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Combined Effects of Maternal Obesity and Diabetes Raise Autism Risks

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By Shefali Luthra , KHN News

 

While the incidence of autism spectrum disorder has increased in recent years, what’s behind it remains relatively mysterious and even controversial. But a major study could shed new light on some of the maternal health factors that may increase children’s risk of developing the condition.

 

Autism is a neurodevelopmental disorder marked by difficulties with communication and social interaction as well as repetitive or obsessive behaviors. The range and severity of symptoms can vary widely.

 

The study, which was released Friday and appears in the February issue of the journal Pediatrics, followed almost 3,000 children who visited the Boston Medical Center between 1998 and 2014. It used electronic health records to track whether these children were diagnosed with autism, along with factors like the mother’s pre-pregnancy weight and whether she had been diagnosed with diabetes before or during her pregnancy.

 

Though previous research has looked at the roles of maternal obesity and diabetes on autism risk, this study is the first to examine both the independent and combined effects of the two.

 

The researchers found that of the nearly 3,000 children in the study, about 100 were identified as on the autism spectrum.

 

They also concluded that obese women who contracted diabetes while pregnant — a condition known as gestational diabetes — were about three times as likely to have children with autism. Women who were obese and had diabetes before pregnancy were almost four times as likely. In addition, children with autism were more often boys, more often born before 32 weeks and more often had very low birth weight. Beyond being obese and diabetic, their mothers were also more likely to be older.

 

Having just one of the conditions, however, posed only a slight risk increase.

 

Overall, though, the risk was “substantially higher” when women had both, according to the study.

 

It “calls attention to the idea that maternal prenatal health and maybe even pre-pregnancy health may be important factors for autism — and may be important opportunities for protection from autism,” said study co-author Daniele Fallin, who chairs the department of mental health and directs the Wendy Klag Center for Autism and Developmental Disabilities at the Johns Hopkins Bloomberg School of Public Health.

 

The findings are important because, if doctors have a better sense of autism’s causes, they can try to reverse the current trend lines and stem its growth, Fallin said.

 

In 2010, the most recent year for which there’s data, about 1 in 68 children were estimated to have autism. That’s a contrast to 10 years prior, in 2000, when 1 out of 150 children were believed to have it. Experts say part of the growth likely is because people are simply getting better at recognizing and diagnosing the disease. But, according to the Centers for Disease Control and Prevention, the disorder is also probably occurring more often than it used to.

 

“The cost per family per year of having a child on the spectrum is enormous — therefore societal costs are enormous,” Fallin said. “If you can do anything to stem the tide of rising prevalence, or even drop the prevalence, then absolutely, you should. Not only individual families benefit, but society benefits.”

 

A different study published last year in the Journal of Autism and Development Disorders estimated that taking care of people with autism cost the country about $268 billion in 2015 — a figure that accounts for medical expenses, other kinds of caregiving and the decreased productivity both from people who care for autistic relatives and for adults on the spectrum.

 

If the increase in prevalence continues at its current rate, this expense will grow markedly, that study noted.

 

From a cost standpoint, then, the new research underscores the importance of preventing obesity and diabetes, said Paul Leigh, a professor of public health sciences at the University of California, Davis, who authored the autism cost study. Because of the autism tie, “there are more reasons to be worried about [obesity and diabetes], and to direct resources to removing this problem.”

 

The Pediatrics paper is significant, both for its findings and for its comprehensiveness in examining medical records from a large sample, said Alycia Halladay, chief science officer at the Autism Science Foundation. It suggests that if policymakers and insurers put more money into treating diabetes and obesity, the public as a whole could benefit, especially if that fuels a decline in autism cases.

 

“Instead of demonizing mothers with diabetes, we need to be using this as an opportunity to help them mitigate their risks as much as possible,” she said.

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Marin City Public Housing Residents Demand a Voice in County’s Renovation Plans

Representation has been a continuous struggle for the Residents Council, she said in an interview with the Post News Group.  In 2014, the tenants took the county to federal court over this issue, and prevailed, resulting in an MOU that was in effect from 2014 to 2024, said McLemore. “Now, they are not responding to our rightful requests to participate.  They are not giving us a legal justification for their position.”

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The largest housing complex in Marin County, Golden Gate Village residents are for predominantly Black and low-income. Courtesy image.
The largest housing complex in Marin County, Golden Gate Village residents are for predominantly Black and low-income. Courtesy image.

Tenants say the County of Marin is ignoring federal law requiring resident council participation

By Ken Epstein

Marin City public housing residents say the County is illegally depriving them of their rights to participate in renovation decisions that affect the future of their housing, raising deep concerns over whether the county ultimately will find a way to displace them.

According to regulations established by the U.S. Department of Housing and Urban Development (HUD), Marin City public housing residents have the right to organize, elect resident councils, and hold public housing agencies accountable for involving them in management decisions.

Without resident participation, the Board of Housing Commissioners, made up of the five Marin County Board of Supervisors and two resident comissioners, has approved a $226 million project.  The plan calls for renovation of the 296 units in Golden Gate Village (GGV) and focuses on interior improvements. The project is scheduled to start in July.

Residents’ concerns have a long history, said Royce McLemore, president of the Golden Gate Village Residents Council and a 50-year resident of Marin City,

Representation has been a continuous struggle for the Residents Council, she said in an interview with the Post News Group.  In 2014, the tenants took the county to federal court over this issue, and prevailed, resulting in an MOU that was in effect from 2014 to 2024, said McLemore. “Now, they are not responding to our rightful requests to participate.  They are not giving us a legal justification for their position.”

With no current MOU mandating training and participation of residents, the legal basis for all the redevelopment decisions made by the county since 2024 is questionable, said Terrie Green, executive director of Marin City Climate Resilience. “We are experiencing voicelessness. If residents had a voice, we wouldn’t be where we are today,” she said.

County decisions include a plan, in line with federal regulations, to convert GGV from public housing to a public-private enterprise that allows for private investment. The Marin Housing Authority has created a limited partnership that includes Burbank Housing – which will renovate the units and manage the property – and Wells Fargo Bank, the investor.

This change in federal policy regarding public housing, which includes a shift to a Section-8 voucher system, has resulted in gentrification across the country, particularly affecting African Americans in cities such as San Francisco.

Shifts in criteria of what is considered affordable could also end up pricing residents out of their living units. At present, low income in Marin County is officially considered $156,000. But the median household income in Marin City is significantly lower at $68,846

Damian Morgan, a community advocate with Marin City Climate Resilience, questioned why the county is renovating apartments without fixing toxic infrastructure that is impacting the lives of people in GGV.

Morgan said tenants have filed a class action lawsuit because of unsafe conditions at Golden Gate Village.

Residents are also concerned that the County still does not have an adequate family plan for temporary displacement while their apartments are being renovated.  Although the County has suggested other community apartments as alternatives, nothing concrete has developed except vacant public housing units that have the same toxic conditions, such as mold and mildew.

Green said it doesn’t make sense. “…Why are we moving people around into temporary housing that’s uninhabitable, when you should be dealing first with the infrastructure, the foundational work, replacing old and rusted water pipes and new sewers.”

Morgan questions the County’s motivation for neglecting infrastructure repairs. “They’re remodeling the units but leaving the decayed infrastructure in place. I feel like they’re just setting this up for it to fail.”

“What slowed it down a little is that GGV is a historic preservation district, but I think what they’re striving for is demolition by neglect,” he said. “The neglect has always been on their part.”

Architect Ora Hatheway said her concern is about cutting corners. “You have to deal with the land issues. You have to deal with grading and drainage, and that’s being brushed under the rug.”

In an interview with KGO TV, Marin County Supervisor Stephanie Moulton-Peters responded to some of these concerns.  She said residents are guaranteed the right to return to their homes.

“This is a concern that we take seriously,” she said. “Every resident will move back into their own unit, and we’ve given this to them in writing. Before they leave their unit, we will sign a document together that guarantees their right to return.”

In response to residents who feel left out of the planning process, she said community input has focused on those affected by the first phase of the project. “So other residents may not have heard quite as much or felt like they had as much contact. But if there are residents who have concerns, we’re happy to hear from them. You can contact my office or the housing authority directly,” she said.

While County leaders may be giving some updates to some tenants, they are not sitting at the table with the Residents Council nor giving residents a voice in decision-making, said McLemore.

Without a voice in decisions, tenants are worried that Black people may be forced out of public housing, resulting in gentrification, she said in an interview with ABC 7.  It’s still paternalistic, she said.  “It’s still that ‘We know what’s best for you.’’’

Several years ago, the Residents Council proposed a land trust plan that would give tenants homeownership rights.  Though the plan had broad support throughout the county, it was rejected by the Board of Supervisors

In the final analysis, Green said, for Marin City tenants the fight is not just for decent housing but to maintain their community with dignity under conditions of mutual respect.

“We’re talking about people who came here to work in the shipyards during World War II to bring about peace and safety to this country,” she said. “Look at the discrimination we’ve faced down through the years. Look at the life-span issue of Marin City folks – almost 20 years less than the rest of the County.”

“We want educational equity so our children will have decent schools. We need a land trust, property ownership, so we can have wealth creation. Marin City needs the same quality of life as other communities in Marin County.”

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Oakland Post: Week of May 6 – 12, 2026

The printed Weekly Edition of the Oakland Post: Week of may 6 – 12, 2026

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2026 Lucid Air Grand Touring Review — Is This $136K EV Sedan Worth It?

AUTONETWORK ON BLACKPRESSUSA — Finished in Stellar White Metallic with the Tahoe Grand Touring interior, this Lucid makes a strong first impression. The shape is sleek and low, but it still feels elegant instead of trying too hard. Features like soft-close doors, powered illuminated door handles, 20-inch Aero Lite wheels, and the Glass Canopy Roof help the car feel expensive before you even start it.

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The 2026 Lucid Air Grand Touring is the kind of luxury EV that makes people stop and ask a simple question: Is this really better than a Tesla Model S, Mercedes EQS, or BMW i7? At $136,150, it has to do more than look futuristic. It has to feel special every time you get in it.

Finished in Stellar White Metallic with the Tahoe Grand Touring interior, this Lucid makes a strong first impression. The shape is sleek and low, yet it still feels elegant rather than trying too hard. Features like soft-close doors, powered illuminated door handles, 20-inch Aero Lite wheels, and the Glass Canopy Roof help the car feel expensive before you even start it.

Inside is where the Air Grand Touring really makes its case. The 34-inch Glass Cockpit Display and retractable Pilot Panel screen give the cabin a clean, modern look that still feels different from other EVs. The Tahoe Extended Leather and Lucid Black Alcantara headliner lifts the sense of occasion, and the front seats are a highlight. They are 20-way power-adjustable, heated, ventilated, and include massage. That matters because luxury buyers at this price expect comfort first.

Rear passengers are not ignored either. You get 5-zone heated rear seating, a rear center console display, and power rear and rear side window sunshades. Add in the Surreal Sound Pro system with 21 speakers, and the Air feels like a true long-distance luxury sedan.

Lucid also gives this car serious EV hardware. The dual-motor all-wheel-drive system, 900V+ charging architecture, and Wunderbox onboard charger are big talking points. Buyers in this segment care about range, charging speed, and everyday ease, not just raw performance. That is where the Lucid continues to stand out.

On the technology side, the Air Grand Touring includes DreamDrive Premium, with 3D Surround View Monitoring, Blind Spot Warning, Automatic Park In and Out, Automatic Emergency Braking, and a Driver Monitoring System with distracted and drowsy driver alerts. This one also has DreamDrive Pro, which adds future-capable ADAS hardware.

There are still some real-world annoyances. Based on your notes, the windshield wiper control is hard to find and use, and that matters more than people think in a high-tech car. When controls become less intuitive, even a beautiful interior can feel frustrating.

Still, the 2026 Lucid Air Grand Touring succeeds where it matters most. It feels luxurious, advanced, comfortable, and thoughtfully engineered. For buyers who want an EV sedan that feels truly premium and less common than the usual choices, this Lucid makes a very strong case.


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