{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T17:11:07Z","timestamp":1778605867073,"version":"3.51.4"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"07","funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"crossref","award":["R01DA042948"],"award-info":[{"award-number":["R01DA042948"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000912","name":"March of Dimes Foundation","doi-asserted-by":"crossref","award":["6-FY16-160"],"award-info":[{"award-number":["6-FY16-160"]}],"id":[{"id":"10.13039\/100000912","id-type":"DOI","asserted-by":"crossref"}]},{"name":"National Center for Advancing Translational Sciences\/National Institutes of Health","award":["UL1TR001070"],"award-info":[{"award-number":["UL1TR001070"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to explore demographic and health-related factors that may differentiate women who do and do not disclose their marijuana use during pregnancy.<\/jats:p><jats:p>\n            Study Design\u2003The current study is a secondary analysis of data from a prospective cohort of pregnant women identified as using marijuana during pregnancy via a variety of assessment tools including self-report, urine screen, and obstetrics record abstraction. The cohort included a convenience sample of women recruited from several antenatal clinics at The Ohio State University Wexner Medical Center (OSUWMC). To be eligible, women needed to be within the first or second trimester of their pregnancy, 16 to 50 years of age, able to communicate in English, and intended to deliver at OSUWMC. Chi-square, independent samples t-tests, and logistic regression analyses were used to explore differences between those who did and did not disclose their use in relation to physical and mental health diagnoses, adverse experiences, use of other substances, and demographics.<\/jats:p><jats:p>\n            Results\u2003Women who used marijuana during their pregnancy and had mental\/physical health data available comprised the current sample (n\u2009=\u2009109). Women who attended college were more likely to disclose their marijuana use compared with women who did not attend college (p\u2009&lt;\u20090.001). Women who experienced homelessness (p\u2009&lt;\u20090.01) or self-reported alcohol use during pregnancy (p\u2009&lt;\u20090.001) were significantly more likely to disclose their marijuana use.<\/jats:p><jats:p>\n            Conclusion\u2003Findings, suggesting disclosure of other substance use and adverse experiences, such as homelessness, may increase the likelihood that pregnant women will voluntarily disclose their marijuana use to providers. Findings did not reflect racial differences nor significant differences in mental\/physical health status among women based on their disclosure. Future research with larger datasets is needed to build on these findings by confirming results, as well as exploring additional factors, that may more effectively differentiate women who are unlikely to disclose their prenatal marijuana use from those who do disclose their use.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-1787-6889","type":"journal-article","created":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T23:59:55Z","timestamp":1646351995000},"page":"902-908","source":"Crossref","is-referenced-by-count":2,"title":["Exploration of Differences between Women Who Do and Do Not Disclose Their Marijuana Use during Pregnancy"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4742-7592","authenticated-orcid":false,"given":"Aaron W.","family":"Murnan","sequence":"additional","affiliation":[{"name":"Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah A.","family":"Keim","sequence":"additional","affiliation":[{"name":"Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio"},{"name":"Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Klebanoff","sequence":"additional","affiliation":[{"name":"Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"},{"name":"Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio"},{"name":"Center for Perinatal Research, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio"},{"name":"Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,12]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1001\/jama.2016.17383","article-title":"Trends in marijuana use among pregnant and nonpregnant reproductive-aged women, 2002-2014","volume":"317","author":"Q L Brown","year":"2017","journal-title":"JAMA"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1001\/jama.2019.7982","article-title":"Self-reported medical and nonmedical cannabis use among pregnant women in the United States","volume":"322","author":"N D Volkow","year":"2019","journal-title":"JAMA"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"201.e1","DOI":"10.1016\/j.ajog.2015.03.021","article-title":"Prevalence and patterns of marijuana use among pregnant and nonpregnant women of reproductive age","volume":"213","author":"J Y Ko","year":"2015","journal-title":"Am J Obstet Gynecol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.drugalcdep.2018.11.028","article-title":"Beliefs and attitudes regarding prenatal marijuana use: Perspectives of pregnant women who report use","volume":"196","author":"J C Chang","year":"2019","journal-title":"Drug Alcohol Depend"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1097\/ADM.0000000000000581","article-title":"Validity of self-reported cannabis use among pregnant females in Northern California","volume":"14","author":"K C Young-Wolff","year":"2020","journal-title":"J Addict Med"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/ppe.12505","article-title":"Effects of prenatal marijuana exposure on neuropsychological outcomes in children aged 1-11 years: A systematic review","volume":"32","author":"S R Sharapova","year":"2018","journal-title":"Paediatr Perinat Epidemiol"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"e205","DOI":"10.1097\/AOG.0000000000002354","article-title":"Committee opinion no. 722: marijuana use during pregnancy and lactation","volume":"130","author":"American College of Gynecologists Committee on Obstetrics Practice","year":"2017","journal-title":"Obstet Gynecol"},{"issue":"S 02","key":"ref8","first-page":"1","article-title":"Prenatal substance use: exploring assumptions of maternal unfitness","volume":"9","author":"M Terplan","year":"2015","journal-title":"Subst Abuse"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/AOG.0000000000003028","article-title":"Prenatal marijuana use by self-report and umbilical cord sampling in a state with marijuana legalization","volume":"133","author":"T D Metz","year":"2019","journal-title":"Obstet Gynecol"},{"issue":"24","key":"ref10","doi-asserted-by":"crossref","first-page":"2490","DOI":"10.1001\/jama.2017.17225","article-title":"Trends in self-reported and biochemically tested marijuana use among pregnant females in California from 2009\u20132016","volume":"318","author":"K C Young-Wolff","year":"2017","journal-title":"JAMA"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"744","DOI":"10.1111\/ppe.12693","article-title":"Lifestyle and Early Achievement in Families (LEAF) study: design of an ambidirectional cohort study of prenatal marijuana exposure and child development and behaviour","volume":"34","author":"M A Klebanoff","year":"2020","journal-title":"Paediatr Perinat Epidemiol"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1046\/j.1365-3016.2001.00321.x","article-title":"Accuracy of self-reported cigarette smoking among pregnant women in the 1990s","volume":"15","author":"M A Klebanoff","year":"2001","journal-title":"Paediatr Perinat Epidemiol"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.2105\/AJPH.2018.304563","article-title":"The pregnancy risk assessment monitoring system (PRAMS): overview of design and methodology","volume":"108","author":"H B Shulman","year":"2018","journal-title":"Am J Public Health"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1002\/bms.1200100503","article-title":"Quantitative measurement of delta 9-tetrahydrocannabinol and two major metabolites in physiological specimens using capillary column gas chromatography negative ion chemical ionization mass spectrometry","volume":"10","author":"R L Foltz","year":"1983","journal-title":"Biomed Mass Spectrom"},{"issue":"07","key":"ref15","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1093\/jat\/25.7.531","article-title":"Simultaneous determination of delta9-tetrahydrocannabinol and 11-nor-9-carboxy-delta9-tetrahydrocannabinol in human plasma by solid-phase extraction and gas chromatography-negative ion chemical ionization-mass spectrometry","volume":"25","author":"W Huang","year":"2001","journal-title":"J Anal Toxicol"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1093\/jat\/31.3.157","article-title":"A validated method for the detection of delta 9-tetrahydrocannabinol and 11-nor-9-carboxy- delta 9-tetrahydrocannabinol in oral fluid samples by liquid chromatography coupled with quadrupole-time-of-flight mass spectrometry","volume":"31","author":"O Quintela","year":"2007","journal-title":"J Anal Toxicol"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1093\/jat\/19.6.483","article-title":"Quantitative analysis of THC, 11-OH-THC, and THCCOOH in human hair by negative ion chemical ionization mass spectrometry","volume":"19","author":"D Wilkins","year":"1995","journal-title":"J Anal Toxicol"},{"key":"ref18","volume-title":"Clinical Drug Testing in Primary Care","author":"U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMSHA)","year":"2012"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"e146","DOI":"10.1055\/s-0040-1708802","article-title":"Marijuana use during pregnancy and preterm birth: A prospective cohort study","volume":"38","author":"M A Klebanoff","year":"2021","journal-title":"Am J Perinatol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"107723","DOI":"10.1016\/j.drugalcdep.2019.107723","article-title":"Interaction with the justice system and other factors associated with pregnant women's self-report and continuation of use of marijuana","volume":"206","author":"K Mark","year":"2020","journal-title":"Drug Alcohol Depend"}],"container-title":["American Journal of Perinatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1787-6889.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T14:19:56Z","timestamp":1730816396000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1787-6889"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,3]]},"references-count":20,"journal-issue":{"issue":"07","published-online":{"date-parts":[[2024,4,24]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1787-6889","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0735-1631","1098-8785"],"issn-type":[{"value":"0735-1631","type":"print"},{"value":"1098-8785","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,3,3]]},"published":{"date-parts":[[2022,3,3]]}}}