Marijuana and tobacco co-use among a nationally representative sample of US pregnant and non-pregnant women: 2005-2014 National Survey on Drug Use and Health findings
Marijuana and tobacco co-use among a nationally representative sample of US pregnant and non-pregnant women: 2005-2014 National Survey on Drug Use and Health findings
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DOI：
10.1016/j.drugalcdep.2017.03.025
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发表时间：
2017-08-01
影响因子：
4.2
通讯作者：
Peters, Erica N.
中科院分区：
文献类型：
--
作者：
Coleman-Cowger, Victoria H.;Schauer, Gillian L.;Peters, Erica N.
背景：大麻和烟草是怀孕期间最常用的非法和合法药物。本研究旨在检查具有全国代表性的美国孕妇样本，并：(1) 确定过去一个月大麻和烟草共同使用的流行率，(2) 确定大麻和烟草共同使用者与仅吸大麻、仅吸烟或两者均不吸食的特征，以及 (3) 比较怀孕和非怀孕同时吸食大麻和烟草的特征。方法：数据来自 497,218 名美国女性（8721 名）。年龄 12-49 岁、参加 2005-2014 年全国药物使用与健康调查的孕妇）。使用加权估计和卡方检验比较各组的患病率、人口统计和物质使用特征。多项逻辑回归确定了人口统计和物质使用与共同使用的相关性。结果：怀孕和非怀孕妇女中的共同使用明显比仅使用大麻更普遍，但比仅使用烟草少见。在未经调整的频率下，怀孕的共同用户与非怀孕的共同用户在多个领域存在显着差异。在孕妇中，同时使用烟草和大麻与仅使用烟草的多变量相关性为 12-17 岁、非西班牙裔黑人、西班牙裔以及过去一个月多种烟草、任何酒精和其他药物的使用（所有调整后的比值比均为 2.0）。结论：在全国代表性孕妇群体中同时使用大麻和烟草的流行率和相关性的首次检查中，孕妇与非怀孕的共同使用者和单一物质的使用者相比，共同使用者更有可能报告其他高风险行为，这表明值得进一步调查的差异。
Background: Marijuana and tobacco are the most commonly used illicit and licit drugs during pregnancy. This study aimed to examine a nationally representative sample of US pregnant women and to: (1) determine the prevalence of past month marijuana and tobacco co-use, (2) identify characteristics that distinguish marijuana and tobacco co-users from users of marijuana only, tobacco only, or neither, and (3) compare characteristics that differ between pregnant and non-pregnant co-users of marijuana and tobacco.Methods: Data were obtained from 497,218 US women (8721 pregnant) ages 12-49 who participated in the 2005-2014 National Survey on Drug Use and Health. Prevalence and demographic and substance use characteristics were compared across groups using weighted estimates and chi-squared tests. Multinomial logistic regression identified demographic and substance use correlates of co-use.Results: Co-use among pregnant and non-pregnant women was significantly more prevalent than marijuana-only use but was less common than tobacco-only use. In unadjusted frequencies, pregnant co-users significantly differed from non-pregnant co-users across several domains. Among pregnant women, multivariate correlates of co-use of tobacco and marijuana vs. tobacco-only use were ages 12-17, non-Hispanic black race, Hispanic ethnicity, and past month polytobacco, any alcohol, and other drug use (all adjusted odds ratios 2.0).Conclusions: In this first examination of the prevalence and correlates of co-use of marijuana and tobacco among a nationally representative group of pregnant women, pregnant co-users were more likely to report other high risk behaviors compared with non-pregnant co-users and users of a single substance, suggesting disparities worthy of further investigation.