Evidence map›Paper›PMID 42204800›Full record

ArticleJournal of midwifery & women's health

Racial Differences in Prenatal Cannabis Screening Among Women at Elevated Risk for Substance Use and Sexually Transmitted Infections.

Kristina Countryman, Ananda Sen, Dongru Chen, Caron Zlotnick, Okeoma Mmeje, Katherine J Gold, Golfo Tzilos Wernette

Abstract read
In one paragraph

Article in Journal of midwifery & women's health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kristina CountrymanDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Ananda SenDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Dongru ChenDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Caron ZlotnickDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Okeoma MmejeDepartment of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, Michigan.
Katherine J GoldDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Golfo Tzilos WernetteDepartment of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan.

Funding

Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, US (PI: Tzilos Wernette) R01HD093611
6 · The paper itself

Abstract

introductionCannabis use during pregnancy is rising, in part due to an increased perception of safety and legalization across the country. National guidelines recommend that clinicians universally screen for substance use, including cannabis use, during pregnancy.

methodsThis is a longitudinal study assessing cannabis use frequency and reasons for use at baseline and patient-clinician communication at 4 study timepoints. Data are drawn from a randomized controlled trial testing an innovative, technology-delivered brief intervention, Health Check-up for Expectant Moms, with 176 pregnant cisgender women (mean age, 30.2; SD, 5.02; 25.6% Black) reporting substance use risk, condomless sex, and multiple sexual partners. We used t-tests, chi-square tests, Fisher's exact tests, and logistic regression to analyze the data.

resultsOverall, 18.2% (n = 32) self-reported current cannabis use at baseline, and 26.1% (n = 46) reported past year use. The most cited reason for use was relaxation or tension relief. Black women were significantly more likely than White women to have reported being talked to by their clinician about cannabis use in general during pregnancy and breastfeeding at every timepoint (all timepoints P ≤ .01). Clustered logistic regression analysis also showed higher odds for Black women to have been talked to about cannabis use in general compared with White women (adjusted odds ratio, 4.09; 95% CI, 2.29-7.32; P < .0001), and this significance prevailed even after adjusting for prior cannabis use. DISCUSSION: Seeking relaxation or tension relief was the most cited reason for use during pregnancy. Results suggest a racial bias that led to significantly more Black women being asked about cannabis use during pregnancy or breastfeeding at every timepoint, as compared with White women. There is a need for systemic and clinician-level improvement in universal screening and counseling.

Indexed as

CannabisMarijuana UsePregnancy ComplicationsPrenatal CareSexually Transmitted DiseasesSubstance-Related DisordersAdultBlack or African AmericanFemaleHumansLongitudinal StudiesMass ScreeningPregnancyWhitebreastfeedingcannabispregnancyracial biasSTIs

Identifiers

PMID42204800
PMCPMC13263911

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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.