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在暴露于子宫内大麻的婴儿中,医疗保健的使用率和发育迟缓

Brittany J Raffa¹, Paul Lanier², Yumei Yang³

¹Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; The Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Academic pediatrics

|January 19, 2026

概括

在子宫内吸食大麻在前两年没有影响健康的儿童护理人员或急诊室的访问. 然而,暴露于大麻的婴儿在前两年显示出发育迟缓诊断的几率下降.

科学领域:

儿科儿科儿科
新生儿健康新生儿健康
发展心理学发展心理学

背景情况:

产前物质暴露是儿童发育的一个重大问题.
怀孕期间使用大麻变得越来越普遍,需要对其影响进行研究.
了解子宫内大麻暴露对幼儿期结果的影响对于公共卫生至关重要.

研究的目的:

调查产前大麻暴露与婴儿关键健康和发育结果之间的关联.
为了比较大麻暴露和未暴露的婴儿之间的健康儿童护理 (WCC) 出勤率,急诊室 (ED) 访问和发育迟缓 (DD) 诊断.
分析这些结果在生命的前两年.

主要方法:

一个回顾性队列研究,使用链接的美药物查和NC Medicaid索赔数据.
婴儿被分为暴露于大麻 (仅对大麻呈阳性) 或未暴露于物质的组.
负二项式和后勤回归模型被用来评估与WCC,ED访问和DD的关联.

主要成果:

在暴露和未暴露的婴儿之间,没有发现WCC出席或ED访问的显著差异.
在最初两年内,在暴露于大麻的婴儿中观察到发育延迟诊断的几率显著下降.
在三年后,没有观察到发育迟缓的差异.

结论:

在子宫内吸食大麻的暴露与生命前两年WCC出席率或ED利用率的差异无关.
产前大麻暴露可能与早期儿童发育延迟诊断的可能性降低有关.
需要进一步的研究来了解长期的发育轨迹和潜在的机制.

关键词:

发展发展发展发展发展.不同的差异,不平等的差异.医疗保健利用率医疗保健利用率在子宫内使用大麻.政策政策政策政策

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