Emerging Adults Riding With Marijuana-, Alcohol-, or Illicit Drug-Impaired Peer and Older Drivers
Emerging Adults Riding With Marijuana-, Alcohol-, or Illicit Drug-Impaired Peer and Older Drivers
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DOI：
10.15288/jsad.2018.79.277
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发表时间：
2018-03-01
影响因子：
3.4
通讯作者：
Simons-Morton, Bruce
中科院分区：
文献类型：
--
作者：
Li, Kaigang;Ochoa, Elizabeth;Simons-Morton, Bruce
目的：本研究的目的是检查新兴的成年人之间的患病率和协变量，因为大麻（MJ），酒精（ALC），或非法药物（ID）与受损的同龄人或老年人司机（RWI）一起骑行。方法：数据来自下一代健康研究的第4波（W 4，N = 2,085）和第5波（W5，N = 2,116），收集于2013-2014年，高中毕业后1年和2年。W5 RWI指定为特定物质受损的同龄人和老年人（同龄人/老年人）司机。多项logistic回归估计W5与物质特异性RWI和W 4 RWI的关联，以及W5重度发作性饮酒，MJ使用和学校/居住/工作状态。结果如下：在W5，33%的参与者在过去一年中报告了RWI，包括与ALC-（21%），MJ-（17%）和ID-（5%）受损的同伴驾驶员和ALC-（2%），MJ-（4%）和ID-（0.7%）受损的老年驾驶员一起骑行。W 4 RWI与W5 RWI相关，伴有ALC-（调整后比值比[AOR] = 4.28，2.69）和MJ-RWI（AOR = 2.34，3.56）受损的同龄人/老年驾驶员。W5重度间歇性饮酒与W5同龄人ALC相关RWI（AOR = 2.16）和同龄人/老年人MJ相关RWI（AOR = 2.38，5.45）呈正相关。W5 MJ使用与W5同伴ALC相关RWI（AOR = 2.23）、同伴/老年人MJ相关（AOR = 10.89，2.98）和同伴/老年人ID相关（AOR = 9.34，4.26）RWI呈正相关。与ID相关的RWI在那些没有参加4年制大学（AOR = 3.38），参加技术学校（AOR = 16.23），独自生活（AOR = 6.85）或住在校园（AOR = 11.50）的人中较高。结论：新生儿中RWI的高患病率主要发生在ALC或MJ受损的同伴驾驶员中。研究结果支持需要精确定制的计划，以防止根据物质使用和年龄受损的驾驶。
Objective: The purpose of this study was to examine the prevalence and covariates among emerging adults of riding with an impaired peer or older adult driver (RWI) because of marijuana (MJ), alcohol (ALC), or illicit drugs (ID). Method: Data were from Waves 4 (W4, N = 2,085) and 5 (W5, N = 2,116) of the NEXT Generation Health Study, collected in 2013-2014, 1 and 2 years after high school. W5 RWI was specified for substance-specific impaired peer and older adult (peer/older adult) drivers. Multinomial logistic regressions estimated W5 association of substance-specific RWI with W4 RWI, and W5 heavy episodic drinking, MJ use, and school/residence/work status. Results: At W5, 33% of the participants reported RWI in the past year, including riding with ALC-(21%), MJ-(17%), and ID-(5%) impaired peer drivers and ALC-(2%), MJ-(4%), and ID-(0.7%) impaired older adult drivers. W4 RWI was associated with W5 RWI with impaired peer/older adult drivers for ALC-(adjusted odds ratio [AOR] = 4.28, 2.69) and MJ-RWI (AOR = 2.34, 3.56). W5 heavy episodic drinking was positively associated with W5 peer ALC-related RWI (AOR = 2.16) and peer/older adult MJ-related RWI (AOR = 2.38, 5.45). W5 MJ use was positively associated with W5 peer ALC-related RWI (AOR = 2.23), peer/older adult MJ-related (AOR = 10.89, 2.98), and peer/older adult ID-related (AOR = 9.34, 4.26) RWI. ID-related RWI was higher among those not attending 4-year college (AOR = 3.38), attending technology school (AOR = 16.23), living on their own (AOR = 6.85), or living on campus (AOR = 11.50). Conclusions: The high prevalence of RWI among emerging adults occurred mostly with ALC-or MJ-impaired peer drivers. The findings support the need for precisely tailored programs to prevent impaired driving according to substance use and age.