Evidence map›Paper›PMID 32032979›Full record

ArticleAddiction (Abingdon, England)2020

Cannabis use and stressful life events during the perinatal period: cross-sectional results from Pregnancy Risk Assessment Monitoring System (PRAMS) data, 2016.

Alicia M Allen, Alesia M Jung, Adam C Alexander, Sharon S Allen, Kenneth D Ward, Mustafa al'Absi

Open access · greenAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
7.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Cannabis Use Transitions During Early Pregnancy.Cannabis (Albuquerque, N.M.) · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. The American journal of drug and alcohol abuse · 2025
    Article
  11. Maternal stressful life events during pregnancy and childhood asthma and wheeze.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. The relations between discrimination, stressful life events, and substance use among adults experiencing homelessness.Stress and health : journal of the International Society for the Investigation of Stress · 2022
    Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Alicia M AllenDepartment of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, USA.ORCID 0000-0002-1007-4949
Alesia M JungDepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.ORCID 0000-0002-4469-0213
Adam C AlexanderOklahoma Tobacco Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID 0000-0003-1448-4205
Sharon S AllenDepartment of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0003-2797-8001
Kenneth D WardDivision of Social and Behavioral Sciences, School of Public Health, University of Memphis, Memphis, TN, USA.ORCID 0000-0001-8972-538X
Mustafa al'AbsiDepartment of Family Medicine and Biobehavioral Health, Medical School, University of Minnesota, Duluth, MN, USA.ORCID 0000-0003-4531-038X
University of Arizona · USUniversity of Memphis · USUniversity of Minnesota · USUniversity of Minnesota, Duluth · USUniversity of Oklahoma Health Sciences Center · US

Funding

Stress, Appetite, and Smoking RelapseR01DA027232 · NIDA · UNIVERSITY OF MINNESOTA · PI AL'ABSI, MUSTAFA, LEE, DUSTIN CLARK · 2010 to 2025
$4.6M
Stress Response and Opioid Dysfunction in Nicotine DependenceR01DA016351 · NIDA · UNIVERSITY OF MINNESOTA DULUTH · PI AL'ABSI, MUSTAFA · 2003 to 2023
$4.5M
NIDA NIH HHS R01 DA016351NIDA NIH HHS R01 DA027232
6 · The paper itself

Abstract

aimsWe aimed to determine the association between stressful life events (SLEs) in the year prior to childbirth with (1) pre-pregnancy cannabis use, (2) cessation of cannabis use during pregnancy and (3) postpartum relapse to cannabis use.

designWe used data from the Pregnancy Risk Assessment Monitoring System (PRAMS) 2016, a cross-sectional, population-based surveillance system.

settingMailed and telephone surveys conducted in five states-Alaska, Colorado, Maine, Michigan and Washington-in the United States.

participantsWomen (n = 6061) who delivered a live infant within the last 6 months and had data on cannabis use. MEASUREMENTS: Self-reported data included SLEs (yes/no response for 14 individual events in the 12 months prior to childbirth) and cannabis use [yes/no prior to pregnancy, during pregnancy, and at the time of the survey (approximately 2-6 months postpartum)]. The associations between SLEs and cannabis use (primary outcomes) were examined in logistic regression models adjusted for maternal demographics (e.g. age, race, education), geography (i.e. state of residence) and cigarette smoking.

findingsPre-pregnancy, 16.4% (997/6061) of respondents endorsed using cannabis, with 36.4% (363/997) continuing cannabis use during pregnancy. Among the 63.6% (634/997) who did not report use during pregnancy, 23.2% (147/634) relapsed to cannabis use during the postpartum. Nine of the 14 possible SLEs were associated with increased odds of pre-pregnancy cannabis use [e.g. husband/partner or mother went to jail, adjusted odds ratio (aOR) = 2.16, 95% confidence interval (CI) = 1.30-3.62] and four were associated with increased odds of continued cannabis use during pregnancy (e.g. husband/partner lost job, aOR = 2.19, 95% CI = 1.21-3.96). The odds of postpartum relapse to cannabis were significantly associated with two SLEs (husband/partner said they did not want pregnancy, aOR = 2.86, CI = 1.10-7.72; husband/partner or mother went to jail, aOR = 0.37, 95% CI = 0.13-1.00).

conclusionsStressful life events during the year prior to childbirth appear to be linked to greater odds of women's cannabis use during the perinatal period, especially during pre-pregnancy.

Indexed as

AdolescentAdultCigarette SmokingCross-Sectional StudiesFemaleHealth BehaviorHumansLife Change EventsLogistic ModelsMarijuana UseOdds RatioPopulation SurveillancePostpartum PeriodPregnancyPrenatal Exposure Delayed EffectsRecurrenceCannabisepidemiologypostpartumPRAMSpregnancystress

Identifiers

PMID32032979
PMCPMC9219169
OpenAlexW3004883389

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.