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Cohort Study of Cannabis Use History and Perinatal Cigarette Use Among Overweight and Obese Women

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Abstract

Objectives

In non-pregnant populations, cannabis use and cannabis use disorder (CUD) have been linked to tobacco use and less successful quit attempts. We compared perinatal cigarette use in women across 3 groups: never used cannabis (No CU group); used cannabis but did not meet CUD criteria (CU group); history of CUD (CUD group).

Methods

Interviews with 257 pregnant women with overweight/obesity (M age = 28 years; 52% white) were conducted for a study of eating behavior in Western Pennsylvania from 2012–2016. Tobacco use was assessed early in pregnancy (< 20 weeks gestation), late in pregnancy (34–38 weeks gestation) and 6 months postpartum. CUD was measured with the Structured Clinical Interview for DSM-IV (SCID). Data relevant to the proposed analyses were available for 252 women. Generalized mixed effect models were used to predict perinatal cigarette use based on cannabis use group, time and their interaction, adjusting for age, race, education, income, parity, and mood/anxiety disorder.

Results

Forty-eight percent of participants reported prior cannabis use and 15% were diagnosed with lifetime CUD. History of cannabis use predicted cigarette smoking in early pregnancy (OR 11.12, CI 3.27–37.85), late pregnancy (OR 6.55, CI 1.70–25.27), and 6 months postpartum (OR 7.57, CI 2.72–21.07), regardless of CUD.

Conclusions

A history of CUD did not appear to confer additional risk for perinatal cigarette use. Given increasing rates of cannabis use among pregnant women, these results highlight the importance of addressing history of cannabis use in conjunction with tobacco use to improve smoking cessation efforts.

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Acknowledgements

Authors thank the women who participated in this longitudinal study. The study was funded by the National Institutes of Health (R01 HD 068802). These are solely the authors’ views and do not represent the views of the funder or the authors’ respective institutions.

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Authors and Affiliations

  1. Department of Psychiatry, University of Pittsburgh School of Medicine, 3811 O’Hara St, Pittsburgh, PA, 15213, USA

    Natacha M. De Genna & Lisa J. Germeroth

  2. Department of Epidemiology, Graduate School of Public Health, 3811 O’Hara St, Pittsburgh, PA, 15213, USA

    Natacha M. De Genna

  3. School of Education, Duquesne University, 600 Forbes Avenue, Pittsburgh, PA, 15282, USA

    Maria Tina Benno

  4. Department of Statistics, University of Pittsburgh, 1826 Wesley W. Posvar Hall, 230 S Bouquet Street, Pittsburgh, PA, 15260, USA

    Bang Wang

  5. Departments of Psychiatry, Psychology and Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh School of Medicine, 3811 O’Hara St, Pittsburgh, PA, 15231, USA

    Michele D. Levine

Authors
  1. Natacha M. De Genna
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  2. Lisa J. Germeroth
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  3. Maria Tina Benno
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  4. Bang Wang
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  5. Michele D. Levine
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Correspondence to Natacha M. De Genna.

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De Genna, N.M., Germeroth, L.J., Benno, M.T. et al. Cohort Study of Cannabis Use History and Perinatal Cigarette Use Among Overweight and Obese Women. Matern Child Health J 26, 389–396 (2022). https://doi.org/10.1007/s10995-021-03246-9

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  • DOI: https://doi.org/10.1007/s10995-021-03246-9

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