Tobacco cigarette and cannabis use among new mothers.
Tobacco cigarette and cannabis use among new mothers.
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DOI：
10.1111/add.15372
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Meghea CI
中科院分区：
文献类型：
--
作者：
Alshaarawy O;Roskos SE;Meghea CI
在美国，怀孕期间使用大麻的流行率增加了，而吸烟减少了。这项研究旨在根据母乳喂养状况分层评估新妈妈吸烟和吸食大麻的流行率。此外，还使用趋势分析来检查烟草和大麻使用随时间的变化。基于国家健康和营养检查调查(NHANES，2001-18)的横断面研究，以美国人口为基础的新母亲(出生后2年内)年龄在20-44岁(n=1332)的样本为基础。在每个NHANES数据周期中，通过自我报告或血清可替宁来估计吸烟的流行率。此外，我们估计了通过自我报告衡量的大麻使用流行率。使用Joinpoint回归，我们测试了趋势的显著变化，并产生了平均“数据周期”百分比变化(APC)。从2001年到18年，超过五分之一的新妈妈吸烟。有母乳喂养的新妈妈吸烟的可能性(7.4%；95%可信区间[CI]=4.9%，10.9%)低于非母乳喂养的母亲(25.7%；95%CI=22.3%，29.3%)。JOINPOINT回归分析结果显示，吸烟(APC=−1.3；95%CI=−8.6，6.7；p=0.7)或可替宁水平≥4.47 ng/m L(APC=0.3；95%CI=−5.0，5.9；p=0.9)没有明显的时间趋势，而新妈妈的大麻使用量增加(APC=23.7；95%CI=4.8，46.0；p=0.02)。自2005年以来，美国新妈妈的大麻使用量几乎翻了一番，这与其他亚群的增长趋势一致。自2001年以来，没有明显证据表明美国初为人母的吸烟情况发生了变化。
In the United States, the prevalence of cannabis use during pregnancy has increased whereas tobacco smoking has decreased. This study aimed to estimate the prevalence of tobacco cigarette smoking and cannabis use among new mothers, stratified by breastfeeding status. Additionally, trend analysis was used to examine changes in tobacco and cannabis use over time. Cross‐sectional study based on the National Health and Nutrition Examination Survey (NHANES, 2001–18) United States Population‐based sample of new mothers (within 2 years of childbirth) 20–44 years of age (n = 1332) For each NHANES data cycle, the prevalence of tobacco smoking measured by self-report or serum cotinine was estimated. Additionally, we estimated the prevalence of cannabis use measured by self-report. Using Joinpoint Regression, we tested for significant changes in trends and produced the average ‘data-cycle’ percent change (APC). From 2001–18, more than one in five new mothers were tobacco cigarette smokers. New mothers who were breastfeeding were less likely to smoke cigarettes (7.4 %; 95 % confidence interval [CI] = 4.9 %, 10.9 %) compared with mothers who were not breastfeeding (25.7 %; 95% CI = 22.3 %, 29.3 %). Results from Joinpoint regression indicated no robust temporal trends for self-reported tobacco smoking (APC = −1.3; 95 % CI = −8.6, 6.7; p = 0.7) or for cotinine levels ≥ 4.47 ng/mL (APC = 0.3; 95 % CI = −5.0, 5.9; p = 0.9), whereas cannabis use had increased among new mothers (APC = 23.7; 95% CI = 4.8, 46.0; p = 0.02). Consistent with the increase seen among other subgroups, cannabis use has approximately doubled among United States new mothers since 2005. There is no significant evidence of a change in tobacco smoking among US new mothers since 2001.
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来自全国代表性样本的孕妇在2002年至2016年之间使用酒精，香烟和大麻。
影响因子：
26.1
作者：
Agrawal A;Rogers CE;Lessov-Schlaggar CN;Carter EB;Lenze SN;Grucza RA
通讯作者：
Grucza RA
影响因子：
7.2
作者：
Caughey, Aaron B.
通讯作者：
Caughey, Aaron B.
影响因子：
5.7
作者：
Biegon, A;Kerman, IA
通讯作者：
Kerman, IA
影响因子：
8
作者：
Bertrand, Kerri A.;Hanan, Nathan J.;Chambers, Christina D.
通讯作者：
Chambers, Christina D.
影响因子：
3.1
作者：
Anthony JC;Lopez-Quintero C;Alshaarawy O
通讯作者：
Alshaarawy O