Factors Associated with Provider Counseling Against Breastfeeding in the Setting of Marijuana Use: A Population‐Based Survey

Introduction The purpose of this study was to explore patient demographic factors associated with counseling against breastfeeding and concurrent marijuana use. Methods A cross‐sectional study derived using data from the Centers for Disease Control and Prevention administered Pregnancy Risk Assessme...

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Veröffentlicht in:Journal of midwifery & women's health 2024-07, Vol.69 (4), p.455-461
Hauptverfasser: Fatunbi, Joy A., Monseur, Brent C., Berghella, Vincenzo, Morris, Jerrine R.
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Sprache:eng
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Zusammenfassung:Introduction The purpose of this study was to explore patient demographic factors associated with counseling against breastfeeding and concurrent marijuana use. Methods A cross‐sectional study derived using data from the Centers for Disease Control and Prevention administered Pregnancy Risk Assessment Monitoring System (PRAMS) in collaboration with state and local health departments. This study sample included survey participants whose responses indicate they received counseling discouraging breastfeeding with concurrent marijuana use. Bivariate and multivariate regression analyses assessed the relationship between factors associated with counseling against breastfeeding and concurrent marijuana use. Results Of the 10,911 participants in this sample, 9,695 participants who answered the question about receiving counseling discouraging breastfeeding while using marijuana were included in the analysis (89% response rate for the total sample). Twenty nine percent of participants were advised by a provider not to breastfeed while using marijuana. Participants who received this counseling were more likely to be people of color, age less than or equal to 29, with a high school education or less, unmarried, report governmental or no insurance prepregnancy, and report marijuana use postpartum. In the multivariate analysis, age less than or equal to 20 (P = .001), being unmarried (P = .023), and marijuana use postpartum (P = .034) remained associated with counseling against breastfeeding. Discussion Our results suggest that individuals are being counseled differently. Unmarried and young people (age
ISSN:1526-9523
1542-2011
1542-2011
DOI:10.1111/jmwh.13583