州级医用大麻合法化与孕期使用大麻之间的关系:一项基于人口的研究。

IF 2.5 4区 医学 Q2 SUBSTANCE ABUSE
Mohammad Rifat Haider, Sabrina Karim, Jayani Jayawardhana, Nathan B Hansen, Zelalem T Haile
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引用次数: 0

摘要

背景和目的:尽管大麻与不良妊娠和分娩结局有关,但在过去二十年中,孕期使用大麻的人数有所增加。在此期间,已有 38 个州和哥伦比亚特区将医用大麻合法化。在医用大麻合法化的州,大麻及相关产品的销售量有所增加。本研究旨在探讨美国各州医用大麻合法化与孕期使用大麻之间的关联:利用 2015-2021 年全国药物使用和健康调查,我们评估了当前怀孕母亲(N = 4338)在过去一个月内使用大麻与其居住州的医用大麻合法化之间的关联。我们进行了调查加权描述性分析、双变量分析和多变量逻辑回归分析:约有 5.7% 的孕妇表示在过去一个月内使用过大麻,59.0% 的孕妇居住在 2015-2021 年间医用大麻合法化的州。与生活在没有大麻合法化州的孕妇相比,生活在大麻合法化州的孕妇报告使用大麻的比例更高(4.6% 对 6.5%)。在多变量模型中,居住在医用大麻合法化州的孕妇比没有合法化州的居民更有可能吸食大麻(调整后的比值比:1.56;95% 置信区间:1.11-2.18):这是首个已知的研究发现,生活在医用大麻合法化州的孕妇在怀孕期间更有可能使用大麻。孕妇应了解与孕期吸食大麻有关的不良妊娠和分娩后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between state-level medical marijuana legalization and marijuana use during pregnancy: A population-based study.

Background and objectives: Despite marijuana's association with adverse pregnancy and birth outcomes, its use during pregnancy increased over the last two decades. During this period, medical marijuana has been legalized in 38 states and the District of Columbia. States with legalized medical marijuana have observed increased marketing of marijuana and related products. This study aims to examine the association between state-level medical marijuana legalization and marijuana use during pregnancy in the United States.

Methods: Using the 2015-2021 National Survey on Drug Use and Health, we evaluated the association between marijuana use in the past month among currently pregnant mothers (N = 4338) and legalized medical marijuana in their state of residence. Survey-weighted descriptive, bivariate, and multivariable logistic regression analyzes were performed.

Results: About 5.7% of pregnant women reported using marijuana in the past month, and 59.0% lived in a state where medical marijuana was legalized across 2015-2021. Compared to those living in states without marijuana legalization, more pregnant women living in states with marijuana legalization reported using marijuana (4.6% vs. 6.5%). In the multivariable model, pregnant women residing in states with medical marijuana legalization were more likely to use marijuana than residents of states without legalization (adjusted Odds Ratio: 1.56; 95% Confidence Interval: 1.11-2.18).

Conclusion and scientific significance: This is the first known study to find that pregnant women living in states where medical marijuana is legalized are more likely to use marijuana during pregnancy. Pregnant women should be informed of adverse pregnancy and birth outcomes linked to marijuana use during pregnancy.

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来源期刊
CiteScore
5.00
自引率
0.00%
发文量
118
期刊介绍: The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.
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