4.4 Article

Prenatal androgen exposure and children's gender-typed behavior and toy and playmate preferences

Journal

HORMONES AND BEHAVIOR
Volume 127, Issue -, Pages -

Publisher

ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.yhbeh.2020.104889

Keywords

Congenital adrenal hyperplasia; Amniotic fluid testosterone; Prenatal testosterone exposure; Androgen; Sex differences; Gender-typed play behavior; Toy preferences; Playmate preferences

Funding

  1. National Institute of Health Research (NIHR) Cambridge Biomedical Research Centre, United States Public Health Service National Institutes of Health [HD24542, MH073019, MH073842]
  2. March of Dimes

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The results of the two studies suggest that congenital adrenal hyperplasia can influence gender-typed behavior and preferences in children, while amniotic fluid testosterone may not be a sensitive enough measure of early androgen exposure. A more reliable measure may be needed to consistently detect relationships to later gender-typed behavior in non-clinical populations.
We report findings from two studies investigating possible relations of prenatal androgen exposure to a broad measure of children's gender-typed behavior, as well as specifically to children's toy and playmate preferences. Study 1 investigated these outcomes for 43 girls and 38 boys, aged 4 to 11 years, with congenital adrenal hyperplasia (CAH, a genetic condition causing increased adrenal androgen production beginning prenatally) compared to similarly-aged, unaffected relatives (41 girls, 31 boys). The predicted sex differences were found for all of the outcome measures. Furthermore, girls with CAH showed increased male-typical and decreased female typical behavior and toy and playmate preferences compared to unaffected girls. Study 2 investigated the relationship of amniotic fluid testosterone to gender-typed behavior and toy and playmate preferences in typically developing children (48 girls, 44 boys) aged 3 to 5 years. Although the predicted sex differences were found for all of the outcome measures, amniotic fluid testosterone was not a significant correlate, in the predicted direction, of any outcome measure for either sex. The results of study 1 provide additional support for an influence of prenatal androgen exposure on children's gender-typed behavior, including toy and playmate preferences. The results of study 2 do not, but amniotic fluid testosterone may be an insufficiently sensitive measure of early androgen exposure. A more sensitive and reliable measure of prenatal androgen exposure may be needed to consistently detect relations to later gender typed behavior in non-clinical populations.

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