Exploring the Relationship Between Avoidance Coping and Marijuana Use Among Pregnant Black Women Open Access
Toso, Christabelle (Spring 2024)
Abstract
Abstract
Exploring the Relationship Between Avoidance Coping and Marijuana Use Among Pregnant Black Women
By Christabelle Toso
Objectives
The objective of this project is to compare avoidance coping scores for pregnant Black women who do and do not report using marijuana during pregnancy. This study hypothesizes that pregnant Black women who report using marijuana are more likely to score in the highest quartile for the avoidance coping subscale.
Methods
Quantitative data from the 1,123 women enrolled in the NIH-funded research, Biosocial Impact on Black Births, from four prenatal care clinics in the metropolitan areas of Detroit, Michigan; Columbus, Ohio; and Orlando, Florida, from 2018 to 2022. Questions on marijuana were added shortly after the study began so 818 participants completed surveys with those questions. Frequencies and distributions of variables were examined. T-tests were used to compare means for continuous variables.
Results
818 participants self-reported whether they used marijuana or hash anytime during pregnancy. Nearly a quarter (22.4%) reported using during the pregnancy. Among the women who reported yes to the use of marijuana or hash, 33.9% reported daily use. The mean score of avoidance coping was higher among participants who reported using marijuana or hash during pregnancy in comparison to non-users (difference in means, 95% confidence interval: 2.54 points (1.63, 3.38)).
Conclusion
Participants who reported marijuana or hash use were more likely to score higher on the avoidance coping subscale. We recommend enhancing healthy coping strategies among vulnerable populations and increasing population awareness through education on marijuana or hash use and its intended users.
Keywords: Marijuana Use, Coping, Avoidance, Pregnancy, Black Women
Table of Contents
TABLE OF CONTENTS
CHAPTER 1: INTRODUCTION.................................................................................... 1
INTRODUCTION AND RATIONALE.........................................................................................1
PROBLEM STATEMENT ............................................................................................................4
STATEMENT OF PURPOSE .......................................................................................................5
RESEARCH QUESTIONS............................................................................................................5
SIGNIFICANCE STATEMENT....................................................................................................5
CHAPTER 2: LITERATURE REVIEW........................................................................ 6
PREGNANCY AND STRESS IN BLACK WOMEN ..................................................................6
COPING MECHANISMS AMONG PREGNANT BLACK WOMEN .......................................7
MARIJUANA USE DURING PREGNANCY ............................................................................8
PERCEIVED BENEFITS OF MARIJUANA USE DURING PREGNANCY ..........................10
AVOIDANCE COPING AND SUBSTANCE USE ...................................................................13
CULTURAL AND SOCIETAL INFLUENCES ........................................................................15
LEGAL AND ETHICAL CONSIDERATIONS ........................................................................15
INTERVENTIONS AND TREATMENT APPROACHES .......................................................17
CHAPTER 3: MANUSCRIPT....................................................................................... 18
STUDENT CONTRIBUTION......................................................................................................18
ABSTRACT .................................................................................................................................19 INTRODUCTION........................................................................................................................21 METHODS...................................................................................................................................24 RESULTS......................................................................................................................................26 DISCUSSION...............................................................................................................................30 LIMITATIONS........................................................................................................................…31
CONCLUSION…….....................................................................................................................32
ACKNOWLEDGMENTS............................................................................................................32
CHAPTER 4: RECOMMENDATIONS....................................................................... 33
REFERENCES................................................................................................................ 34
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