Evidence map›Paper›PMID 33887075›Full record

ArticleAddiction (Abingdon, England)2021

The associations between prenatal cannabis use disorder and neonatal outcomes.

Yuyan Shi, Bin Zhu, Di Liang

Open access · greenAbstract read
In one paragraph

Article in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
19.4field-weighted citation impact, top 1% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Evidence on the effect of in-utero cannabis exposure in neonates.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  7. Article
  8. Review
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  11. Article
  12. Review
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  15. Review
  16. Article
  17. Article
  18. Article
  19. Cannabis and Pregnancy: A Review.Obstetrical & gynecological survey · 2023
    Review
  20. Social disadvantage during pregnancy: effects on gestational age and birthweight.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Yuyan ShiHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0001-9293-0659
Bin ZhuDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
Di LiangDepartment of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA.
University of California San Diego · USFudan University · CN

Funding

Neighborhood Physical, Economic, and Socioeconomic Environment In Relation to Marijuana Use and DisorderR01DA042290 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHI, YUYAN · 2017 to 2020
$2.6M
NIDA NIH HHS R01 DA042290
6 · The paper itself

Abstract

BACKGROUND AND

aimsCannabis use disorder (CUD) during pregnancy has increased dramatically in the United States (US). This study examined the associations between prenatal CUD and adverse neonatal outcomes and heterogeneities in the associations by mothers' tobacco use status and race/ethnicity.

designPopulation-based, retrospective cohort study.

settingCalifornia, USA.

participantsA total of 4.83 million mothers who delivered a live singleton birth during 2001 to 2012 and their paired infants. Data were obtained from mother-infant linked hospital discharge records and birth and death certificates. Identified by ICD-9 codes recorded at delivery, 20 237 mothers had prenatal CUD. MEASUREMENTS: Neonatal outcomes included length of gestation, preterm birth, birth weight, admission into neonatal intensive care unit, hospitalization within 1 year of birth, and death within 1 year of birth. Propensity score matching was used to balance maternal, paternal, and infant characteristics in the comparisons between infants exposed and unexposed to prenatal CUD.

findingsCUD increased from 2.8 to 6.9 per 1000 deliveries during 2001 to 2012. Multivariable regressions in matched samples estimated that prenatal CUD was associated with greater odds of being small for gestational age (OR = 1.13, 95% CI = 1.08, 1.18), preterm birth (OR = 1.06, 95% CI = 1.01, 1.12), low birth weight (OR = 1.13, 95% CI = 1.07, 1.20), and death within 1 year of birth (OR = 1.35, 95% CI = 1.12, 1.62). Compared with infants whose mothers were tobacco non-users, infants whose mothers were tobacco users had greater odds of preterm birth, low birth weight, hospitalization, and death in association with prenatal CUD. Compared with infants whose mothers were non-Hispanic White, infants whose mothers were Hispanic had greater odds of hospitalization and death and infants whose mothers were non-Hispanic Black had greater odds of being small for gestational age in association with prenatal CUD.

conclusionPrenatal cannabis use disorder appears to be associated with escalated odds of major adverse neonatal outcomes, with heterogeneities in the associations by mothers' tobacco use status and race/ethnicity.

Indexed as

CannabisMarijuana AbusePremature BirthFemaleHumansInfant, NewbornMothersPregnancyRetrospective StudiesCannabis use disordercohort studyhospital dischargematernal healthneonatal outcomespropensity score matching

Identifiers

PMID33887075
PMCPMC8492477
OpenAlexW3156639829

What OpenQuestion holds

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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.