{"id":22112,"date":"2025-06-02T16:22:14","date_gmt":"2025-06-02T20:22:14","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=22112"},"modified":"2025-07-22T16:18:49","modified_gmt":"2025-07-22T20:18:49","slug":"association-between-prenatal-cannabis-exposure-and-child-health-care-use","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/association-between-prenatal-cannabis-exposure-and-child-health-care-use\/","title":{"rendered":"Association between prenatal cannabis exposure and child health care use: a retrospective cohort study in Ontario, Canada"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 Cannabis use among expectant mothers has increased steadily over the past two decades. We compared the long-term health services use of offspring prenatally exposed to cannabis to that of matched, unexposed offspring.<\/p>\n<p><strong>Study design<\/strong> \u2014 We conducted a retrospective cohort study using linked perinatal and health administrative databases of all live, singleton births in Ontario, Canada hospitals between April 1, 2007 and March 31, 2012. Infants were followed until March 31, 2017, with a primary outcome of primary care visits up to age 10. Secondary outcomes included rates of outpatient psychiatrist visits, emergency department visits and hospitalizations. We used adjusted Poisson regression to assess differences in rates of health service use between children with and without exposure to prenatal cannabis.<\/p>\n<p><strong>Results<\/strong> \u2014 We included 508 025 infants, 3248 (0.6%) had cannabis exposure. Prenatal cannabis use was associated with a decreased rate of primary care physician visits (adjusted rate ratio [aRR]: 0.86, 95% confidence interval [CI]: 0.84-0.87) and an increase in the rate of outpatient psychiatrist visits (aRR: 1.29, 95% CI: 1.00-1.66), emergency department visits (aRR: 1.05, 95% CI: 1.03-1.08), and hospitalizations (aRR: 1.12, 95% CI: 1.04-1.20). Among preterm offspring, cannabis was associated with a decrease in primary care visits but no difference in other visits. Among those in the highest income quintiles, cannabis use was associated with a two-fold increase in the rate of outpatient psychiatrist visits.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 Offspring exposed to prenatal cannabis receive fewer primary care visits but have increased rates of visiting health care specialists past the neonatal period.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 Cannabis use among expectant mothers has increased steadily over the past two decades. We compared the long-term health services use of offspring prenatally exposed to cannabis to that of matched, unexposed offspring. Study design \u2014 We conducted a retrospective cohort study using linked perinatal and health administrative databases of all live, singleton births [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[16,62,56],"migration-helper-qa-sample-set":[],"class_list":["post-22112","journal_article","type-journal_article","status-publish","hentry","topic-children-and-young-people","topic-health-services-research","topic-pharmacoepidemiology-and-drug-safety"],"acf":{"citation":"Pratt Tremblay G, Han A, Sucha E, Hsu H, Donelle J, Corsi DJ. <em>J Pediatr Clin Pract<\/em>. 2025; 17:200151. Epub 2025 Jun 2.","source_url":"https:\/\/doi.org\/10.1016\/j.jpedcp.2025.200151","ices_scientist":[1184],"site":[6734],"research_program":[6747,6745],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Association between prenatal cannabis exposure and child health care use: a retrospective cohort study in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Objective \u2014 Cannabis use among expectant mothers has increased steadily over the past two decades. 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