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Marijuana use in Pregnant Women with Disabilities in the United States

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Abstract

Objectives

While perinatal marijuana use is increasing, limited research exists related to its use during pregnancy among vulnerable subpopulations of women with disabilities. The purpose of this study is to assess marijuana use in pregnant U.S. women with disabilities.

Methods

The analytic sample using 2015–2019 National Survey on Drug Use and Health (NSDUH) data included 3657 pregnant women. Descriptive statistics were performed and adjusted logistic regression models estimated the size and direction of the association between the type of disability and marijuana use.

Results

Approximately 13.0% of pregnant women with disabilities used marijuana in the past month, which was higher than pregnant women without disabilities (4.4%). The highest prevalence of past month marijuana use was observed among pregnant women with sensory disabilities (17.2%) followed by women with cognitive disabilities (14.6%) and daily living limitations (11.7%). Marijuana use was also associated with younger age (≤ 25 years old), Black non-Hispanic, high school education or less, non-married, and past month alcohol/tobacco use. Overall, pregnant women with any disability, and particularly those with sensory disabilities (AOR 2.32, 95% CI 1.21, 4.47), were significantly more likely (AOR 1.65, 95% CI 1.02, 2.69) to use marijuana than their counterparts without disabilities.

Conclusions

The higher prevalence of marijuana use among pregnant women with disabilities in this study supports the American College of Obstetricians and Gynecologists recommendations for universal screening of maternal substance use. Screening for marijuana use in vulnerable populations is crucial and it may require training of health care providers to administer such screenings to women with disabilities.

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Fig. 1

Data Availability

The data files used in this study are publicly available at https://www.datafiles.samhsa.gov/study-series/national-survey-drug-use-and-health-nsduh-nid13517

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Authors and Affiliations

  1. Department of Health Administration and Policy, George Mason University, 4400 University Dr., MS 1J3, Fairfax, VA, 22030-4444, USA

    Panagiota Kitsantas, Salman M. Aljoudi & Gilbert Gimm

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  1. Panagiota Kitsantas
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  2. Salman M. Aljoudi
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  3. Gilbert Gimm
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Correspondence to Panagiota Kitsantas.

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This study used secondary data that are publicly available. Thus, this study is exempt from IRB review.

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Kitsantas, P., Aljoudi, S.M. & Gimm, G. Marijuana use in Pregnant Women with Disabilities in the United States. Matern Child Health J 26, 242–249 (2022). https://doi.org/10.1007/s10995-021-03348-4

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