“Stoned on the road”: A systematic review of cannabis-impaired driving educational initiatives targeting young drivers in Canada

IF 4.4 2区医学 Q1 SUBSTANCE ABUSE

International Journal of Drug Policy Pub Date : 2025-05-17 DOI:10.1016/j.drugpo.2025.104835

Robert Colonna , Zuha Pathan , Anupradi Sultania , Liliana Alvarez

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引用次数: 0

Abstract

Background

With recreational cannabis legalized across Canada, concerns persist about youth driving under the influence of cannabis (DUIC). However, the extent of DUIC education and prevention efforts aimed at young Canadians remains unclear. This systematic review examines recent Canadian initiatives (2017 onwards) focused on reducing DUIC among youth. Specifically, we investigate (1) the types of initiatives and target audiences, (2) content and delivery methods, (3) sustainability, and (4) evidence of impact.

Methods

A comprehensive search was conducted across MEDLINE, PsycINFO, CINAHL, SCOPUS, and EMBASE (January 1, 2017–July 10, 2023), along with various grey literature sources. Initiatives were included if they targeted DUIC behaviour among youth aged 16 to 24, were developed and delivered in Canada by reputable organizations or individuals with institutional support, and aimed to address DUIC behaviour or its enabling conditions. Data extraction and quality appraisal were performed.

Results

Fifteen Canadian initiatives were identified: seven educational programs and eight awareness campaigns, encompassing national and regional levels. Delivery methods included in-person workshops, digital tools, online programs, and smartphone applications. While some initiatives increased awareness and influenced perceptions of DUIC, evidence of behaviour change remained limited. Challenges related to sustainability, particularly concerning long-term funding and digital platform maintenance, were noted.

Conclusions

This research highlights the progress made in addressing youth DUIC in Canada. Examining current DUIC educational initiatives is crucial for refining strategies, shaping policy, and allocating resources to prioritize the safety of young Canadians. Future efforts should focus on assessing behavioural impacts and ensuring financial sustainability and program longevity.

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“在路上扔石头”：对加拿大针对年轻司机的大麻受损驾驶教育倡议的系统回顾

随着娱乐性大麻在加拿大合法化，人们对青少年在大麻影响下驾驶（DUIC）的担忧仍然存在。然而，针对加拿大年轻人的DUIC教育和预防工作的程度仍不清楚。本系统综述研究了加拿大最近（2017年起）致力于减少青少年DUIC的举措。具体而言，我们调查了(1)倡议和目标受众的类型，(2)内容和交付方法，(3)可持续性，以及(4)影响的证据。方法综合检索MEDLINE、PsycINFO、CINAHL、SCOPUS、EMBASE（2017年1月1日- 2023年7月10日）以及各种灰色文献。如果倡议是针对16至24岁青年的DUIC行为，是由有信誉的组织或个人在机构支持下在加拿大制定和实施的，旨在解决DUIC行为或其有利条件，则列入其中。进行数据提取和质量评价。结果确定了15项加拿大倡议：包括国家和地区两级的7项教育方案和8项宣传活动。授课方式包括面对面的研讨会、数字工具、在线课程和智能手机应用程序。虽然一些举措提高了对DUIC的认识并影响了对DUIC的看法，但行为改变的证据仍然有限。与会者注意到与可持续性有关的挑战，特别是在长期资金和数字平台维护方面的挑战。本研究强调了加拿大在解决青少年DUIC方面取得的进展。审查当前DUIC教育倡议对于完善战略、制定政策和分配资源以优先考虑加拿大年轻人的安全至关重要。未来的工作应侧重于评估行为影响，并确保财务可持续性和项目寿命。

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.