Stressful life events are associated with perinatal cigarette smoking

Allen, Alicia M.; Jung, Alesia M.; Lemieux, Andrine; Alexander, Adam C.; Allen, Sharon; Ward, Kenneth D.; Al’Absi, Mustafa

doi:10.1016/j.ypmed.2018.11.012

Cited by 32 publications

(26 citation statements)

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“…Overall, these observations indicate that SLEs experienced in the year prior to childbirth are associated with perinatal cannabis use, perhaps especially pre‐pregnancy cannabis use and, less so, use during pregnancy. This observation is similar to our prior publication examining the link between SLEs and cigarette smoking during the perinatal period .…”

Section: Discussionsupporting

confidence: 91%

“…Less is known about the more proximal SLEs. We recently reported that SLEs in the year prior to childbirth were associated with increased odds of perinatal cigarette smoking, especially cigarette smoking during pregnancy . Those who reported cannabis use during pregnancy had a greater number of SLEs in the year prior to childbirth in 2009–11 ; however, this research was limited to three states (Alaska, Hawaii, Vermont) and did not examine the relationship between SLEs and cessation of cannabis during pregnancy nor with postpartum cannabis relapse.…”

Section: Introductionmentioning

confidence: 97%

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Cannabis use and stressful life events during the perinatal period: cross‐sectional results from Pregnancy Risk Assessment Monitoring System (PRAMS) data, 2016

et al. 2020

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Aims We aimed to determine the association between stressful life events (SLEs) in the year prior to childbirth with (1) pre‐pregnancy cannabis use, (2) cessation of cannabis use during pregnancy and (3) postpartum relapse to cannabis use. Design We used data from the Pregnancy Risk Assessment Monitoring System (PRAMS) 2016, a cross‐sectional, population‐based surveillance system. Setting Mailed and telephone surveys conducted in five states—Alaska, Colorado, Maine, Michigan and Washington—in the United States. Participants Women (n = 6061) who delivered a live infant within the last 6 months and had data on cannabis use. Measurements Self‐reported data included SLEs (yes/no response for 14 individual events in the 12 months prior to childbirth) and cannabis use [yes/no prior to pregnancy, during pregnancy, and at the time of the survey (approximately 2–6 months postpartum)]. The associations between SLEs and cannabis use (primary outcomes) were examined in logistic regression models adjusted for maternal demographics (e.g. age, race, education), geography (i.e. state of residence) and cigarette smoking. Findings Pre‐pregnancy, 16.4% (997/6061) of respondents endorsed using cannabis, with 36.4% (363/997) continuing cannabis use during pregnancy. Among the 63.6% (634/997) who did not report use during pregnancy, 23.2% (147/634) relapsed to cannabis use during the postpartum. Nine of the 14 possible SLEs were associated with increased odds of pre‐pregnancy cannabis use [e.g. husband/partner or mother went to jail, adjusted odds ratio (aOR) = 2.16, 95% confidence interval (CI) = 1.30–3.62] and four were associated with increased odds of continued cannabis use during pregnancy (e.g. husband/partner lost job, aOR = 2.19, 95% CI = 1.21–3.96). The odds of postpartum relapse to cannabis were significantly associated with two SLEs (husband/partner said they did not want pregnancy, aOR = 2.86, CI = 1.10–7.72; husband/partner or mother went to jail, aOR = 0.37, 95% CI = 0.13–1.00). Conclusions Stressful life events during the year prior to childbirth appear to be linked to greater odds of women's cannabis use during the perinatal period, especially during pre‐pregnancy.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 97%

Cannabis use and stressful life events during the perinatal period: cross‐sectional results from Pregnancy Risk Assessment Monitoring System (PRAMS) data, 2016

et al. 2020

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“…Demographic characteristics included sex (male vs. female), age (23-35 vs. 36-42 years), living with a partner (yes vs. no), parental status (no children, a child aged ≤ one year and have a child aged >one year, half of women who obtain smoking cessation during pregnancy relapse in the first year postpartum) (Allen et al, 2019;Rockhill et al, 2016) which were assessed in 2015, adverse life events in the preceding 12 months (for example: separation from the spouse or death of a close person; yes vs. no), the experience of physical violence in the preceding 12 months (yes vs. no) and the experience of psychological violence in the preceding 12 months (yes vs. no) which were assessed in 2011.…”

Section: Demographic Characteristicsmentioning

confidence: 99%

Factors Associated with Electronic Cigarette Use among Young Adults: The French “Trajectoires EpidéMiologiques en POpulation” (TEMPO) Cohort Study

Aljandaleh

Bolze

El-Khoury

et al. 2020

Substance Use & Misuse

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Background Electronic cigarettes (e-cigarettes) are sold in France since 2010 and have rapidly become popular. However, factors associated with e-cigarette use among young adults are not well known. Methods We used data from the 2015 French TEMPO community based cohort study, restricted to current and former smokers with data on e-cigarette use (n=368 adults, 23-41 years). Participants completed a self-administered questionnaire including information on family status, educational attainment, occupation and type of work contract, health problems, alcohol and cannabis use, electronic cigarette use, as well as perceptions of e-cigarettes. Use of traditional tobacco was assessed in 2011 and 2015. Data were analyzed using logistic regression models. Results Among current and former smokers, 26.9% reported lifetime e-cigarettes use and 15.2% current use. Factors associated with lifetime use were: low socioeconomic position (OR=2.2; 95% CI=1.2-4.2), traditional cigarette use (OR associated with smoking in 2011 and 2015= 13.1; 95% CI=5.2-32.6) and positive perceptions of e-cigarettes (OR =4.4; 95% CI=2.4-8.1) as well as asthma (OR=2.1; 95% CI=0.9-4.9) and overweight/obesity (OR=2.5, 95% CI=0.9-6.9). Factors associated with current use were traditional cigarette smoking (OR associated with smoking in 2011 and 2015 = 3.9; 95% CI= 1.3-12.2) and positive perceptions of e-cigarettes (OR =4.4; 95% CI=2.3-8.4). Conclusions Young adults who use e-cigarettes tend to persist in smoking traditional cigarettes. The conditions under which e-cigarette use can help individuals quit traditional tobacco products remain to be elucidated.

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“…1 Indeed, exposure to stressful life events and perceived stress prior to or following a quit attempt are linked with relapse. 2,3 In human laboratory studies, acute stress challenges after varying lengths of abstinence lead to increases in cigarette cravings, smoking frequency and intensity. 4,5 Despite the observed links between stress and smoking behavior, these studies pose many challenges.…”

Section: Introductionmentioning

confidence: 99%

Brain Marker Links Stress and Nicotine Abstinence

Allenby

Falcone

Ashare

et al. 2019

Nicotine &Amp; Tobacco Research

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Background Subjective stress is a well-documented predictor of early smoking relapse, yet our understanding of stress and tobacco use is limited by reliance on self-reported measures of stress. We utilized a validated functional neuroimaging paradigm to examine whether stress exposure during early abstinence alters objective measures of brain function. Methods Seventy-five participants underwent blood oxygen level dependent (BOLD) functional magnetic resonance imaging (fMRI) during the Montreal Imaging Stress Task (MIST) on two occasions: once during smoking satiety and once following biochemically confirmed 24-hour abstinence (order counterbalanced). The primary outcome measure was brain response during stress (vs. control) blocks of the MIST, assessed using whole-brain analysis corrected for multiple comparisons using clusters determined by Z ≥ 3.1. Results Abstinence (vs. satiety) was associated with significantly increased activation in the left inferior frontal gyrus, a brain region associated with inhibitory control. Abstinence-induced change in brain response to stress was positively associated with change in self-reported stress. Conclusions This study provides objective evidence that the brain response to stress is altered during the first 24 hours of a quit attempt compared to smoking satiety. Implications These results point to the potential value of inoculating smokers with stress management training prior to a quit attempt.

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Stressful life events are associated with perinatal cigarette smoking

Cited by 32 publications

References 32 publications

Cannabis use and stressful life events during the perinatal period: cross‐sectional results from Pregnancy Risk Assessment Monitoring System (PRAMS) data, 2016

Cannabis use and stressful life events during the perinatal period: cross‐sectional results from Pregnancy Risk Assessment Monitoring System (PRAMS) data, 2016

Factors Associated with Electronic Cigarette Use among Young Adults: The French “Trajectoires EpidéMiologiques en POpulation” (TEMPO) Cohort Study

Brain Marker Links Stress and Nicotine Abstinence

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