Murnan Aaron W, Keim Sarah A, Klebanoff Mark A
Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio.
Am J Perinatol. 2024 May;41(7):902-908. doi: 10.1055/a-1787-6889. Epub 2022 Mar 3.
This study aimed to explore demographic and health-related factors that may differentiate women who do and do not disclose their marijuana use during pregnancy.
The current study is a secondary analysis of data from a prospective cohort of pregnant women identified as using marijuana during pregnancy via a variety of assessment tools including self-report, urine screen, and obstetrics record abstraction. The cohort included a convenience sample of women recruited from several antenatal clinics at The Ohio State University Wexner Medical Center (OSUWMC). To be eligible, women needed to be within the first or second trimester of their pregnancy, 16 to 50 years of age, able to communicate in English, and intended to deliver at OSUWMC. Chi-square, independent samples -tests, and logistic regression analyses were used to explore differences between those who did and did not disclose their use in relation to physical and mental health diagnoses, adverse experiences, use of other substances, and demographics.
Women who used marijuana during their pregnancy and had mental/physical health data available comprised the current sample ( = 109). Women who attended college were more likely to disclose their marijuana use compared with women who did not attend college ( < 0.001). Women who experienced homelessness ( < 0.01) or self-reported alcohol use during pregnancy ( < 0.001) were significantly more likely to disclose their marijuana use.
Findings, suggesting disclosure of other substance use and adverse experiences, such as homelessness, may increase the likelihood that pregnant women will voluntarily disclose their marijuana use to providers. Findings did not reflect racial differences nor significant differences in mental/physical health status among women based on their disclosure. Future research with larger datasets is needed to build on these findings by confirming results, as well as exploring additional factors, that may more effectively differentiate women who are unlikely to disclose their prenatal marijuana use from those who do disclose their use.
· Women with higher education were more likely to self-disclose their prenatal marijuana use.. · Women who experienced homelessness were more likely to self-disclose their prenatal marijuana use.. · Self-disclosure of prenatal alcohol use was related to self-disclosure of prenatal marijuana use.
本研究旨在探讨可能使孕期使用大麻并告知他人与未告知他人的女性产生差异的人口统计学因素及与健康相关的因素。
本研究是对一组前瞻性孕妇队列数据的二次分析，这些孕妇通过多种评估工具（包括自我报告、尿液筛查和产科记录摘要）被确定在孕期使用大麻。该队列包括从俄亥俄州立大学韦克斯纳医学中心（OSUWMC）的多个产前诊所招募的便利样本女性。符合条件的女性需处于妊娠的第一或第二孕期，年龄在16至50岁之间，能够用英语交流，并打算在OSUWMC分娩。采用卡方检验、独立样本t检验和逻辑回归分析来探讨在身体和心理健康诊断、不良经历、其他物质使用及人口统计学方面，告知与未告知大麻使用情况的女性之间的差异。
本样本包括在孕期使用大麻且有身心健康数据的女性（n = 109）。与未上过大学的女性相比，上过大学的女性更有可能告知其大麻使用情况（P < 0.001）。经历过无家可归（P < 0.01）或在孕期自我报告有酒精使用情况（P < 0.001）的女性更有可能告知其大麻使用情况。
研究结果表明，告知其他物质使用情况和不良经历（如无家可归）可能会增加孕妇向医护人员自愿告知其大麻使用情况的可能性。研究结果未反映出种族差异，也未显示基于告知情况的女性在身心健康状况上存在显著差异。需要利用更大数据集进行未来研究，以通过确认结果以及探索其他因素来进一步拓展这些发现，这些因素可能更有效地区分不太可能告知产前大麻使用情况的女性和会告知的女性。
·受过高等教育的女性更有可能自我告知其产前大麻使用情况。·经历过无家可归的女性更有可能自我告知其产前大麻使用情况。·产前酒精使用情况的自我告知与产前大麻使用情况的自我告知相关。
