Cohort Study of Cannabis Use History and Perinatal Cigarette Use Among Overweight and Obese Women

DOI

10.1007/s10995-021-03246-9

Document Type

Journal Article

Publication Date

2-1-2022

Publication Title

Maternal and Child Health Journal

Volume

26

Issue

2

First Page

389

Last Page

396

ISSN

10927875

Keywords

Cannabis, Cigarette, Perinatal, Prenatal, Smoking

Abstract

Objectives: In non-pregnant populations, cannabis use and cannabis use disorder (CUD) have been linked to tobacco use and less successful quit attempts. We compared perinatal cigarette use in women across 3 groups: never used cannabis (No CU group); used cannabis but did not meet CUD criteria (CU group); history of CUD (CUD group). Methods: Interviews with 257 pregnant women with overweight/obesity (M age = 28 years; 52% white) were conducted for a study of eating behavior in Western Pennsylvania from 2012–2016. Tobacco use was assessed early in pregnancy (< 20 weeks gestation), late in pregnancy (34–38 weeks gestation) and 6 months postpartum. CUD was measured with the Structured Clinical Interview for DSM-IV (SCID). Data relevant to the proposed analyses were available for 252 women. Generalized mixed effect models were used to predict perinatal cigarette use based on cannabis use group, time and their interaction, adjusting for age, race, education, income, parity, and mood/anxiety disorder. Results: Forty-eight percent of participants reported prior cannabis use and 15% were diagnosed with lifetime CUD. History of cannabis use predicted cigarette smoking in early pregnancy (OR 11.12, CI 3.27–37.85), late pregnancy (OR 6.55, CI 1.70–25.27), and 6 months postpartum (OR 7.57, CI 2.72–21.07), regardless of CUD. Conclusions: A history of CUD did not appear to confer additional risk for perinatal cigarette use. Given increasing rates of cannabis use among pregnant women, these results highlight the importance of addressing history of cannabis use in conjunction with tobacco use to improve smoking cessation efforts.

Open Access

Green Accepted

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