在怀孕初期使用大麻 随着娱乐大麻合法化 在怀孕初期使用大麻
Kelly C Young-Wolff1,2, Natalie E Slama1, Lyndsay A Avalos1
1Division of Research, Kaiser Permanente Northern California, Pleasanton.
JAMA health forum
|November 1, 2024
概括
加利福尼亚州州立娱乐大麻合法化 (RCL) 与产前大麻使用的增加有关. 通过自我报告和毒理学查观察到这种增加,特别是在合法成人使用零售商的地区.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生殖健康 生殖健康
背景情况:
- 国家娱乐大麻合法化 (RCL) 和产前大麻使用之间的关系仍然不清楚.
- 大麻查方法和当地政策的变化可能会影响使用率的RCL相关变化.
研究的目的:
- 为了确定加利福尼亚州的RCL是否与产前大麻使用的变化有关.
- 评估这些变化是否通过自我报告和尿液毒理学检测到.
- 调查大麻零售商的当地政策是否影响了RCL后的使用率.
主要方法:
- 一项基于人口的时间序列研究分析了来自北加利福尼亚州300993例怀孕 (2012-2019) 的数据.
- 在怀孕早期进行了大麻使用 (自我报告和毒理学) 的普遍查.
- 经过对共变量进行调整的中断时间序列模型被用于分析RCL通过和实施的影响.
主要成果:
- 在RCL实施后的一个月,产前大麻使用量显著增加 (RR, 1.10).
- 这种增长在自我报告和毒理学测试方法中是一致的.
- 使用量的增加主要在允许成人使用大麻零售商在RCL之后的司法管辖区观察到.
结论:
- 加利福尼亚州的RCL实施与妊娠早期大麻使用量的增加有关.
- 这种关联是显而易见的,无论查方法 (自我报告或毒理学).
- 当地政策允许成人使用零售商放大了合法化后产前大麻使用的增加.
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