Cannabis use during pregnancy in the United States: The role of depression
| Autor: | Renee D. Goodwin, Jiaqi Zhu, Katarzyna Wyka, Melody V. Wu, Torri D. Metz, Zoe Heisler, Rina D. Eiden |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Toxicology 03 medical and health sciences Young Adult 0302 clinical medicine Pregnancy Intervention (counseling) Epidemiology Medicine Humans Pharmacology (medical) 030212 general & internal medicine Child Depression (differential diagnoses) Cannabis Pharmacology biology business.industry Depression Odds ratio biology.organism_classification medicine.disease Health Surveys Confidence interval United States Risk perception Pregnancy Complications Psychiatry and Mental health Cross-Sectional Studies Female Marijuana Use Pregnant Women business 030217 neurology & neurosurgery Demography |
| Zdroj: | Drug and alcohol dependence. 210 |
| ISSN: | 1879-0046 |
| Popis: | Background Cannabis use is increasing in the United States. Prior work suggests tobacco use in pregnancy is much more common among those with depression. It is not known whether cannabis use is also more common among this especially vulnerable group. Identifying those at highest risk for cannabis use is required to direct prevention and intervention efforts. Methods Data were drawn from the 2005–2018 National Survey on Drug Use and Health (NSDUH), an annual, cross-sectional sample of persons ages 12 and older representative of the US. The prevalence of past-30-day cannabis use by depression status (past-12-month) and by sociodemographic factors and perception of risk associated with cannabis use was estimated among pregnant women. Results Cannabis use was significantly more common among pregnant women with, compared to without, depression (12.7 % vs. 3.7 %; odds ratio (OR) = 3.8 (95 % confidence interval 2.8, 5.0)). This was the case across all sociodemographic subgroups. The relationship between depression and cannabis use was significantly stronger among those who perceived moderate-great risk (OR = 6.9 (3.7, 13.0)) compared with no risk (OR = 1.6 (1.1, 2.4); Pint = 0.0003) associated with regular use. Conclusions Women with depression are more than three times more likely to use cannabis during pregnancy. Disparities in cannabis use among pregnant women by depression status appear to be echoing trends in tobacco use. Education about risks associated with cannabis use in pregnancy and prevention, akin to those for prenatal tobacco use, may be needed among pregnant women who are depressed to stem this increase and potentially growing disparity. |
| Databáze: | OpenAIRE |
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