD, MHS, is a professor of epidemiology and biostatistics at the Dornsife School of Public Health at Drexel University.
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Elizabeth Stuart, PhD, is Chair in the Department of Biostatistics at the Johns Hopkins Bloomberg School of Public Health, where she focuses on designing and interpreting studies exploring causal effects.
Host:
Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department.
Show links and related content:
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Acetaminophen Use During Pregnancy and Children's Risk of Autism, ADHD, and Intellectual Disability—JAMA
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What the evidence tells us about Tylenol, leucovorin, and autism—STAT
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Discovering How Environment Affects Autism—Hopkins Bloomberg Public Health Magazine
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Does A Really Cause B? How a Biostatistician Thinks About Causality—Public Health On Call (August 2024)
Transcript information:
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Transcript
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| 0:00.0 | Welcome to Public Health On Call, a podcast from the Johns Hopkins Bloomberg School of Public Health, |
| 0:05.9 | where we bring evidence, experience, and perspective to make sense of today's leading health challenges. |
| 0:16.3 | If you have questions or ideas for us, please send an email to public health question at jh.h.com. |
| 0:23.8 | That's public health question at jh.u.org for future podcast episodes. |
| 0:31.0 | Hey listeners, it's Lindsay Smith-Rogers, and today, the safety of acetaminophen, otherwise known as Tylenol, in pregnancy. |
| 0:38.3 | Now, this is a podcast in two parts. |
| 0:41.0 | First, Dr. Josh Sharfstein speaks with Professor Brian Lee, an epidemiologist at Drexel University, |
| 0:46.5 | and a PhD graduate of the Johns Hopkins Bloomberg School of Public Health. |
| 0:50.4 | Now, Professor Lee conducted one of the largest studies to assess whether acetaminopin use might be associated with autism and other neurodevelopmental outcomes. |
| 1:00.7 | Second, Dr. Sharfstein dials up Professor Elizabeth Stewart, the chair of the Department of Biostatistics at the Johns Hopkins Bloomberg School of Public Health. |
| 1:09.3 | Dr. Stewart is an expert in assessing cause and effect relationships. |
| 1:14.0 | They discuss Dr. Lee's study and how best to sort through multiple studies with conflicting |
| 1:19.4 | results. |
| 1:20.8 | Now, we know this podcast runs a little longer than our usual episodes, but this is so we |
| 1:24.6 | can get into more details with our two guests on this very important |
| 1:28.1 | topic. One bonus, if you listen to the end, you'll be able to identify what a causal crossword |
| 1:34.2 | is. Before we turn to part one, a disclaimer. The conversations on public health on call are |
| 1:39.6 | between the participants and do not represent the position of Johns Hopkins University. Let's listen. |
| 1:46.0 | Professor Brian Lee, thank you so much for joining me today in Public Health on call. How are you doing? |
| 1:51.2 | Good, Josh. Thank you for having me. |
| 1:53.4 | It might help if you could introduce yourself and how I came to be calling you on this topic to our audience. |
| 1:59.7 | Sure. I'm a professor of epidemiology and biostatistics at Drexel University, and my team and I in |
... |
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