Beliefs and attitudes regarding prenatal marijuana use: Perspectives of pregnant women who report use
Beliefs and attitudes regarding prenatal marijuana use: Perspectives of pregnant women who report use
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DOI：
10.1016/j.drugalcdep.2018.11.028
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发表时间：
2019-03-01
影响因子：
4.2
通讯作者：
Arnold, Robert M.
中科院分区：
文献类型：
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作者：
Chang, Judy C.;Tarr, Jill A.;Arnold, Robert M.
目的：随着大麻的法律和社会环境日益宽松，从吸食大麻的女性的角度了解产前大麻的使用非常重要。我们的目标是定性描述怀孕期间吸食大麻的女性的吸食经历、信念和态度。方法：我们对报告目前吸食大麻或尿液检测大麻呈阳性的孕妇进行半结构化访谈。采访内容被逐字记录并分析其模式和主题。结果：25 名在怀孕期间吸食大麻的孕妇参加了我们的研究采访。访谈中出现的主要主题是，女性：1）报告在怀孕前吸食大麻的量较高，并在意识到自己怀孕后试图减少吸食； 2) 使用大麻来帮助缓解怀孕期间的恶心和食欲变化或改善情绪； 3) 与酒精、烟草、其他娱乐性毒品和处方药等其他物质相比，大麻被描述为“天然”和“安全”； 4）对于大麻是否成瘾有相互矛盾的意见； 5) 不确定，但对产前吸食大麻的潜在风险有一些担忧。结论：在怀孕期间吸食大麻的孕妇对于继续吸食大麻持有矛盾的信念；他们报告称，他们试图减少使用，并担心潜在的风险，但也认为大麻比其他物质（包括处方药）更天然、更安全。这些发现对从业者如何解决产前大麻使用问题具有影响，并强调需要对发育结果进行进一步研究。
Objective: With the increasingly permissive legal and social environments regarding marijuana, it is important to understand prenatal marijuana use from the perspective of women who use marijuana. Our objective was to qualitatively describe the marijuana use experiences, beliefs, and attitudes of women who used marijuana during pregnancy.Methods: We conducted semi-structured interviews with pregnant women who had either reported current marijuana use or had urine testing positive for marijuana. Interviews were transcribed verbatim and analyzed for patterns and themes.Results: Twenty-five pregnant women who used marijuana during their pregnancies participated in our study interviews. Main themes that emerged from the interviews were that women: 1) reported higher amounts of marijuana use prior to pregnancy and attempted to reduce their use once they realized they were pregnant; 2) used marijuana to help with nausea and appetite changes during pregnancy or to improve mood; 3) described marijuana as "natural" and "safe" compared to other substances such as alcohol, tobacco, other recreational drugs, and prescribed medications; 4) had conflicting opinions regarding whether marijuana was addictive; and 5) were uncertain but had some concerns regarding potential risks of prenatal marijuana use.Conclusion: Pregnant women who used marijuana in pregnancy held contradictory beliefs about continued use; they reported trying to reduce usage and were worried about potential risks, but also felt that marijuana is more natural and safer than other substances, including prescribed medicines. These findings have implications for how practitioners address prenatal marijuana use and highlight the need for further research on developmental outcomes.