Association of preconception cannabis use frequency with cannabis use during early pregnancy
- Kelly C Young-Wolff 1,2, Felicia W Chi 3, Cynthia I Campbell 3,4, Monique B Does 3, Christina N Wysota 5, Deborah Ansley 6, Carley Castellanos 6, Gwen T Lapham 7,8
- Kelly C Young-Wolff 1,2, Felicia W Chi 3, Cynthia I Campbell 3,4
- 1Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Drive, Building B, Pleasanton, CA, 94588, USA. Kelly.c.young-wolff@kp.org.
- 2Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA. Kelly.c.young-wolff@kp.org.
- 3Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Drive, Building B, Pleasanton, CA, 94588, USA.
- 4Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA.
- 5Department of Population Health, New York University, New York, NY, USA.
- 6Regional Offices, Kaiser Permanente Northern California, Pleasanton, CA, USA.
- 7Health Research Institute, Kaiser Permanente Washington, Seattle, WA, USA.
- 8Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA.
- 0Division of Research, Kaiser Permanente Northern California, 4480 Hacienda Drive, Building B, Pleasanton, CA, 94588, USA. Kelly.c.young-wolff@kp.org.
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View abstract on PubMed
Summary
This summary is machine-generated.Higher frequency of cannabis use before pregnancy significantly increases the risk of using cannabis during pregnancy. This highlights the need for early interventions and education for women of reproductive age.
Area Of Science
- Reproductive Health
- Public Health
- Substance Use Research
Background
- Prenatal cannabis use is rising and linked to adverse outcomes for mothers and infants.
- Identifying preconception risk factors is crucial for early intervention strategies.
- Universal screening in healthcare systems aids in identifying cannabis use patterns.
Purpose Of The Study
- To investigate the association between the frequency of cannabis use before pregnancy and its use during early pregnancy.
- To determine if preconception cannabis use patterns predict prenatal cannabis use.
Main Methods
- An observational study analyzed data from Kaiser Permanente Northern California (KPNC) from 2011-2022.
- Included pregnant individuals reporting any cannabis use in the year preceding pregnancy.
- Modified Poisson models assessed the link between preconception and prenatal cannabis use, adjusting for covariates.
Main Results
- Nearly half (45.1%) of the 40,806 pregnancies involved prenatal cannabis use.
- Daily (aPR=2.66) and weekly (aPR=1.99) preconception cannabis use were significantly associated with increased prenatal use.
- Findings were consistent whether prenatal use was determined by self-report or toxicology.
Conclusions
- Increased frequency of preconception cannabis use is a strong predictor of prenatal cannabis use.
- Emphasizes the necessity of early prevention, including screening and education, for women of reproductive age.
- Early linkage to intervention services is vital for reducing cannabis use during pregnancy.
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