Simultaneous Alcohol/Cannabis Use and Driving Under the Influence in the U.S.

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Gonçalves, Priscila Dib ; Gutkind, Sarah ; Segura, Luis ; Castaldelli-Maia, João M. ; Martins, Silvia S ; Mauro, Pia M
• Description:
  Introduction:
  
  Alcohol and cannabis are commonly involved in motor vehicle crashes and fatalities. This study examines whether simultaneous use of alcohol/cannabis is associated with driving under the influence of alcohol and cannabis in the U.S.
  
  Methods:
  
  Drivers aged ≥16 years with any past-year alcohol and cannabis use in the 2016–2019 National Survey on Drug Use and Health (n=34,514) reported any past-year driving under the influence of alcohol-only, cannabis-only, both alcohol/cannabis, or not driving under the influence. Survey-weighted associations between simultaneous alcohol/cannabis use and each of the driving under the influence outcomes were computed adjusting for sociodemographics and daily alcohol/cannabis use. Analyses were conducted from November 2020 to September 2021.
  
  Results:
  
  In 2016-2019, 42% of drivers with past-year alcohol and cannabis use reported driving under the influence (8% alcohol-only, 20% cannabis-only, 14% alcohol/cannabis). Simultaneous alcohol/cannabis use was associated with 2.88-times higher adjusted odds of driving under the influence of cannabis-only (95% CI=2.59, 3.19) and 3.51-times higher adjusted odds of driving under the influence of both alcohol/cannabis (95% CI=3.05, 4.05), compared to not driving under the influence. Associations with driving under the influence of alcohol-only were unexpectedly in the opposite direction (adjusted conditional odds ratio=0.59, 95% CI=0.45, 0.79).
  
  Conclusions:
  
  Overall, 2 in 5 drivers who used alcohol and cannabis reported driving under the influence of alcohol and/or cannabis. People reporting simultaneous alcohol/cannabis use were more likely to report cannabis-related driving under the influence. Prevention strategies should target individuals reporting simultaneous alcohol/cannabis use to reduce the occurrence of driving under the influence.
  
  
• Keywords:
  Accidents, Traffic Alcohol Drinking Analgesics Automobile Driving Cannabis Driving Under The Influence Ethanol Humans
• Source:
  Am J Prev Med. 62(5):661-669
• Pubmed ID:
  35459450
• Pubmed Central ID:
  PMC9038028
• Document Type:
  Journal Article
• Funding:
  R49 CE003094/CE/NCIPC CDC HHSUnited States/ ; K01 DA045224/DA/NIDA NIH HHSUnited States/ ; R49CE003094/ACL/ACL HHSUnited States/ ; T32 DA031099/DA/NIDA NIH HHSUnited States/ ; R01 DA037866/DA/NIDA NIH HHSUnited States/
• Volume:
  62
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2abd3a19012458864dbe773886299022b451e79263ebe1be1ff990268ee113e4
• Download URL:
  https://stacks.cdc.gov/view/cdc/116860/cdc_116860_DS1.pdf
• File Type:
  [PDF - 138.84 KB ]