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Pregnant individuals often view tobacco and cannabis use separately, impacting cessation strategies. Understanding these distinct perceptions is crucial for public health interventions addressing co-use during pregnancy.

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Area of Science:

  • Public Health
  • Reproductive Health
  • Substance Use Research

Background:

  • Prenatal tobacco and cannabis co-use is a growing public health concern, especially among vulnerable populations.
  • While prenatal tobacco use declines, prenatal cannabis use has doubled, necessitating research into co-use behaviors.
  • Limited understanding exists regarding the motivations for co-use and cessation patterns during pregnancy.

Purpose of the Study:

  • To explore the reasons behind tobacco and cannabis co-use during pregnancy.
  • To identify cessation patterns among pregnant individuals who co-use these substances.
  • To understand the distinct perceptions of tobacco versus cannabis use in the context of pregnancy.

Main Methods:

  • A descriptive, mixed-methods study utilizing surveys and interviews with pregnant individuals reporting co-use.
  • Quantitative analysis included Fisher's Exact Tests and logistic regression.
  • Qualitative analysis employed reflexive thematic analysis, with findings integrated via a convergent parallel design.

Main Results:

  • Individuals often perceive tobacco and cannabis use as separate behaviors, challenging prior research.
  • Key differences were observed in intentions and cessation approaches for cannabis versus tobacco.
  • Co-use is significantly interconnected with mental health and stress levels.

Conclusions:

  • Future interventions should collaborate with communities to develop effective strategies.
  • Empowering pregnant individuals with information is key for informed decision-making regarding co-use.
  • Addressing the distinct perceptions of tobacco and cannabis use is vital for targeted cessation support.