Hello ive, already began the paper, I just need help with the statistical analysis section of the paper. I am utilizing the NSDUH 2021 Dataset. Can you help me complete the statistical analysis section and the results section. I need to peform a logistic regression and interpret that in the results section I also need to provide a couple of graphs and interpret if my analysis shows that anything is statistically significant:
Introduction
In
today’s society, the prevalence of marijuana use has surged. Despite its
legalization in several states, scientists continue to explore its impacts on
fetal development compared to other substances (CDC, 2021). Pregnancy is a period
in a woman’s life characterized by numerous physical and psychological changes (Pregnancy,
n.d.). The well-being of pregnant women not only affects their health but also influences
the development and health outcomes of their children. Substance use during
pregnancy poses significant risks to maternal and fetal health. (Centers for
Disease Control and Prevention, 2019). Understanding the complex relationship
between marijuana use during pregnancy across trimesters is essential for
designing effective interventions and improving maternal and child health
outcomes. The prevalence of drug use during pregnancy remains a concern, as
evidenced by data from the National Survey on Drug Use and Health (NSDUH) (National
Survey on Drug Use and Health 2021 (NSDUH-2021-DS0001) | SAMHDA, 2021). Despite
public health efforts aimed at prevention and treatment, pregnant women
continue to engage in marijuana use, as reported through the NSDUH 2021 survey (National
Survey on Drug Use and Health 2021 (NSDUH-2021-DS0001) | SAMHDA, 2021). This
raises questions about the potential impact of marijuana use among pregnant
women, during the various trimesters.
Pregnancy
is divided into three trimesters, each bringing unique physical and emotional
changes for women. These changes include alterations in body chemistry and
function, such as increased heart workload, higher body temperature, and
heightened secretion levels (Pregnancy, n.d.). This combined with  marijuana use, can present additional
challenges for pregnant women and impact fetal development (Centers for Disease
Control and Prevention, 2019). Studies have shown that marijuana use during
pregnancy can affect the developing fetus, leading to potential cognitive and
behavioral issues later in life (CDC, 2021). The effects of marijuana use on
maternal health during pregnancy are also a concern, as it may contribute to
pregnancy complications such as low birth weight, preterm birth, and
developmental delays (Centers for Disease Control and Prevention, 2019).
Understanding how marijuana use intersects with the already complex and
demanding changes during pregnancy is crucial for providing appropriate support
and interventions for pregnant women and their children. While previous
research has examined the association between substance use and maternal mortality
outcomes, there are little to no studies that specifically focused on pregnant
women and marijuana use and considered the influence of pregnancy trimester.
Understanding how cannabis use varies among pregnant women who use across
different trimesters is eye-opening for tailoring interventions and providing
targeted support during pregnancy. The hypothesis is that there will be
differences in the prevalence and patterns of marijuana use among pregnant
women across the three trimesters, with potentially varying implications for
maternal and fetal health outcomes. By examining these differences and
understanding how cannabis use may impact pregnancy outcomes differently during
each trimester, this study aims to contribute to the development of more
personalized and effective interventions for pregnant women who use marijuana.
This research is vital for informing healthcare providers, policymakers, and
public health efforts in addressing substance use during pregnancy and
promoting the well-being of both mothers and their children.
Methods
The National Survey on Drug Use and
Health (NSDUH) is a nationally representative survey conducted annually by the
Substance Abuse and Mental Health Services Administration (SAMHSA) to assess
substance use and mental health among individuals aged 12 and older in the
United States ( (NSDUH-2021-DS0001) | SAMHDA, 2021) The sample included
pregnant women aged 12-44 years who participated in the survey. In the National
Survey on Drug Use and Health (NSDUH), pregnancy status was obtained through
self-reporting by the survey participants. Respondents were asked directly
about their pregnancy status during the interview (NSDUH-2021-DS0001) | SAMHDA,
2021). Marijuana use was classified by respondents who reported past-year
marijuana use and those who indicated use of marijuana on 5 or fewer days in
the past year were not asked the questions on marijuana use disorder (NSDUH-2021-DS0001)
| SAMHDA, 2021). For this study, the analyses were restricted to female
respondents ages 12-44 who reported being pregnant at the time of the interview
N=705. Also, observations with missing values were removed.
Measures
Pregnancy status and marijuana use in
the past year were classified on self-reported information provided by the
participant utilizing the NSDUH questionnaire. Participants were asked whether
they had used any marijuana in the past year. The current trimester of
pregnancy among females aged 12-44 was broken into three categories. The first
three months of pregnancy, the second three months of pregnancy, and the last
three months of pregnancy in the NSDUH data set. For this study, the focus is
to analyze the prevalence and patterns of marijuana use during different
trimesters of pregnancy among females who responded aged 12-44 in the NSDUH
dataset.
Statistical Analysis
This analysis will include chi-square tests to assess the relationship
between the variables pregnancy, and marijuana use taking into account the patterns
of marijuana use across different trimesters of pregnancy. Additionally,
descriptive statistics will be used to summarize the characteristics of the
sample, including the distribution of marijuana use by trimester. Then, applying
a logistic regression will examine the relationship between predictor variables
trimester, race, and age and the likelihood of marijuana use during pregnancy. The
results of these analyses will contribute to understanding the impact of
marijuana use during pregnancy and informing interventions aimed at promoting
maternal and child health outcomes.
Results