Predictors of perinatal cannabis use in colorado and the association with depression during pregnancy.

IF 3.2 3区 医学 Q2 PSYCHIATRY
Valerie J Teano, Blair W Weikel, Sunah S Hwang, Erica M Wymore, Sarah Blackwell, Stephanie L Bourque
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Abstract

Purpose: To evaluate the prevalence and predictors of cannabis use and reasons for use during and/or after pregnancy among Colorado birthing individuals. To determine the independent association of self-reported depression during pregnancy and cannabis used.

Methods: Data from Health eMoms, a statewide perinatal longitudinal electronic surveillance system were analyzed. Perinatal cannabis use was defined as any use during and/or after pregnancy. Bivariate associations of birthing individual and infant characteristics with use were estimated using chi-square tests. Multivariable logistic regression was used to assess the independent relationship between depression and reported cannabis use versus no reported cannabis use.

Results: A weighted sample of 117,812 birthing individuals was analyzed from survey responses between 2018-2021. Among the 15,585 (13.3%) who reported perinatal cannabis use, 35.5% reported use during pregnancy and 87.3% reported post-partum use. Individuals with depression during pregnancy had 2.2 times higher adjusted odds (95% CI: 1.5. 3.3) of any perinatal cannabis use compared to those without depression. Among those who had any perinatal cannabis use, reported use for medical reasons was 92% during pregnancy, while 43% cited this as the reason for use 12-14 months post-partum.

Conclusion: Self-reported cannabis use during the perinatal period in a state with legalized recreational use was over 1 in 10. Use varied significantly by demographics and social factors with inconsistent perinatal guidance provided by healthcare professionals. Depression during pregnancy was significantly associated with use, illustrating the need for comprehensive mental health screening and therapeutic evidence-based interventions to support these individuals.

科罗拉多州围产期使用大麻的预测因素以及与孕期抑郁症的关联。
目的:评估科罗拉多州分娩人群中使用大麻的流行率和预测因素,以及在怀孕期间和/或怀孕后使用大麻的原因。确定孕期自我报告的抑郁症与大麻使用的独立关联:分析了来自 Health eMoms(全州围产期纵向电子监控系统)的数据。围产期使用大麻被定义为怀孕期间和/或怀孕后的任何使用行为。使用卡方检验估算了分娩个体和婴儿特征与使用大麻之间的二元关联。使用多变量逻辑回归评估抑郁症和报告使用大麻与未报告使用大麻之间的独立关系:从 2018-2021 年间的调查回复中分析了 117812 名分娩个体的加权样本。在报告围产期使用大麻的 15,585 人(13.3%)中,35.5% 报告在孕期使用,87.3% 报告在产后使用。与没有抑郁症的人相比,在怀孕期间患有抑郁症的人在围产期使用大麻的调整后几率要高出 2.2 倍(95% CI:1.5-3.3)。在围产期吸食大麻的人群中,92%的人在怀孕期间因医疗原因吸食大麻,43%的人在产后12-14个月因医疗原因吸食大麻:结论:在一个娱乐使用合法化的州,自我报告的围产期大麻使用率超过十分之一。使用情况因人口统计学和社会因素的不同而有很大差异,医疗保健专业人员提供的围产期指导也不一致。孕期抑郁与使用大麻有很大关系,这说明需要进行全面的心理健康筛查和循证治疗干预,为这些人提供支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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