Division of Biostatistics and Epidemiology and the Division of Developmental and Behavioral Pediatrics, Cincinnati Children's Hospital, the Department of Pediatrics and the Center for Addiction Research, University of Cincinnati College of Medicine, the Division of General and Community Pediatrics and the Perinatal Institute, Cincinnati Children's Hospital Medical Center, and the College of Nursing, University of Cincinnati, Cincinnati, Ohio; the Department of Pediatrics and the Department of Obstetrics and Gynecology, University of California, Davis, Davis, California; the School of Social Work, University of Illinois at Urbana-Champaign, Champaign, Illinois; and the Friends Research Institute, Baltimore, Maryland.
Obstet Gynecol. 2022 Nov 1;140(5):878-881. doi: 10.1097/AOG.0000000000004834. Epub 2022 Oct 5.
We examined how breastfeeding advice in the context of cannabis use differed by race and ethnicity. Data from the 2017-2018 PRAMS (Pregnancy Risk Assessment Monitoring System) survey were used to assess differences in breastfeeding guidance related to cannabis use among 1,213 individuals who self-reported cannabis use 3 months before or during pregnancy. A multivariable logistic regression model was specified to examine the extent to which the odds of receiving prenatal advice against breastfeeding if using cannabis differed by self-reported race and ethnicity. We found that non-Hispanic Black people were four times more likely than non-Hispanic White people to be advised against breastfeeding if using cannabis (adjusted odds ratio 4.1, 95% CI 2.1-8.2). Pregnant non-Hispanic Black people were disproportionately advised not to breastfeed if using cannabis.
我们研究了在使用大麻的背景下，母乳喂养建议因种族和民族的不同而存在的差异。该研究使用了 2017-2018 年 PRAMS（妊娠风险评估监测系统）调查的数据，评估了在 1213 名自我报告在怀孕前 3 个月或怀孕期间使用大麻的个体中，与使用大麻相关的母乳喂养指导方面的差异。指定了多变量逻辑回归模型，以检查在自我报告的种族和民族背景下，使用大麻时收到不建议母乳喂养的产前建议的几率差异有多大。我们发现，与非西班牙裔白人相比，非西班牙裔黑人如果使用大麻被建议不进行母乳喂养的可能性要高出四倍（调整后的优势比为 4.1，95%CI 2.1-8.2）。如果使用大麻，怀孕的非西班牙裔黑人被不成比例地建议不要进行母乳喂养。
