Cannabis legalization and childhood asthma in the United States: An ecologic analysis.
Cannabis legalization and childhood asthma in the United States: An ecologic analysis.
复制标题
美国大麻合法化和儿童哮喘：生态分析。
DOI：
10.1016/j.ypmed.2022.107414
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发表时间：
2023
影响因子：
5.1
通讯作者：
Kattan,Meyer
中科院分区：
文献类型：
--
作者：
Goodwin,ReneeD;Wyka,Katarzyna;Luo,Man;Weinberger,AndreaH;Kattan,Meyer
在家中有孩子的成年人中，大麻的使用正在增加，特别是在大麻合法化用于医疗（MCL）和/或娱乐用途（RCL）的州，相对于大麻使用在州一级仍然是非法的州。暴露于二手烟是儿童哮喘的一个关键危险因素。本研究的目的是调查MCL和RCL与美国儿童哮喘患病率之间的关系。这项生态研究使用了2011年至2019年全国儿童健康调查的数据，这是美国未成年儿童人口的代表性样本。使用差异中差异（DID）分析估计儿童哮喘年患病率（RCL/MCL）随时间的变化。总体而言，从2011- 2012年到2018-2019年，观察到儿童哮喘患病率统计学显著下降1.1%。调整社会人口学特征后，在大麻使用完全非法或最近采用MCL的州，哮喘随时间的总体减少通常更大，但RCL/MCL状态的下降率在统计学上没有差异。与2011-2012年和大麻完全非法的州相比，12-17岁青年中RCL州的哮喘患病率增加（2018-2019年DID = 2.56，p = .028）和一些NH少数民族种族/族裔群体的青年（2016-2017年DID = 3.88，p = .013和2018-2019年DID = 4.45，p = .004）。需要进行更多的研究，以估计社区中成人使用大麻增加对儿童呼吸系统健康的潜在后果。
Cannabis use is increasing among adults with children in the home particularly in states with cannabis legalization for medical (MCL) and/or recreational use (RCL), relative to states where cannabis use remains illegal at the state level. Exposure to secondhand smoke is a key risk factor for asthma among children. The objective of the current study was to investigate the relationship between MCL and RCL and the state-level prevalence of asthma among children in the United States (US). This ecological study used data from the 2011to 2019 National Survey on Children's Health, a representative sample of the population of minor children in the US. Changes in the annual prevalence of pediatric asthma by RCL/MCL over time were estimated using difference-in-difference (DID) analysis. Overall, a statistically significant decrease of 1.1% in the prevalence of pediatric asthma was observed from 2011– 2012 to 2018–2019. Adjusting for sociodemographic characteristics, overall reductions in asthma over time were generally greater in states in which cannabis use is fully illegal or with recent MCL adoption, but the rate of decline did not differ statistically by RCL/MCL status. Relative to 2011–2012 and to states where cannabis is fully illegal, the prevalence of asthma increased in states with RCL among youth 12–17 years old (2018–2019 DID = 2.56,p= .028) and among youth in some NH minoritized race/ethnicity groups (2016–2017 DID = 3.88,p= .013 and 2018–2019 DID = 4.45,p= .004). More research is needed to estimate the potential consequences of increased adult use of cannabis in the community for children's respiratory health.