A study of self-reported personal cannabis use and state legal status and associations with engagement in and perceptions of cannabis-impaired driving.

A study of self-reported personal cannabis use and state legal status and associations with engagement in and perceptions of cannabis-impaired driving.
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DOI:
10.1080/15389588.2022.2124803
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发表时间:
2022
影响因子:
2
通讯作者:
Vaca, Federico
Vaca, Federico
中科院分区:
医学4区
文献类型:
--
作者:
Brown, Timothy;Banz, Barbara;Schmitt, Rose;Gaffney, Gary;Milavetz, Gary;Camenga, Deepa;Li, Kaigang;Brooks-Russell, Ashley;Vaca, Federico

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本研究的目的是:1)描述在过去一年中使用大麻的成年人样本中,大麻使用后两小时内驾驶和大麻使用后驾驶的感知风险的预测因素; 2)确定这些预测因素的影响是否因州合法化状态而异。这项研究的数据来自在线调查。来自科罗拉多、爱荷华州和伊利诺伊州的研究参与者如果报告年龄在25岁至40岁之间并且有大麻使用史,则被纳入研究。结果变量包括1)每月使用大麻的天数,2)报告在使用大麻的两小时内驾驶(与两小时内不驾驶作为参考),3)每月使用大麻后驾驶的比例(每月使用大麻的两小时内驾驶汽车的天数/每月使用大麻的天数),以及4)使用大麻后驾驶的安全性感知。潜在的预测因素包括首次使用大麻的年龄,性别,教育状况和居住州。采用SAS GLMSelect程序进行分析。首次使用大麻的年龄增加与每月使用大麻的天数减少(B =每年每月-0.51天),每月使用大麻后驾驶的比例减少(B =每月-0.02天)以及使用大麻后驾驶安全感下降(B =每年-0.06天)有关。女性也与较少使用(B =每月-2.3天),使用后驾驶的比例较低(B =-0.06天驾驶/使用天数)以及安全感下降(B =-0.29)有关。此外,科罗拉多的居民报告使用大麻的天数最多,在使用后两小时内开车的可能性最高,并且对使用大麻后能够安全驾驶的看法最积极。开始使用大麻的延迟可能会减少成年人使用大麻的情况以及使用大麻后驾驶的情况。这对驾驶员的安全具有重要意义。减少大麻对驾驶影响的干预计划应侧重于早期使用的个人,男性司机和成人娱乐使用大麻合法化的州的司机。
The objectives of the current study were to 1) characterize predictors of perceived risk of driving within two hours of cannabis use and driving after cannabis use in a sample of adults who have used cannabis in the past year; and 2) determine whether the influence of these predictors vary by state legalizations status. Data for this study were from online surveys. Study participants from Colorado, Iowa, and Illinois were included if they reported being between 25 and 40 years old and had a history of cannabis use. Outcome variables included 1) days of cannabis use per month, 2) reported driving within two hours of cannabis use (vs. not driving within two hours as reference), 3) proportion of driving after cannabis use days per month (days of driving a car within two hours of cannabis use per month/days of cannabis use per month), and 4) perception of safety of driving after cannabis use. Potential predictors included age of first use of cannabis, gender, education status, and state of residence. SAS GLMSelect Procedure was used for the analysis. Increased age of first use of cannabis was associated with decreased days of cannabis use per month (B = −0.51 days/month per year), a reduction in the proportion of driving after cannabis use days per month (B = −.02 per month), and decreased perception of safety of driving after cannabis use (B = −0.06 per year). Female gender was also associated with less use (B = −2.3 days per month), a lower proportion of driving following use (B = −0.06 days driving/days used), and decreased perception of safety (B = −0.29). In addition, residents of Colorado reported using the most days, had the highest likelihood of driving within two hours of use, and had the most positive perceptions of being able to safely drive after cannabis use. The delay in onset of cannabis use may mitigate its use among adults as well as driving after cannabis use. This has important implications for driver safety. Intervention programs for reducing cannabis effect on driving should focus on individuals with early onset of use, male drivers, and drivers in states where cannabis for adult recreational use is legalized.
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