Perceptions About Cannabis Following Legalization Among Pregnant Individuals With Prenatal Cannabis Use in California Article Swipe
Kelly C. Young‐Wolff
,
Tara R. Foti
,
Andrea Green
,
Andrea Altschuler
,
Monique B. Does
,
Melanie Jackson-Morris
,
Sara R. Adams
,
Deborah Ansley
,
Amy Conway
,
Nancy Goler
,
Maha N. Mian
,
Esti Iturralde
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1001/jamanetworkopen.2022.46912
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1001/jamanetworkopen.2022.46912
Importance As rates of prenatal cannabis use increase and cannabis legalization spreads across the US, studies are needed to understand the potential impacts of legalization from the perspectives of pregnant individuals who use cannabis. Objective To characterize pregnant individuals’ perspectives on legalization of cannabis for adult use in California (effective in 2018) in relation to prenatal cannabis use behaviors and beliefs. Design, Setting, and Participants This qualitative study was conducted in Kaiser Permanente Northern California, a large health care system with universal screening for self-reported cannabis use at entrance to prenatal care. Eighteen semistructured focus groups were conducted from November 17 to December 17, 2021, using a secure video conferencing platform with Black and White pregnant participants who self-reported cannabis use during early pregnancy. Data were analyzed from March to June 2022. Main Outcomes and Measures Video-recorded interviews were transcribed and analyzed using thematic analysis to identify major themes and subthemes. Results Among 53 participants (mean [SD] age, 30.3 [5.2] years), 23 (43%) identified as non-Hispanic Black and 30 (57%) identified as non-Hispanic White; 16 participants (30%) reported continued cannabis use at the time of recruitment. Major themes regarding the perceived impact of legalization included easier access (via retailers and delivery), greater acceptance (including reduced stigma and more discussions about prenatal cannabis use with health care practitioners), and trust in cannabis retailers (including safety and effectiveness of diverse products sold and perceptions of cannabis retailer employees as knowledgeable, nonjudgmental, and caring). Responses were mixed about whether retailer marketing and advertising were associated with prenatal cannabis use and whether legalization resulted in reduced concerns about Child Protective Services involvement. Conclusion and Relevance The findings of this qualitative study suggest pregnant individuals perceive cannabis legalization as having reduced barriers to prenatal cannabis use and that legalization has created challenges and opportunities for supporting the health of pregnant individuals. The results of this qualitative study highlight key areas that can be further explored in future educational materials, public health campaigns, and policy adaptations to address increasing rates of prenatal cannabis use.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1001/jamanetworkopen.2022.46912
- https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2799550/youngwolff_2022_oi_221322_1670430039.52051.pdf
- OA Status
- gold
- Cited By
- 37
- References
- 41
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4311432972
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4311432972Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1001/jamanetworkopen.2022.46912Digital Object Identifier
- Title
-
Perceptions About Cannabis Following Legalization Among Pregnant Individuals With Prenatal Cannabis Use in CaliforniaWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-12-14Full publication date if available
- Authors
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Kelly C. Young‐Wolff, Tara R. Foti, Andrea Green, Andrea Altschuler, Monique B. Does, Melanie Jackson-Morris, Sara R. Adams, Deborah Ansley, Amy Conway, Nancy Goler, Maha N. Mian, Esti IturraldeList of authors in order
- Landing page
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https://doi.org/10.1001/jamanetworkopen.2022.46912Publisher landing page
- PDF URL
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https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2799550/youngwolff_2022_oi_221322_1670430039.52051.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
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https://jamanetwork.com/journals/jamanetworkopen/articlepdf/2799550/youngwolff_2022_oi_221322_1670430039.52051.pdfDirect OA link when available
- Concepts
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Legalization, Cannabis, Thematic analysis, Medicine, Effects of cannabis, Qualitative research, Prenatal care, Focus group, Stigma (botany), Family medicine, Psychiatry, Psychology, Environmental health, Population, Marketing, Social science, Business, Sociology, CannabidiolTop concepts (fields/topics) attached by OpenAlex
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37Total citation count in OpenAlex
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2025: 13, 2024: 12, 2023: 12Per-year citation counts (last 5 years)
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41Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| corresponding_institution_ids | https://openalex.org/I1343052199, https://openalex.org/I180670191 |
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