怀孕前、怀孕期间和怀孕后烟草和大麻的使用及共同使用:烟草与健康人群评估(PATH)研究第 1-5 波的纵向分析。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-11-01 Epub Date: 2024-04-18 DOI:10.1037/adb0001004
Jessica M Powers, Sarah F Maloney, Eva Sharma, Laura R Stroud
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引用次数: 0

摘要

目的:孕期同时使用烟草和大麻的现象可能很普遍,这可能会导致更多的不良健康后果。本研究通过对全国妇女样本进行孕前、孕期和产后的前瞻性跟踪,检验了孕前同时使用烟草和大麻(与仅使用烟草和仅使用大麻相比)是否与孕期和产后继续使用烟草和/或大麻的可能性增大有关:数据来自烟草与健康人群评估(PATH)研究的第 1-5 波(2013-2019 年)。采集了孕前、孕期和产后数据,并在三个时间段(第 1-3 波、第 2-4 波和第 3-5 波)内叠加。参与者为 N = 686 名美国女性(72% 白人,46% 年龄在 25-34 岁之间),她们目前在间隔期的中间波段怀孕。研究了三个时间点的纯烟草使用率、纯大麻使用率以及烟草和大麻共同使用率:结果:广义估计方程模型显示,报告孕前共同使用烟草和大麻(与只使用烟草或只使用大麻相比)的孕妇更有可能在孕期继续使用烟草和/或大麻,并在产后复吸(p < .05)。在认可孕前共同使用烟草和/或大麻并在孕期继续使用烟草和/或大麻的妇女中,约有一半过渡到只使用烟草(45.16%):研究结果强调,临床和实证研究需要进一步关注围产期使用/共同使用烟草和大麻的动态模式,包括采取戒烟干预措施,以减少孕期烟草和大麻的使用并防止产后复吸。(PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
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Use and co-use of tobacco and cannabis before, during, and after pregnancy: A longitudinal analysis of waves 1-5 of the Population Assessment of Tobacco and Health (PATH) study.

[Correction Notice: An Erratum for this article was reported in Vol 38(7) of Psychology of Addictive Behaviors (see record 2025-40494-001). In Table 1, the Past 30-day cannabis use row now appears as Past 30-day cannabis only use; the Past 30-day tobacco use row now appears as Any past 30-day tobacco use. The Total sample at prepregnancy sample of 344 (50.14%) now appears as 342 (49.85%). Figure 3 also has been updated. All versions of this article have been corrected.] Objective: Co-use of tobacco and cannabis may be prevalent in pregnancy, potentially leading to additional adverse health outcomes. Utilizing a national sample of women followed prospectively before, during, and after pregnancy, this study tested whether prepregnancy co-use of tobacco and cannabis (vs. tobacco-only use and cannabis-only use) was associated with greater likelihood of continuing to use tobacco and/or cannabis during pregnancy and postpartum.

Method: Data were drawn from Waves 1-5 (2013-2019) of the Population Assessment of Tobacco and Health (PATH) Study. Prepregnancy, pregnancy, and postpartum data were captured and stacked over three intervals (Waves 1-3, 2-4, and 3-5). Participants were N = 686 U.S. women (72% White, 46% age 25-34) who were currently pregnant during the middle wave of an interval. Rates of tobacco-only use, cannabis-only use, and tobacco and cannabis co-use at all three time points were examined.

Results: Generalized estimating equation models demonstrated that pregnant women who reported prepregnancy tobacco and cannabis co-use (vs. tobacco-only or cannabis-only use) were more likely to continue to use tobacco and/or cannabis during pregnancy and relapse in postpartum (p < .05). Among women who endorsed prepregnancy co-use and continued to use tobacco and/or cannabis in pregnancy, about half transitioned to tobacco-only use (45.16%).

Conclusions: Findings underscore the need for further clinical and empirical focus on dynamic patterns of use/co-use of tobacco and cannabis across the perinatal period, including cessation interventions to reduce tobacco and cannabis use in pregnancy and protect against relapse in postpartum. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
期刊最新文献
Concurrent and long-term effects of early pubertal timing on alcohol, cigarette, and cannabis use from adolescence to adulthood. Daily associations between resilience factors, substance use, and affect among sexual minority youth. Use and co-use of alcohol and cannabis following physical pain in the daily life of community adults engaged in regular substance use. Effects of cannabis use on cigarette smoking cessation in LGBTQ+ individuals. Use and co-use of tobacco and cannabis before, during, and after pregnancy: A longitudinal analysis of waves 1-5 of the Population Assessment of Tobacco and Health (PATH) study.
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