Frequency of cannabis use during pregnancy and adverse infant outcomes, by cigarette smoking status – 8 PRAMS states, 2017
•1 in 4 infants with prenatal cannabis exposure were small for gestational age.•1 in 8 infants with prenatal cannabis exposure were low birthweight.•Likelihood of infant outcomes varied by cannabis use frequency and cigarette use.•Cannabis use ≥ once/week associated with low birthweight delivery. Re...
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| Veröffentlicht in: | Drug and alcohol dependence 2021-03, Vol.220 (C), p.108507-108507, Article 108507 |
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| creator | Haight, Sarah C. King, Brian A. Bombard, Jennifer M. Coy, Kelsey C. Ferré, Cynthia D. Grant, Althea M. Ko, Jean Y. |
| description | •1 in 4 infants with prenatal cannabis exposure were small for gestational age.•1 in 8 infants with prenatal cannabis exposure were low birthweight.•Likelihood of infant outcomes varied by cannabis use frequency and cigarette use.•Cannabis use ≥ once/week associated with low birthweight delivery.
Research on prenatal cannabis use and adverse infant outcomes is inconsistent, and findings vary by frequency of use or cigarette use. We assess (1) the prevalence of high frequency (≥once/week), low frequency ( |
| doi_str_mv | 10.1016/j.drugalcdep.2021.108507 |
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Research on prenatal cannabis use and adverse infant outcomes is inconsistent, and findings vary by frequency of use or cigarette use. We assess (1) the prevalence of high frequency (≥once/week), low frequency (<once/week), and any cannabis use during pregnancy by maternal characteristics and adverse infant outcomes; (2) the prevalence of infant outcomes by cannabis use frequency, stratified by cigarette smoking; and (3) the association between cannabis use frequency and infant outcomes, stratified by cigarette smoking.
Cross-sectional data from 8 states’ 2017 Pregnancy Risk Assessment Monitoring System (n = 5548) were analyzed. We calculated adjusted prevalence ratios (aPR) between cannabis use frequency and infant outcomes with Modified Poisson regression.
Approximately 1.7 % and 2.6 % of women reported low and high frequency prenatal cannabis use, respectively. Prevalence of use was higher among women with small-for-gestational age (SGA) (10.2 %) and low birthweight (9.7 %) deliveries, and cigarette use during pregnancy (21.2 %). Among cigarette smokers (aPR: 1.8; 95 % CI: 1.1−3.0) and non-smokers (aPR: 2.1; 95 % CI: 1.1−3.9), high frequency cannabis use doubled the risk of low birthweight delivery but did not increase preterm or SGA risk. Regardless of cigarette use, low frequency cannabis use did not significantly increase infant outcome risk.
Prenatal cannabis use was more common among women who smoked cigarettes during pregnancy. High frequency cannabis use was associated with low birthweight delivery, regardless of cigarette use. Healthcare providers can implement recommended substance use screening and provide evidence-based counseling and cessation services to help pregnant women avoid tobacco and cannabis use.</description><identifier>ISSN: 0376-8716</identifier><identifier>ISSN: 1879-0046</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2021.108507</identifier><identifier>PMID: 33476951</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adult ; Birth weight ; Cannabis ; Cigarette smoking ; Cigarette Smoking - epidemiology ; Cigarettes ; Counseling services ; Cross-Sectional Studies ; Female ; Gestational age ; Health Behavior ; Health care ; High frequencies ; Humans ; Infant, Newborn ; Infant, Small for Gestational Age ; Infants ; Low birth weight ; Low birthweight ; Low frequencies ; Marijuana ; Marijuana Use - epidemiology ; Maternal ; Maternal characteristics ; Nonsmokers ; Pregnancy ; Premature Birth - epidemiology ; Prenatal ; Prenatal care ; Preterm birth ; Prevalence ; Regression analysis ; Risk Assessment ; Small for gestational age ; Smoker-Nonsmoker interactions ; Smoking ; Substance abuse ; Substance use ; Tobacco ; Tobacco Products ; United States - epidemiology ; Young Adult</subject><ispartof>Drug and alcohol dependence, 2021-03, Vol.220 (C), p.108507-108507, Article 108507</ispartof><rights>2021</rights><rights>Published by Elsevier B.V.</rights><rights>Copyright Elsevier Science Ltd. Mar 1, 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-b5e528936350a5a55779adab5c7494a49af3ed5a2039f859c751aef2d6cccf173</citedby><cites>FETCH-LOGICAL-c535t-b5e528936350a5a55779adab5c7494a49af3ed5a2039f859c751aef2d6cccf173</cites><orcidid>0000-0003-0961-9793 ; 0000-0002-4540-3407 ; 0000-0002-1347-0314 ; 0000000245403407 ; 0000000213470314 ; 0000000309619793</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0376871621000028$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,30976,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33476951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/1809577$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Haight, Sarah C.</creatorcontrib><creatorcontrib>King, Brian A.</creatorcontrib><creatorcontrib>Bombard, Jennifer M.</creatorcontrib><creatorcontrib>Coy, Kelsey C.</creatorcontrib><creatorcontrib>Ferré, Cynthia D.</creatorcontrib><creatorcontrib>Grant, Althea M.</creatorcontrib><creatorcontrib>Ko, Jean Y.</creatorcontrib><title>Frequency of cannabis use during pregnancy and adverse infant outcomes, by cigarette smoking status – 8 PRAMS states, 2017</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>•1 in 4 infants with prenatal cannabis exposure were small for gestational age.•1 in 8 infants with prenatal cannabis exposure were low birthweight.•Likelihood of infant outcomes varied by cannabis use frequency and cigarette use.•Cannabis use ≥ once/week associated with low birthweight delivery.
Research on prenatal cannabis use and adverse infant outcomes is inconsistent, and findings vary by frequency of use or cigarette use. We assess (1) the prevalence of high frequency (≥once/week), low frequency (<once/week), and any cannabis use during pregnancy by maternal characteristics and adverse infant outcomes; (2) the prevalence of infant outcomes by cannabis use frequency, stratified by cigarette smoking; and (3) the association between cannabis use frequency and infant outcomes, stratified by cigarette smoking.
Cross-sectional data from 8 states’ 2017 Pregnancy Risk Assessment Monitoring System (n = 5548) were analyzed. We calculated adjusted prevalence ratios (aPR) between cannabis use frequency and infant outcomes with Modified Poisson regression.
Approximately 1.7 % and 2.6 % of women reported low and high frequency prenatal cannabis use, respectively. Prevalence of use was higher among women with small-for-gestational age (SGA) (10.2 %) and low birthweight (9.7 %) deliveries, and cigarette use during pregnancy (21.2 %). Among cigarette smokers (aPR: 1.8; 95 % CI: 1.1−3.0) and non-smokers (aPR: 2.1; 95 % CI: 1.1−3.9), high frequency cannabis use doubled the risk of low birthweight delivery but did not increase preterm or SGA risk. Regardless of cigarette use, low frequency cannabis use did not significantly increase infant outcome risk.
Prenatal cannabis use was more common among women who smoked cigarettes during pregnancy. High frequency cannabis use was associated with low birthweight delivery, regardless of cigarette use. Healthcare providers can implement recommended substance use screening and provide evidence-based counseling and cessation services to help pregnant women avoid tobacco and cannabis use.</description><subject>Adult</subject><subject>Birth weight</subject><subject>Cannabis</subject><subject>Cigarette smoking</subject><subject>Cigarette Smoking - epidemiology</subject><subject>Cigarettes</subject><subject>Counseling services</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gestational age</subject><subject>Health Behavior</subject><subject>Health care</subject><subject>High frequencies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Small for Gestational Age</subject><subject>Infants</subject><subject>Low birth weight</subject><subject>Low birthweight</subject><subject>Low frequencies</subject><subject>Marijuana</subject><subject>Marijuana Use - epidemiology</subject><subject>Maternal</subject><subject>Maternal characteristics</subject><subject>Nonsmokers</subject><subject>Pregnancy</subject><subject>Premature Birth - epidemiology</subject><subject>Prenatal</subject><subject>Prenatal care</subject><subject>Preterm birth</subject><subject>Prevalence</subject><subject>Regression analysis</subject><subject>Risk Assessment</subject><subject>Small for gestational age</subject><subject>Smoker-Nonsmoker interactions</subject><subject>Smoking</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Tobacco</subject><subject>Tobacco Products</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>0376-8716</issn><issn>1879-0046</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFksmOEzEQhlsIxAwDr4AsuHAgwUu77T6hYcQA0iAQy9mq2NUZh8QOtjtSJA68A2_Ik-Amw7Bc8KWkqq9W_01DGJ0zyronq7lL4xLW1uF2ziln1a0lVTeaY6ZVP6O07W42x1SobqYV646aOzmvaH1dT283R0K0quslO26-nCf8PGKwexIHYiEEWPhMxozEjcmHJdkmXAaYAAiOgNthqkEfBgiFxLHYuMH8mCz2xPolJCwFSd7ET1NuLlDGTL5__UY0efvu9PX7n66J55Spu82tAdYZ713Zk-bj-fMPZy9nF29evDo7vZhZKWSZLSRKrnvRCUlBgpRK9eBgIa1q-xbaHgaBTgKnoh-07K2SDHDgrrPWDkyJk-bpoe52XGzQWQwlwdpsk99A2psI3vwdCf7SLOPOMMY73QpRKzw4VIi5eJOtL2gvbQwBbTFM077OVKFHV21SrDfNxWx8trheQ8A4ZsNbTXmntOYVffgPuopjCvUIhkvKuRBM60rpA2VTzDnhcD0yo2YSglmZ30IwkxDMQQg19f6fK18n_vr5Cjw7AFgPv_OYpq2qDtD5NC3lov9_lx_5Rspx</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Haight, Sarah C.</creator><creator>King, Brian A.</creator><creator>Bombard, Jennifer M.</creator><creator>Coy, Kelsey C.</creator><creator>Ferré, Cynthia D.</creator><creator>Grant, Althea M.</creator><creator>Ko, Jean Y.</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>OTOTI</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0961-9793</orcidid><orcidid>https://orcid.org/0000-0002-4540-3407</orcidid><orcidid>https://orcid.org/0000-0002-1347-0314</orcidid><orcidid>https://orcid.org/0000000245403407</orcidid><orcidid>https://orcid.org/0000000213470314</orcidid><orcidid>https://orcid.org/0000000309619793</orcidid></search><sort><creationdate>20210301</creationdate><title>Frequency of cannabis use during pregnancy and adverse infant outcomes, by cigarette smoking status – 8 PRAMS states, 2017</title><author>Haight, Sarah C. ; King, Brian A. ; Bombard, Jennifer M. ; Coy, Kelsey C. ; Ferré, Cynthia D. ; Grant, Althea M. ; Ko, Jean Y.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-b5e528936350a5a55779adab5c7494a49af3ed5a2039f859c751aef2d6cccf173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Birth weight</topic><topic>Cannabis</topic><topic>Cigarette smoking</topic><topic>Cigarette Smoking - epidemiology</topic><topic>Cigarettes</topic><topic>Counseling services</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gestational age</topic><topic>Health Behavior</topic><topic>Health care</topic><topic>High frequencies</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Small for Gestational Age</topic><topic>Infants</topic><topic>Low birth weight</topic><topic>Low birthweight</topic><topic>Low frequencies</topic><topic>Marijuana</topic><topic>Marijuana Use - epidemiology</topic><topic>Maternal</topic><topic>Maternal characteristics</topic><topic>Nonsmokers</topic><topic>Pregnancy</topic><topic>Premature Birth - epidemiology</topic><topic>Prenatal</topic><topic>Prenatal care</topic><topic>Preterm birth</topic><topic>Prevalence</topic><topic>Regression analysis</topic><topic>Risk Assessment</topic><topic>Small for gestational age</topic><topic>Smoker-Nonsmoker interactions</topic><topic>Smoking</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>Tobacco</topic><topic>Tobacco Products</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haight, Sarah C.</creatorcontrib><creatorcontrib>King, Brian A.</creatorcontrib><creatorcontrib>Bombard, Jennifer M.</creatorcontrib><creatorcontrib>Coy, Kelsey C.</creatorcontrib><creatorcontrib>Ferré, Cynthia D.</creatorcontrib><creatorcontrib>Grant, Althea M.</creatorcontrib><creatorcontrib>Ko, Jean Y.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haight, Sarah C.</au><au>King, Brian A.</au><au>Bombard, Jennifer M.</au><au>Coy, Kelsey C.</au><au>Ferré, Cynthia D.</au><au>Grant, Althea M.</au><au>Ko, Jean Y.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Frequency of cannabis use during pregnancy and adverse infant outcomes, by cigarette smoking status – 8 PRAMS states, 2017</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>220</volume><issue>C</issue><spage>108507</spage><epage>108507</epage><pages>108507-108507</pages><artnum>108507</artnum><issn>0376-8716</issn><issn>1879-0046</issn><eissn>1879-0046</eissn><abstract>•1 in 4 infants with prenatal cannabis exposure were small for gestational age.•1 in 8 infants with prenatal cannabis exposure were low birthweight.•Likelihood of infant outcomes varied by cannabis use frequency and cigarette use.•Cannabis use ≥ once/week associated with low birthweight delivery.
Research on prenatal cannabis use and adverse infant outcomes is inconsistent, and findings vary by frequency of use or cigarette use. We assess (1) the prevalence of high frequency (≥once/week), low frequency (<once/week), and any cannabis use during pregnancy by maternal characteristics and adverse infant outcomes; (2) the prevalence of infant outcomes by cannabis use frequency, stratified by cigarette smoking; and (3) the association between cannabis use frequency and infant outcomes, stratified by cigarette smoking.
Cross-sectional data from 8 states’ 2017 Pregnancy Risk Assessment Monitoring System (n = 5548) were analyzed. We calculated adjusted prevalence ratios (aPR) between cannabis use frequency and infant outcomes with Modified Poisson regression.
Approximately 1.7 % and 2.6 % of women reported low and high frequency prenatal cannabis use, respectively. Prevalence of use was higher among women with small-for-gestational age (SGA) (10.2 %) and low birthweight (9.7 %) deliveries, and cigarette use during pregnancy (21.2 %). Among cigarette smokers (aPR: 1.8; 95 % CI: 1.1−3.0) and non-smokers (aPR: 2.1; 95 % CI: 1.1−3.9), high frequency cannabis use doubled the risk of low birthweight delivery but did not increase preterm or SGA risk. Regardless of cigarette use, low frequency cannabis use did not significantly increase infant outcome risk.
Prenatal cannabis use was more common among women who smoked cigarettes during pregnancy. High frequency cannabis use was associated with low birthweight delivery, regardless of cigarette use. Healthcare providers can implement recommended substance use screening and provide evidence-based counseling and cessation services to help pregnant women avoid tobacco and cannabis use.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>33476951</pmid><doi>10.1016/j.drugalcdep.2021.108507</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0003-0961-9793</orcidid><orcidid>https://orcid.org/0000-0002-4540-3407</orcidid><orcidid>https://orcid.org/0000-0002-1347-0314</orcidid><orcidid>https://orcid.org/0000000245403407</orcidid><orcidid>https://orcid.org/0000000213470314</orcidid><orcidid>https://orcid.org/0000000309619793</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Adult Birth weight Cannabis Cigarette smoking Cigarette Smoking - epidemiology Cigarettes Counseling services Cross-Sectional Studies Female Gestational age Health Behavior Health care High frequencies Humans Infant, Newborn Infant, Small for Gestational Age Infants Low birth weight Low birthweight Low frequencies Marijuana Marijuana Use - epidemiology Maternal Maternal characteristics Nonsmokers Pregnancy Premature Birth - epidemiology Prenatal Prenatal care Preterm birth Prevalence Regression analysis Risk Assessment Small for gestational age Smoker-Nonsmoker interactions Smoking Substance abuse Substance use Tobacco Tobacco Products United States - epidemiology Young Adult |
| title | Frequency of cannabis use during pregnancy and adverse infant outcomes, by cigarette smoking status – 8 PRAMS states, 2017 |
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