产前使用阿片类药物的孕妇的烟草和大麻使用情况

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-07-23 DOI:10.1016/j.addbeh.2025.108442

E. Melinda Mahabee-Gittens , Nicole Mack , Carla M. Bann , Jamie E. Newman , Junfang Zhao , Kenneth D.R. Setchell , Lara Stone , Namasivayam Ambalavanan , Myriam Peralta-Carcelen , Sara B. DeMauro , Scott A. Lorch , Deanne E. Wilson-Costello , Brenda B. Poindexter , Catherine Limperopoulos , Jonathan M. Davis , Stephanie L. Merhar

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引用次数: 0

摘要

关于使用阿片类药物的孕妇的烟草和大麻使用模式的信息缺乏。我们的目的是研究阿片类药物使用孕妇在怀孕期间的社会人口学、烟草和大麻使用模式。方法我们招募了206名在怀孕期间使用阿片类药物的孕妇，其中98名自我报告仅服用阿片类药物使用障碍（mod）药物，108名报告在怀孕期间服用其他阿片类药物。我们检查了社会人口学特征和烟草和大麻使用的总体和三个月的自我报告。使用卡方检验和t检验来评估仅使用mod与其他阿片类药物组之间的差异。使用逻辑回归模型来检查与烟草和大麻使用相关的因素的差异。结果平均（SD）年龄为30.7岁（4.6岁）；81.9%为非西班牙裔白人，92.6%有公共保险。在91名仅服用mod并完成物质使用自我报告的妇女中，50名（54.9%）报告仅使用烟草，3名（3.3%）报告仅使用大麻，24名（26.4%）报告同时使用烟草和大麻。服用其他阿片类药物的女性使用烟草和大麻的情况相似（p = 0.98）。调整后的优势比表明，在整个妊娠三个月期间，所有烟草产品（p = 0.28）包括电子烟产品（p = 0.18）的使用都是一致的。在整个怀孕过程中，大麻的使用有所减少，29.8%的人在妊娠早期使用大麻，16.5%的人在妊娠晚期使用大麻（p = 0.0003）。结论：虽然我们观察到仅服用mod和其他阿片类药物的孕妇在烟草和大麻的使用上没有差异，但我们观察到在使用阿片类药物的孕妇中烟草和大麻的使用率很高。这些发现强调了在妊娠期间对OUD患者进行烟草和大麻使用教育和戒烟干预的必要性。

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Tobacco and cannabis use among pregnant women with prenatal opioid use

Background

There is a paucity of information on tobacco and cannabis use patterns in pregnant women who use opioids. Our objective was to examine sociodemographic, tobacco, and cannabis use patterns during pregnancy among pregnant women with opioid use.

Methods

We recruited 206 pregnant women with biochemically verified opioid use during pregnancy, of whom 98 self-reported taking only medications for opioid use disorder (MOUD) and 108 reported taking other opioids during pregnancy. We examined sociodemographic characteristics and self-report of tobacco and cannabis use overall and by trimester. Chi-square and t-tests were used to assess differences between the MOUD-only vs other opioids groups. Logistic regression models were used to examine differences in factors associated with tobacco and cannabis use.

Results

Mean (SD) age was 30.7 years (4.6); 81.9 % were non-Hispanic White, and 92.6 % had public insurance. Of the 91 women taking MOUD only and completing the substance use self-report, 50 (54.9 %) reported tobacco use only, 3 (3.3 %) reported cannabis use only, and 24 (26.4 %) reported both tobacco and cannabis use. Tobacco and cannabis use was similar for women taking other opioids (p = 0.98). Adjusted odds ratios indicated that there was consistent use of all tobacco products (p = 0.28) including e-cigarette products (p = 0.18) throughout all 3 trimesters of pregnancy. There was decreased use of cannabis over the course of pregnancy with 29.8 % using cannabis during the first trimester and 16.5 % during the last trimester (p = 0.0003).

Conclusions

While we observed no differences in tobacco and cannabis use between those taking MOUD only versus other opioids, we observed high rates of tobacco and cannabis use among pregnant women with opioid use. These findings underscore the need for tobacco and cannabis use education and cessation interventions throughout pregnancy for those with OUD.

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.