Marijuana and tobacco co-use among a nationally representative sample of US pregnant and non-pregnant women: 2005–2014 National Survey on Drug Use and Health findings

Coleman-Cowger, Victoria H.; Schauer, Gillian L.; Peters, Erica N.

doi:10.1016/j.drugalcdep.2017.03.025

Cited by 75 publications

(83 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(21,25) Laslett et al (22) suggest that drug users may engage in sex work as a way to either purchase drugs or exchange services for drugs, while some sex workers may come to use hard drugs as means to cope with social problems. The study results of Coleman-Cowger et al (23) conform to our study (Table 2), where resident CSWs are seen buying and selling hard drugs and making indiscriminate use of it. The floating and relocation pattern exhibited by resident sex workers is thought to be restricted to the street sex workers (25) alone due to the nature of their business (moving from one part of the city to another searching for male clients).…”

Section: Discussionsupporting

confidence: 87%

“…(22) Condom usage is the total number and percentages of safe sex by sex workers involving commercial sex and regular sex with partners. (19) The use of hard drugs amounts to the act of taking banned substances like marijuana (23,24) and heroin (24,25) . Drinking and smoking in this study were also defined as oral consumption of alcohol either socially, indiscriminately or regularly (26) and the habit of smoking cigarettes in like manner (23) to either ease tension or surpass depression.…”

Section: Discussionmentioning

confidence: 99%

“…(19) The use of hard drugs amounts to the act of taking banned substances like marijuana (23,24) and heroin (24,25) . Drinking and smoking in this study were also defined as oral consumption of alcohol either socially, indiscriminately or regularly (26) and the habit of smoking cigarettes in like manner (23) to either ease tension or surpass depression. (27) Anal sex practices in our context are the use of the anus for sexual activities (25) and are used on demand by clients or as an alternative to vaginal sex whenever the subject is in her menstrual flow.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Regular condom use tends to decrease cervical lesions in resident-commercial sex workers in Sub-Saharan Africa

Odigie¹,

Achukwu

2018

Universa Medicina

View full text Add to dashboard Cite

BACKGROUNDCervical lesions are abnormalities seen in tissues and cells examined from the uterine cervix. These abnormalities are on the increase and are ignored; thereby constituting major health problems in resident commercial sex workers (CSWs) who temporarily reside in brothels for sex business. Hence, we investigated the associations between behavioural risk factors and cervical lesions in resident commercial sex workers.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Regular condom use tends to decrease cervical lesions in resident-commercial sex workers in Sub-Saharan Africa

Odigie¹,

Achukwu

2018

Universa Medicina

View full text Add to dashboard Cite

show abstract

“…Half of current smokers were concurrently using cannabis and almost twothirds were using some illicit drug. This is much higher than has been reported in previous studies (Coleman-Cowger et al 2017; Mark et al 2016), which may be due to the specific patient population studied or because of increased detection in our study due to biologic screening as opposed to self-report. Additionally, the high rates of cannabis use may be a result of emerging evidence that the spreading liberalization of cannabis policies across the US may result in increasing acceptance or tolerance of cannabis use more generally, and specifically in pregnancy (Crume et al 2018; Keyes et al 2016).…”

Section: Discussioncontrasting

confidence: 77%

Cigarette Smoking Status and Substance Use in Pregnancy

Oga

Mark

Coleman-Cowger

2018

Matern Child Health J

Self Cite

View full text Add to dashboard Cite

Objectives Substance use during pregnancy is a significant public health issue. Prenatal substance use increased in the past decade while prenatal cigarette smoking has remained stable. Co-use of tobacco and other drugs is a concern because of potential additive risks. This study aims to describe the prevalence rates of substance use among pregnant women and examine the association between smoking status (nonsmoker, recent quitter and current smoker) and other drug use. Methods In this cross-sectional study, pregnant women (n = 500) were recruited from two obstetric practices to complete three substance use screeners and have their urine tested for 12 different drug classes, including cannabis, opioids and cocaine. Participants were divided into three groups based on survey responses: nonsmokers, recent quitters (smoked in the month prior to pregnancy but not past month) and current smokers (past-month). Results Approximately 29% of participants reported smoking in the month before pregnancy. During pregnancy, 17, 12 and 71% were current smokers, recent quitters and nonsmokers respectively. Overall prevalence of illicit or prescription drug use in pregnancy was 27%. Cannabis was the most common drug used in pregnancy with prevalence of 22%, followed by opioids (4%), cocaine (1%), tricyclic antidepressants (TCAs) (1%), amphetamines (1%), and benzodiazepines (1%). On multivariable logistic regression, smoking in pregnancy was associated with a positive urine drug screen; with adjusted odds ratio (aOR) 4.7 (95% CI 2.6-8.3) for current smokers and 1.6 (95% CI 0.8-3.3) for recent quitters. Factors negatively associated with positive drug screen were second and third trimester pregnancies, 0.5 (0.3-0.9) and 0.3 (0.2-0.6) respectively; and employment, 0.5 (0.3-0.8). Conclusions for Practice Co-use of tobacco and illicit drugs, particularly cannabis, is relatively high during pregnancy. Additional research is needed to understand the health implications of co-use versus use of tobacco only. Given the strong association between smoking and other drug use, clinicians should routinely assess for illicit drug use in women who smoke during pregnancy.

show abstract

“…Cannabis is the most commonly used illicit drug among women of reproductive age 1 . It is also the most commonly used illicit drug used among pregnant women 2 in the United States, with prevalence rates ranging from 3-4% 3 and higher rates among pregnant adolescents 4 . Given the recent legalization of cannabis in many states, the perception that cannabis is safe to consume during pregnancy 5 , and the reported intention of use among pregnant women despite knowledge of potential risks 6 , the availability and use of cannabis among pregnant women is likely to increase.…”

Section: Introductionmentioning

confidence: 99%

Altered Motor Development Following Late Gestational Alcohol and Cannabinoid Exposure in Rats

Breit

Zamudio

Thomas

2019

Preprint

View full text Add to dashboard Cite

Cannabis is the most commonly used illicit drug among pregnant women, and rates are likely to increase given recent legalization. In addition, half of pregnant women who report consuming cannabis also report drinking alcohol. However, little is known about the consequences of prenatal cannabis alone or combination with alcohol, particularly with cannabis products that are continually increasing in potency of the primary psychoactive constituent in cannabis, Δ9-tetrahydrocannabinol (THC). The current study investigated the effects of early exposure to cannabinoids during the brain growth spurt on early physical and motor development alone (Experiment 1) or in combination with alcohol (Experiment 2). In Experiment 1, Sprague-Dawley rat pups were exposed to a cannabinoid receptor agonist (CP-55,940 [CP]; 0.1, 0.25, 0.4 mg/kg/day), the drug vehicle, or a saline control from postnatal days (PD) 4-9. In Experiment 2, rat pups were exposed to CP (0.4 mg/kg/day) or the vehicle, and were additionally intubated with alcohol (11.9% v/v; 5.25 g/kg/day) or received a sham intubation. Subjects in both experiments were tested on a motor development task (PD 12-20) and a motor coordination task during adolescence (PD 30-32). Both developmental cannabinoid and alcohol exposure separately decreased body growth throughout development, and combined exposure exacerbated these effects, although only alcohol exposure induced long-term body weight reductions. Developmental cannabinoid exposure advanced early motor development, whereas alcohol exposure delayed development, and subjects given combined exposure did not differ from controls on some measures. Alcohol exposure impaired motor coordination later in life. In contrast, cannabinoid exposure, by itself did not significantly affect long-term motor coordination, but did exacerbate alcohol-related impairments in motor coordination among females. These results suggest that cannabinoid exposure may not only alter development by itself, but may exacerbate alcohol's teratogenic effects in specific 3 behavioral domains. These findings have important implications not only for individuals affected by prenatal exposure, but also for establishing public policy for women regarding cannabis use during pregnancy.

show abstract

Marijuana and tobacco co-use among a nationally representative sample of US pregnant and non-pregnant women: 2005–2014 National Survey on Drug Use and Health findings

Cited by 75 publications

References 31 publications

Regular condom use tends to decrease cervical lesions in resident-commercial sex workers in Sub-Saharan Africa

Regular condom use tends to decrease cervical lesions in resident-commercial sex workers in Sub-Saharan Africa

Cigarette Smoking Status and Substance Use in Pregnancy

Altered Motor Development Following Late Gestational Alcohol and Cannabinoid Exposure in Rats

Contact Info

Product

Resources

About