Marijuana and other substance use among male and female underage drinkers who drive after drinking and ride with those who drive after drinking
Marijuana and other substance use among male and female underage drinkers who drive after drinking and ride with those who drive after drinking
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DOI：
10.1016/j.addbeh.2017.02.016
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发表时间：
2017-08-01
影响因子：
4.4
通讯作者：
Cunningham, Rebecca M.
中科院分区：
文献类型：
--
作者：
Buckley, Lisa;Bonar, Erin E.;Cunningham, Rebecca M.
该研究试图描述青少年酒后驾车（DD）和与饮酒司机一起骑车（RWDD）的发生率，以及与男性和女性物质使用的相关性。作为随机对照试验筛选的一部分，我们调查了从急诊科（艾德）招募的16-20奥尔兹（N = 3418），并分析了报告过去一年饮酒的患者（N = 2150，58%为女性）的数据。同样在过去一年，22%的女性和28%的男性报告了DD，39%的女性和38%的男性报告了RWDD。在回归模型中，危险的酒精使用和过去一年的大麻使用与女性和男性DD和RWDD的几率增加有关。使用避孕药是一个强有力的预测因素，女性和男性的DD几率分别增加2.3和1.7倍，女性和男性的RWDD几率增加1.4倍。处方药滥用也与女性的RWDD以及男性和女性报告的DD相关。研究结果强调了男性和女性中DD和RWDD的惊人比率，并建议基于ED的伤害预防工作考虑这种危险的道路行为以及考虑他们的物质使用。未来的研究还可能进一步研究在物质，特别是大麻的影响下驾驶的影响，以及驾驶前共同摄入的负面协同效应。(C)2017爱思唯尔有限公司版权所有
The study sought to describe the occurrence of adolescent driving after drinking (DD) and riding with a driver who had been drinking (RWDD) and associations with substance use for both males and females. As part of screening for a randomized controlled trial, we surveyed 16-20 year olds (N = 3418) recruited from an emergency department (ED) and analyzed data from those reporting past-year alcohol consumption (n = 2150, 58% females). DD was reported by 22% of females and 28% of males and RWDD was reported by 39% of females and 38% of males, also in the past year. In regression models, risky alcohol use and past-year marijuana use were associated with increased odds of DD and RWDD for females and males. Marijuana use was a strong predictor, with odds increased by 2.3 and 1.7 times for DD among females and males respectively and 1.4 times for RWDD for females and males. Prescription drug misuse was also associated with RWDD for females and for both males' and females' reported DD. The findings highlight the alarming rate of DD and RWDD among both males and females and suggest ED-based injury prevention efforts consider such risky road behavior as well as consider their substance use. Future research might also further examine the effects of driving under influence of substances, particularly marijuana, and the negative synergistic effects of co-ingestion prior to driving. (C) 2017 Elsevier Ltd. All rights reserved.