An examination of relationships between cannabis legalization and fatal motor vehicle and pedestrian-involved crashes.

An examination of relationships between cannabis legalization and fatal motor vehicle and pedestrian-involved crashes.
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研究大麻合法化与致命的机动车与行人涉及的撞车事故之间的关系。

DOI:
10.1080/15389588.2020.1810246
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发表时间:
2020
影响因子:
2
通讯作者:
Erickson D
Erickson D
中科院分区:
医学4区
文献类型:
--
作者:
Calvert C;Erickson D

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虽然人们关注娱乐性大麻合法化如何影响交通事故率,但关于大麻如何影响交通事故中的行人的研究有限。这项研究检查了大麻合法化(医疗,娱乐用途和娱乐销售)与致命机动车碰撞率(包括涉及吸毒者和总致命碰撞)之间的关联。我们使用来自死亡分析报告系统(法尔斯)的碰撞数据来计算从1991年到2018年每10万人的每月致命机动车碰撞和致命车辆碰撞率。在大麻合法化的三个州(科罗拉多、华盛顿和俄勒冈州),使用带有自回归项的分段回归将每月撞车率的变化与匹配的对照州进行了比较。我们发现,在医疗或娱乐大麻合法化后,大麻合法化的州和控制州之间的致命机动车碰撞事故没有显着差异。在医用大麻合法化后,华盛顿和俄勒冈州的所有致命车祸立即减少(-4.15和-6.60)。科罗拉多州在娱乐性大麻合法化和销售开始后,所有致命车祸的趋势都有所增加(每10万人中每月有0.15和0.18起致命车祸)。总体调查结果并不表明与大麻合法化相关的总的或涉及大麻的致命机动车碰撞的风险增加。
While attention has been given to how legalization of recreational cannabis affects traffic crash rates, there was been limited research on how cannabis affects pedestrians involved in traffic crashes. This study examined the association between cannabis legalization (medical, recreational use, and recreational sales) and fatal motor vehicle crash rates (both pedestrian-involved and total fatal crashes). We used crash data from the Fatality Analysis Reporting System (FARS) to calculate monthly rates of fatal motor vehicle crashes and fatal pedestrian-involved crashes per 100,000 people from 1991 to 2018. Changes in monthly crash rates in three states that had legalized cannabis (Colorado, Washington, and Oregon) were compared to matched control states using segmented regression with autoregressive terms. We found no significant differences in pedestrian-involved fatal motor vehicle crashes between legalized cannabis states and control states following medical or recreational cannabis legalization. Washington and Oregon saw immediate decreases in all fatal crashes (−4.15 and −6.60) following medical cannabis legalization. Colorado showed an increase in trend for all fatal crashes after recreational cannabis legalization and the beginning of sales (0.15 and 0.18 monthly fatal crashes per 100,000 people). Overall findings do not suggest an elevated risk of total or pedestrian-involved fatal motor vehicle crashes associated with cannabis legalization.
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