Racial Inequities in Breastfeeding Counseling Among Pregnant People Who Use Cannabis

Nidey, Nichole; Hoyt-Austin, Adrienne; Chen, Melissa J.; Bentley, Brandie; Tabb, Karen M.; Anyigbo, Chidiogo; Wilder, Christine M.; Terplan, Mishka; McAllister, Jennifer; Wexelblatt, Scott L.; Murnan, Aaron; Kair, Laura R.

doi:10.1097/aog.0000000000004834

Cited by 4 publications

(3 citation statements)

References 19 publications

(22 reference statements)

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“…Counseling discouraging breastfeeding with concurrent marijuana use was more likely to be reported among individuals who were people of color, age 29 years or younger, with a high school education or less, unmarried, and reporting governmental or no insurance prepregnancy. These findings are consistent with other studies examining the demographics of people screened for marijuana use during pregnancy or postpartum 12,19,21,22 . Studies have shown that marijuana users are more likely to be younger (<25 years), unemployed, single, uninsured, non‐Hispanic Black, and with low income and education 23–25 .…”

Section: Discussionsupporting

confidence: 90%

“…These findings are consistent with other studies examining the demographics of people screened for marijuana use during pregnancy or postpartum. 12,19,21,22 Studies have shown that marijuana users are more likely to be younger (<25 years), unemployed, single, uninsured, non-Hispanic Black, and with low income and education. [23][24][25] According to the National Survey on Drug Use and Health from 2002 to 2019, the prevalence of marijuana use was highest among pregnant individuals aged 12 to 17 years (14.6%; 95% CI, 11.8-17.5) compared with those aged 18 to 25 years (7%; 95% CI, 6.3-7.8), and those aged 26 to 44 years (2.5%; 95% CI, 2.0-3.0).…”

Section: Discussionmentioning

confidence: 99%

“…18 Nidey et al found that guidance against breastfeeding if using marijuana varied by maternal race with non-Hispanic Black people being 4 times more likely than non-Hispanic White people to be advised against breastfeeding if using marijuana. 19 The impact of these inconsistencies in counseling is particularly troubling given the known positive effects of breastfeeding and conversely adverse sequelae experienced by those who do not breastfeed. 6 The objective of this study was to further explore demographic factors associated with counseling against breastfeeding and concurrent marijuana use.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated with Provider Counseling Against Breastfeeding in the Setting of Marijuana Use: A Population‐Based Survey

Fatunbi,

Monseur,

Berghella

et al. 2024

J Midwife Womens Health

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IntroductionThe purpose of this study was to explore patient demographic factors associated with counseling against breastfeeding and concurrent marijuana use.MethodsA cross‐sectional study derived using data from the Centers for Disease Control and Prevention administered Pregnancy Risk Assessment Monitoring System (PRAMS) in collaboration with state and local health departments. This study sample included survey participants whose responses indicate they received counseling discouraging breastfeeding with concurrent marijuana use. Bivariate and multivariate regression analyses assessed the relationship between factors associated with counseling against breastfeeding and concurrent marijuana use.ResultsOf the 10,911 participants in this sample, 9,695 participants who answered the question about receiving counseling discouraging breastfeeding while using marijuana were included in the analysis (89% response rate for the total sample). Twenty nine percent of participants were advised by a provider not to breastfeed while using marijuana. Participants who received this counseling were more likely to be people of color, age less than or equal to 29, with a high school education or less, unmarried, report governmental or no insurance prepregnancy, and report marijuana use postpartum. In the multivariate analysis, age less than or equal to 20 (P = .001), being unmarried (P = .023), and marijuana use postpartum (P = .034) remained associated with counseling against breastfeeding.DiscussionOur results suggest that individuals are being counseled differently. Unmarried and young people (age <20 years) were more likely to report receiving counseling against breastfeeding with concurrent marijuana use. Given the growing national acceptability of marijuana use, the known benefits of breastfeeding, and the unclear risks of marijuana in human milk, there is a need to standardize counseling to avoid a missed opportunity to educate breastfeeding populations who use marijuana and to reduce the risk of counseling based on providers’ personal attitudes and biases not aligned with evidence‐based guidelines.

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Section: Discussionsupporting

confidence: 90%