Cannabis-Related Diagnoses Among Pregnant Women Rose 24% After Canada Legalized Non-Medical Use

In Quebec, diagnosed cannabis-related disorders among pregnant women increased 24% following Canada's Cannabis Act, while alcohol- and other drug-related diagnoses remained stable.

Nazif-Munoz, José Ignacio et al.·Addiction (Abingdon·2024·Moderate EvidenceRetrospective Cohort
RTHC-05589Retrospective CohortModerate Evidence2024RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Retrospective Cohort
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

After the Cannabis Act took effect in October 2018, there was a significant 24% increase (95% CI: 1-53%) in cannabis-related diagnosed disorders among pregnant women aged 15-49.

Key Numbers

24% increase post-legalization (95% CI: 1-53%); 0.5% monthly increase pre-legalization; study period: Jan 2010 to July 2022

How They Did This

Quasi-experimental interrupted time-series analysis using administrative health data from Quebec, covering pregnant women aged 15-49 from January 2010 to July 2022.

Why This Research Matters

This is among the first studies to track how cannabis legalization affected diagnosed cannabis disorders specifically among pregnant women using population-level data.

The Bigger Picture

Whether this increase reflects more cannabis use or more clinical detection remains an open question.

What This Study Doesn't Tell Us

Cannot distinguish increased use from increased detection. Administrative data rely on clinician coding. Quebec-specific. COVID-19 overlapped.

Questions This Raises

  • ?Is the increase driven by more use or more disclosure?
  • ?Did prenatal outcomes change alongside the increase?

Trust & Context

Key Stat:
24% increase in cannabis-related diagnoses among pregnant women post-legalization
Evidence Grade:
Population-level time-series analysis but cannot distinguish use from detection.
Study Age:
Published in 2024 with data through July 2022.
Original Title:
Changes in prenatal cannabis-related diagnosed disorders after the Cannabis Act and the COVID-19 pandemic in Quebec, Canada.
Published In:
Addiction (Abingdon, England), 119(10), 1784-1791 (2024)
Database ID:
RTHC-05589

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-ControlFollows or compares groups over time
This study
Cross-Sectional / Observational
Case Report / Animal Study

Looks back at existing records to find patterns.

What do these levels mean? →

Frequently Asked Questions

Did more pregnant women start using cannabis after legalization?

The study found more diagnoses but cannot determine whether this reflects more use or more detection.

Did other substance diagnoses increase?

No. Alcohol and other drug diagnoses remained stable.

Read More on RethinkTHC

Cite This Study

RTHC-05589·https://rethinkthc.com/research/RTHC-05589

APA

Nazif-Munoz, José Ignacio; Martínez, Pablo; Huỳnh, Christophe; Massamba, Victoria; Zefania, Isaora; Rochette, Louis; Vasiliadis, Helen-Maria. (2024). Changes in prenatal cannabis-related diagnosed disorders after the Cannabis Act and the COVID-19 pandemic in Quebec, Canada.. Addiction (Abingdon, England), 119(10), 1784-1791. https://doi.org/10.1111/add.16564

MLA

Nazif-Munoz, José Ignacio, et al. "Changes in prenatal cannabis-related diagnosed disorders after the Cannabis Act and the COVID-19 pandemic in Quebec, Canada.." Addiction (Abingdon, 2024. https://doi.org/10.1111/add.16564

RethinkTHC

RethinkTHC Research Database. "Changes in prenatal cannabis-related diagnosed disorders aft..." RTHC-05589. Retrieved from https://rethinkthc.com/research/nazif-munoz-2024-changes-in-prenatal-cannabisrelated

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.