Haven't I waited long enough? The role of wait times and subjective impairment in cannabis-related driving behavior

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2024-11-29 DOI:10.1016/j.drugpo.2024.104654

Ayelet Har-Even , Nehama Lewis , Hadar Eliash-Fizik , Sharon R. Sznitman

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引用次数: 0

Abstract

Background

Driving under the influence of cannabis (DUIC) poses a significant public health threat. This study explores DUIC through a multifaceted lens, examining correlates of various wait times between cannabis use and driving, subjective perceptions of impairment, and differences between medical and non-medical cannabis users.

Method

Cross-sectional data from 979 cannabis users in Israel were collected through an online survey. DUIC risk was measured using reported wait times (categorized as low, moderate, and high risk) and driving while feeling cannabis effects. Logistic and multinomial regression identified correlates of DUIC risk.

Results

23 % of the respondents drove within two hours of use (high risk), 37 % waited 3 to 6 h (moderate risk), and 40 % waited over 7 h (low risk). Multinomial regression showed that being male (RRR = 2.11, p < 0.001), having a medical cannabis license (RRR = 4.14, p < 0.01), more frequent cannabis and alcohol co-use (RRR = 1.18, p < 0.05), and more frequent cannabis use (RRR = 1.21, p < 0.001) were associated with moderate risk compared to low risk. Being male (RRR = 1.89, p < 0.01) and reporting higher cannabis use frequency (RRR = 1.70, p < 0.001) was associated with high DUIC risk. Cannabis use frequency was a significant predictor of subjective DUIC (AOR = 1.26, p < 0.001).

Conclusion

Findings highlight the need for targeted prevention efforts, particularly for male and frequent cannabis users. The complex relationship between medical cannabis use and DUIC risk warrants further investigation to inform evidence-based policies and interventions.

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我等得还不够久吗？等待时间和主观损害在大麻相关驾驶行为中的作用

在大麻影响下驾驶（DUIC）对公众健康构成重大威胁。本研究通过多方面的角度探讨DUIC，检查大麻使用和驾驶之间的各种等待时间的相关性，对损害的主观感知，以及医疗和非医疗大麻使用者之间的差异。方法通过在线调查收集以色列979名大麻使用者的横断面数据。DUIC风险是通过报告的等待时间（分为低、中、高风险）和在感受大麻影响的情况下驾驶来衡量的。逻辑回归和多项回归确定了DUIC风险的相关因素。结果23%的受访者在2小时内驾驶（高风险），37%的受访者等待3至6小时（中等风险），40%的受访者等待超过7小时（低风险）。多项回归结果显示，男性(RRR = 2.11, p <；0.001)，拥有医用大麻执照(风险比= 4.14,p <；0.01)，更频繁地同时使用大麻和酒精(rr = 1.18, p <；0.05)，更频繁地使用大麻(RRR = 1.21, p <；0.001)与低风险相比，与中度风险相关。男性(rr = 1.89, p <；0.01)，报告大麻使用频率较高(rr = 1.70, p <；0.001)与DUIC高风险相关。大麻使用频率是主观DUIC的显著预测因子(AOR = 1.26, p <；0.001)。结论研究结果强调需要有针对性的预防工作，特别是对男性和经常使用大麻的人。医用大麻使用与DUIC风险之间的复杂关系值得进一步调查，为循证政策和干预措施提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Drug Policy SUBSTANCE ABUSE-

CiteScore

7.80

自引率

11.40%

发文量

307

审稿时长

62 days

期刊介绍： The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.