Jarlenski Marian, Zank Jennifer, Tarr Jill, Chang Judy C
a Department of Health Policy and Management , University of Pittsburgh Graduate School of Public Health , Pittsburgh , Pennsylvania , USA.
b Magee-Womens Hospital , Pittsburgh , Pennsylvania , USA.
Subst Abus. 2017 Jan-Mar;38(1):48-54. doi: 10.1080/08897077.2016.1268240. Epub 2016 Dec 7.
Marijuana is a commonly used substance in pregnancy in the United States. It is unknown what public health messages about perinatal marijuana use are being disseminated in the changing policy landscape.
The authors systematically searched 51 state and 5 federal public health agencies' Web sites in February 2016 for information about perinatal marijuana use. Of these, 1 federal agency and 10 state agencies had published information about perinatal marijuana use. Content analysis was performed by 2 investigators, with excellent interrater reliability (mean κ = 0.87).
Most content was targeted to the public, although 3 agencies had content targeted to health care providers. Common messages about health effects included adverse outcomes in infants and children exposed in utero and that marijuana can be passed via breast milk to infants. Eight sites mentioned health effects of marijuana use during breastfeeding, 5 included resources to stop using marijuana, 5 mentioned implications of marijuana use for infant safety, and 3 mentioned potential legal consequences.
The volume of public health messages about perinatal marijuana use is low, content of messages differs across state agencies, and perinatal marijuana is seldom addressed in content published by federal agencies.
在美国，大麻是孕期常用物质。在不断变化的政策环境中，关于围产期使用大麻的公共卫生信息的传播情况尚不清楚。
作者于2016年2月系统搜索了51个州和5个联邦公共卫生机构的网站，以获取有关围产期使用大麻的信息。其中，1个联邦机构和10个州机构发布了有关围产期使用大麻的信息。由2名研究人员进行内容分析，评分者间信度极佳（平均κ=0.87）。
大多数内容针对公众，不过有3个机构的内容针对医疗保健提供者。关于健康影响的常见信息包括子宫内接触大麻的婴儿和儿童的不良后果，以及大麻可通过母乳传递给婴儿。8个网站提到了母乳喂养期间使用大麻的健康影响，5个网站提供了停止使用大麻的资源，5个网站提到了使用大麻对婴儿安全的影响，3个网站提到了潜在的法律后果。
关于围产期使用大麻的公共卫生信息数量较少，各州机构发布的信息内容存在差异，联邦机构发布的内容很少涉及围产期使用大麻的问题。
