母性和药用大麻。

IF 3 3区 医学 Q2 SUBSTANCE ABUSE
Vinuli Withanarachchie, Marta Rychert, Chris Wilkins
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引用次数: 0

摘要

导言:在实施医用大麻改革的国家,妇女正在成为使用医用大麻的关键人群。然而,除了对围产期结局的研究外,对母亲消费MC经历的研究仍然有限。本研究探讨了新西兰母亲在合法MC计划下消费MC的不同经历。方法:对近12个月通过处方、非法市场或两者同时使用MC的母亲15例进行访谈。专题分析侧重于MC在养育子女中的使用、MC与儿童的对话、社会污名和风险。结果:母亲报告MC是她们积极养育子女能力的重要促进因素,使她们能够管理自己的健康需求(即焦虑、子宫内膜异位症和关节炎)。合法产品的高成本阻碍了人们进入MC市场。与会者表示,母亲们在进入不受监管的MC市场时面临着独特的风险,比如被视为“坏母亲”和失去孩子的监护权。通过积极主动的MC与儿童对话和代理机构通过MC自我用药来对抗污名,尽管他们可能因作为使用大麻的父母而面临审判。讨论和结论:母亲们认为用MC管理自己的健康可以让她们更有责任感,更好地忍受母亲的压力。深入探索与儿童讨论MC并预测这些对话是一项新颖的发现。大多数母亲都试图在谈话中将MC与其他药物归为一类,并讨论其治疗效果,从而消除MC的污名。很少有人对过早地进行这些对话持谨慎态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Motherhood and medicinal cannabis

Introduction

Women are emerging as a key demographic for medicinal cannabis (MC) use in countries that have implemented MC reforms. However, research on mothers' experiences of consuming MC remains limited beyond studies on perinatal outcomes. This study explores mothers' diverse experiences of consuming MC in New Zealand under the legal MC scheme.

Methods

Interviews with 15 mothers using MC via prescriptions, the illegal market or both in the last 12 months. Thematic analysis focused on MC use in parenting, MC conversations with children, societal stigma and risks.

Results

Mothers reported MC as an important facilitator of their ability to positively parent their children, enabling them to manage their own health needs (i.e., anxiety, endometriosis and arthritis). High costs of legal products hindered access to MC. Participants expressed unique risks that mothers face accessing the unregulated market for MC like being deemed a ‘bad mother’ and losing custody of children. Stigma was countered with narratives of empowerment through proactive MC conversations with children and agency by self-medicating with MC despite the judgement they may face for being a parent that uses cannabis.

Discussion and Conclusions

Mothers felt managing their health with MC allowed them to be more present parents and better tolerate the stressors of motherhood. In-depth exploration of discussing MC with children and anticipating these conversations was a novel finding. Most mothers tried to destigmatise MC in conversations by classifying it in the same category as other medications and discussing its therapeutic benefits. Few were cautious about having these conversations too early.

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来源期刊
Drug and alcohol review
Drug and alcohol review SUBSTANCE ABUSE-
CiteScore
4.80
自引率
10.50%
发文量
151
期刊介绍: Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.
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