Prevalence and patterns of marijuana use among pregnant and nonpregnant women of reproductive age.
Prevalence and patterns of marijuana use among pregnant and nonpregnant women of reproductive age.
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DOI：
10.1016/j.ajog.2015.03.021
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发表时间：
2015-08
影响因子：
9.8
通讯作者：
Callaghan WM
中科院分区：
文献类型：
--
作者：
Ko JY;Farr SL;Tong VT;Creanga AA;Callaghan WM
该研究的目的是根据怀孕状况，提供过去一个月和过去2-12个月育龄妇女中大麻使用的全国流行程度、模式和相关性。2007-2012年全国药物使用和健康调查的数据是一项具有全国代表性的横断面调查，其中确定了18-44岁的孕妇（n = 4971）和非孕妇（n = 88,402）。女性自我报告在过去一个月和过去2-12个月使用大麻（在过去一年使用，但不是在过去一个月）。使用加权变量估计χ2统计数据和调整的患病率，以考虑复杂的调查设计和抽样概率。在孕妇和非孕妇中，分别有3.9%（95%可信区间[CI]， 3.2-4.7）和7.6% （95% CI, 7.3-7.9）在过去一个月内使用大麻，7.0% （95% CI, 6.0-8.2）和6.4% （95% CI, 6.2-6.6）在过去2-12个月内使用大麻。在过去一年的大麻使用者中（n = 17,934）， 16.2%的孕妇和12.8%的非孕妇几乎每天使用大麻；18.1%的孕妇和11.4%的非孕妇符合虐待和/或依赖的标准。大约70%的孕妇和非孕妇都认为每周使用一到两次大麻有轻微或没有危害的风险。根据社会人口特征调整后，吸烟、酗酒和其他非法药物使用者在过去一年中使用大麻的可能性是非使用者的2-3倍。在过去的12个月里，超过十分之一的孕妇和非孕妇报告使用大麻。在过去一年中使用大麻的妇女中，有相当大比例的人是日常使用者，符合滥用和/或依赖标准，并且是多种物质使用者。所有育龄妇女都需要对使用多种物质进行全面筛查和治疗，并对使用大麻可能造成的危害进行额外的研究和患者教育。
The objective of the study was to provide national prevalence, patterns, and correlates of marijuana use in the past month and past 2–12 months among women of reproductive age by pregnancy status. Data from 2007–2012 National Surveys on Drug Use and Health, a cross-sectional nationally representative survey, identified pregnant (n = 4971) and nonpregnant (n = 88,402) women 18–44 years of age. Women self-reported marijuana use in the past month and past 2–12 months (use in the past year but not in the past month). χ2 statistics and adjusted prevalence ratios were estimated using a weighting variable to account for the complex survey design and probability of sampling. Among pregnant women and nonpregnant women, respectively, 3.9% (95% confidence interval [CI], 3.2–4.7) and 7.6% (95% CI, 7.3–7.9) used marijuana in the past month and 7.0% (95% CI, 6.0–8.2) and 6.4% (95% CI, 6.2–6.6) used in the past 2–12 months. Among past-year marijuana users (n = 17,934), use almost daily was reported by 16.2% of pregnant and 12.8% of nonpregnant women; and 18.1% of pregnant and 11.4% of nonpregnant women met criteria for abuse and/or dependence. Approximately 70% of both pregnant and nonpregnant women believe there is slight or no risk of harm from using marijuana once or twice a week. Smokers of tobacco, alcohol users, and other illicit drug users were 2–3 times more likely to use marijuana in the past year than respective nonusers, adjusting for sociodemographic characteristics. More than 1 in 10 pregnant and nonpregnant women reported using marijuana in the past 12 months. A considerable percentage of women who used marijuana in the past year were daily users, met abuse and/or dependence criteria, and were polysubstance users. Comprehensive screening, treatment for use of multiple substances, and additional research and patient education on the possible harms of marijuana use are needed for all women of reproductive age.
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影响因子：
6.9
作者：
Hall, Wayne;Degenhardt, Louisa
通讯作者：
Degenhardt, Louisa
影响因子：
4.4
作者：
Chen, Chuan-Yu;Storr, Carla L.;Anthony, James C.
通讯作者：
Anthony, James C.
影响因子：
12.7
作者：
Finer, Lawrence B.;Zolna, Mia R.
通讯作者：
Zolna, Mia R.
DOI：
10.1038/sj.jp.7210933
发表时间：
2003-07-01
期刊：
Journal of perinatology : official journal of the California Perinatal Association
影响因子：
--
作者：
El-Mohandes, Ayman;Herman, Allen A;Grylack, Lawrence
通讯作者：
Grylack, Lawrence
影响因子：
2.3
作者：
McCabe, Jennifer E.;Arndt, Stephan
通讯作者：
Arndt, Stephan