“I don’t need my kid to be high”: prioritizing harm reduction when using cannabis during pregnancy

IF 4 2区 社会学 Q1 SUBSTANCE ABUSE Harm Reduction Journal Pub Date : 2024-09-09 DOI:10.1186/s12954-024-01046-2
Erin E. Gould, Siddhi S. Ganesh, Rachel Carmen Ceasar
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Abstract

Cannabis is the most common illicit substance used in pregnancy. As use continues to increase, understanding peoples’ behaviors surrounding cannabis use during pregnancy is needed to improve maternal and child health outcomes. The aim of this study was to better understand pregnant individuals' perceptions and knowledge of cannabis use and use patterns as well as the social and environmental factors that may influence their use. We conducted interviews with 19 participants between December 2022 and March 2023. Individuals self-identified as BIPOC (Black, Indigenous, People of Color), were over 21 years of age, spoke English or Spanish, resided in California, and had used cannabis during pregnancy in the last 0–2 years. Using qualitative, constructivist grounded theory methods, we analyzed the contexts that contributed to participants’ lived experiences surrounding cannabis use behaviors during pregnancy. Participants reported making conscious decisions to responsibly manage their cannabis use during pregnancy to minimize potential harm to the fetus. Participants prioritized making what they perceived to be safer adjustments to their use of cannabis: (1) changing the amount of cannabis used, (2) changing the types of cannabis products used, and (3) changing sources of cannabis procurement. Our findings show that pregnant individuals are seeking information about safe cannabis use beyond medical supervision and are open to altering their cannabis consumption patterns. However, they are unable to find trustworthy and evidence-based harm reduction practices which can be implemented to mitigate harm to their unborn children. A harm reduction approach is needed in the field of maternal cannabis use to promote positive maternal and fetal health outcomes. More data is needed on comprehensive harm reduction approaches to cannabis use during pregnancy. This requires implementation of education on these topics in healthcare settings presented by prenatal care clinicians.
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"我不需要我的孩子嗑药":孕期吸食大麻时优先考虑减少危害
大麻是孕期最常见的非法药物。随着使用量的不断增加,需要了解人们在孕期使用大麻的行为,以改善母婴健康状况。本研究旨在更好地了解孕妇对大麻使用和使用模式的看法和知识,以及可能影响其使用的社会和环境因素。我们在 2022 年 12 月至 2023 年 3 月期间对 19 名参与者进行了访谈。这些人自我认同为 BIPOC(黑人、土著人、有色人种),年龄超过 21 岁,会讲英语或西班牙语,居住在加利福尼亚州,在过去 0-2 年中曾在怀孕期间使用过大麻。我们采用定性的建构主义基础理论方法,分析了导致参与者在怀孕期间使用大麻行为的生活经历的背景。参与者称,他们有意识地决定在怀孕期间负责任地管理自己的大麻使用,以尽量减少对胎儿的潜在伤害。参与者优先考虑对大麻使用做出他们认为更安全的调整:(1)改变大麻使用量,(2)改变大麻产品使用类型,以及(3)改变大麻采购来源。我们的研究结果表明,孕妇正在寻求有关在医疗监督之外安全使用大麻的信息,并愿意改变其大麻消费模式。然而,他们无法找到值得信赖的循证减害做法来减轻对未出生胎儿的伤害。在孕产妇吸食大麻领域,需要采取减少危害的方法来促进孕产妇和胎儿健康的积极成果。需要更多关于孕期使用大麻的综合减害方法的数据。这需要产前护理临床医生在医疗保健环境中开展有关这些主题的教育。
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来源期刊
Harm Reduction Journal
Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.90
自引率
9.10%
发文量
126
审稿时长
26 weeks
期刊介绍: Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.
期刊最新文献
Reducing the harms of cannabis use in youth post-legalization: insights from Ontario youth, parents, and service providers. Exploring the substitution of cannabis for alcohol and other drugs among a large convenience sample of people who use cannabis. Navigating transitions into, through, and beyond peer worker roles: insider insights from the Supporting Harm Reduction through Peer Support (SHARPS) study. Unpacking the Effects of Decriminalization: Understanding Drug Use Experiences and Risks among Individuals Who Use Drugs in British Columbia. A scoping review on barriers and facilitators to harm reduction care among youth in British Columbia, Canada.
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