Maternal Characteristics Associated With Preconception Marijuana Use
Maternal Characteristics Associated With Preconception Marijuana Use
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DOI：
10.1016/j.amepre.2020.04.010
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发表时间：
2020-10-01
影响因子：
5.5
通讯作者：
Abatemarco, Diane J.
中科院分区：
文献类型：
--
作者：
Short, Vanessa L.;Hand, Dennis J.;Abatemarco, Diane J.
简介：考虑到美国妇女使用大麻的增加，使用大麻的妇女意外怀孕的比例较高，以及产妇使用大麻的潜在后果，有必要确定与怀孕前使用大麻相关的因素。本研究旨在提供孕前大麻使用的估计和描述孕前大麻使用和孕产妇特征之间的关联在美国最近交付的妇女的人口为基础的样本方法：这是一个分析2016年怀孕风险评估监测系统数据从6个州（路易斯安那州，缅因州，新墨西哥州，佛蒙特州，威斯康星州，和怀俄明州）。使用卡方检验和逻辑回归模型比较了使用大麻和不使用大麻的受访者的特征。2019年和2020年进行了统计分析。结果：大约8%的受访者报告说，他们在怀孕前一个月使用过大麻。在控制了许多因素后，婚姻状况、教育水平、平等以及生活在一个医疗或娱乐大麻合法化或合法化的州仍然与大麻使用独立相关。那些报告使用大麻的人在怀孕前或怀孕期间也报告抑郁症状和烟草和酒精使用的可能性是没有报告使用大麻的受访者的3-5倍。生育年龄的妇女谁是打算怀孕或可能经历意外怀孕应询问和鼓励避免使用大麻，特别是考虑到与抑郁症和同时使用包括烟草在内的其他物质的强烈关联。(C)2020年美国预防医学杂志。爱思唯尔公司出版All rights reserved.
Introduction: Given the increase of marijuana use among U.S. women, higher rates of unintended pregnancies among women who use marijuana, and potential consequences of maternal use, there is a need to identify factors associated with marijuana use in the period leading up to pregnancy. This study aims to provide estimates of preconception marijuana use and describe associations between preconception marijuana use and maternal characteristics among a population-based sample of recently delivered women in the U.S.Methods: This was an analysis of 2016 Pregnancy Risk Assessment Monitoring System data from 6 states (Louisiana, Maine, New Mexico, Vermont, Wisconsin, and Wyoming). Characteristics were compared between respondents who did and did not report marijuana use using chi-square tests and logistic regression models. Statistical analysis was performed in 2019 and 2020.Results: Approximately 8% of respondents reported that they had used marijuana in the month before pregnancy. After controlling for a number of factors, marital status, education level, parity, and living in a state with medical or recreational marijuana legalization or decriminalization remained independently associated with marijuana use. Those who reported marijuana use were 3-5 times more likely to also report symptoms of depression and tobacco and alcohol use before or during pregnancy than respondents who did not report marijuana use.Conclusions: Reproductive-aged women who are intending pregnancy or likely to experience an unintended pregnancy should be asked about and encouraged to refrain from marijuana use, especially given the strong association with depressive symptomology and concurrent use of other substances, including tobacco. (C) 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.