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母亲身份与药用大麻。

Motherhood and medicinal cannabis.

作者信息

Withanarachchie Vinuli, Rychert Marta, Wilkins Chris

机构信息

Shore & Whāriki Research Centre, College of Health, Massey University, Auckland, New Zealand.

出版信息

Drug Alcohol Rev. 2025 May;44(4):1024-1035. doi: 10.1111/dar.14027. Epub 2025 Feb 18.

Abstract

INTRODUCTION

Women are emerging as a key demographic for medicinal cannabis (MC) use in countries that have implemented MC reforms. However, research on mothers' experiences of consuming MC remains limited beyond studies on perinatal outcomes. This study explores mothers' diverse experiences of consuming MC in New Zealand under the legal MC scheme.

METHODS

Interviews with 15 mothers using MC via prescriptions, the illegal market or both in the last 12 months. Thematic analysis focused on MC use in parenting, MC conversations with children, societal stigma and risks.

RESULTS

Mothers reported MC as an important facilitator of their ability to positively parent their children, enabling them to manage their own health needs (i.e., anxiety, endometriosis and arthritis). High costs of legal products hindered access to MC. Participants expressed unique risks that mothers face accessing the unregulated market for MC like being deemed a 'bad mother' and losing custody of children. Stigma was countered with narratives of empowerment through proactive MC conversations with children and agency by self-medicating with MC despite the judgement they may face for being a parent that uses cannabis.

DISCUSSION AND CONCLUSIONS

Mothers felt managing their health with MC allowed them to be more present parents and better tolerate the stressors of motherhood. In-depth exploration of discussing MC with children and anticipating these conversations was a novel finding. Most mothers tried to destigmatise MC in conversations by classifying it in the same category as other medications and discussing its therapeutic benefits. Few were cautious about having these conversations too early.

摘要

引言

在已实施医用大麻改革的国家,女性正成为使用医用大麻的关键人群。然而,除了围产期结局的研究之外,关于母亲使用医用大麻经历的研究仍然有限。本研究探讨了在新西兰合法医用大麻计划下母亲们使用医用大麻的多样经历。

方法

对15位在过去12个月内通过处方、非法市场或两者兼用使用医用大麻的母亲进行访谈。主题分析聚焦于医用大麻在育儿中的使用、与孩子关于医用大麻的对话、社会污名以及风险。

结果

母亲们报告称医用大麻是她们积极育儿能力的重要促进因素,使她们能够满足自身的健康需求(即焦虑、子宫内膜异位症和关节炎)。合法产品的高成本阻碍了对医用大麻的获取。参与者表达了母亲们在进入医用大麻不受监管的市场时所面临的独特风险,比如被视为“坏母亲”以及失去孩子的监护权。通过与孩子积极进行关于医用大麻的对话以及尽管作为使用大麻的父母可能面临评判但仍自行使用医用大麻来展现能动性,用赋权的叙述来对抗污名。

讨论与结论

母亲们认为用医用大麻管理自身健康使她们能够更全身心地陪伴孩子,并更好地承受为人母的压力。深入探讨与孩子谈论医用大麻以及对这些对话进行预期是一个新发现。大多数母亲在对话中试图通过将医用大麻与其他药物归为同一类别并讨论其治疗益处来消除对它的污名。很少有人对过早进行这些对话持谨慎态度。

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