American Indian women's perceptions of perinatal cannabis use.

IF 2.7 3区 医学 Q2 PSYCHOLOGY, CLINICAL
Celestina Barbosa-Leiker, Olivia Brooks, Crystal Lederhos Smith, Shayla C Reid, Gusti Lulu Fatima, Katherine A Hirchak, Randi Arias-Losado, Margaret Cabell
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引用次数: 0

Abstract

Background: Cannabis use during pregnancy continues to rise, yet research examining cannabis use in perinatal American Indian women is lacking. Structural injustices have led to health inequities for American Indian people, including higher prevalence of past-month cannabis use and lower prevalence of receiving mental health treatment, compared to other racial and ethnic groups.Objective: To describe perceptions of risks and benefits of perinatal cannabis use in a sample of American Indian perinatal women who report regularly using cannabis while pregnant.Method: A qualitative descriptive study was conducted with 10 American Indian perinatal women who reported using cannabis at least weekly while pregnant or postpartum. Participants were from three states where cannabis use is legal for adults (Washington, Oregon, and California). Themes were generated from implicit and explicit participant responses and principles of Indigenous research frameworks were utilized.Results: Four themes were derived from the data: 1) Perinatal cannabis use as better than other substances, 2) Medicinal use and perceived therapeutic effects of prenatal cannabis, 3) Unsure if cannabis use while breastfeeding impacts the baby, and 4) Minimal responses from healthcare providers perceived as approval.Conclusions: Cannabis was used for health-related issues and was perceived to be a safer option for than use of methamphetamine, heroin, alcohol, and prescription pharmaceuticals. With a focus on other substance use issues within participants' communities, minimal discussion about cannabis use by healthcare providers was perceived as endorsement of use, highlighting the need for additional training for healthcare providers.

美国印第安妇女对围产期大麻使用的看法。
背景:怀孕期间使用大麻的人数持续上升,但对围产期美国印第安妇女使用大麻的研究缺乏。与其他种族和族裔群体相比,结构性的不公正导致了美洲印第安人在健康方面的不平等,包括上个月吸食大麻的比例较高,接受精神健康治疗的比例较低。目的:描述在美国印第安围产期妇女谁报告经常使用大麻,而怀孕期间使用大麻样本的风险和利益的看法。方法:对10名美国印第安围产期妇女进行定性描述性研究,她们报告在怀孕或产后至少每周使用大麻。参与者来自三个成年人使用大麻合法的州(华盛顿州、俄勒冈州和加利福尼亚州)。主题来自参与者的内隐和外显反应,并利用了土著研究框架的原则。结果:从数据中得出四个主题:1)围产期大麻使用优于其他物质,2)产前大麻的药用和感知治疗效果,3)不确定母乳喂养时使用大麻是否会影响婴儿,4)医疗保健提供者的最小反应被认为是批准的。结论:大麻被用于健康相关问题,并且被认为是比使用甲基苯丙胺、海洛因、酒精和处方药更安全的选择。由于重点关注参与者社区内的其他物质使用问题,医疗保健提供者对大麻使用的讨论很少,这被认为是对大麻使用的认可,强调需要对医疗保健提供者进行额外培训。
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
CiteScore
4.70
自引率
3.70%
发文量
68
期刊介绍: The American Journal of Drug and Alcohol Abuse (AJDAA) is an international journal published six times per year and provides an important and stimulating venue for the exchange of ideas between the researchers working in diverse areas, including public policy, epidemiology, neurobiology, and the treatment of addictive disorders. AJDAA includes a wide range of translational research, covering preclinical and clinical aspects of the field. AJDAA covers these topics with focused data presentations and authoritative reviews of timely developments in our field. Manuscripts exploring addictions other than substance use disorders are encouraged. Reviews and Perspectives of emerging fields are given priority consideration. Areas of particular interest include: public health policy; novel research methodologies; human and animal pharmacology; human translational studies, including neuroimaging; pharmacological and behavioral treatments; new modalities of care; molecular and family genetic studies; medicinal use of substances traditionally considered substances of abuse.
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