Attitudes toward driving after cannabis use: a systematic review.

IF 4.1 Q1 PHARMACOLOGY & PHARMACY Journal of cannabis research Pub Date : 2024-09-28 DOI:10.1186/s42238-024-00240-0
Bianca Boicu, Durr Al-Hakim, Yue Yuan, Jeffrey Brubacher
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Abstract

Background: Driving after cannabis use (DACU) is associated with increased risk of motor vehicle collisions. As cannabis legalization expands, DACU is emerging as a major public safety concern. Attitudes have a significant impact on behavioural decision making. As such, understanding the degree to which people have favorable or unfavorable evaluations of DACU is an important first step for informing prevention efforts. This systematic review summarizes existing evidence on attitudes toward DACU, their association with actual or intended DACU, and changes in attitudes following legalization of recreational cannabis.

Methods: Four electronic databases (MEDLINE, EMBASE, PsycINFO, and TRID) were searched for studies that reported attitudes or changes in attitudes toward DACU published between their inception dates and February 26 2024. A total of 1,099 records were retrieved. Studies were analyzed using an inductive thematic synthesis approach.

Results: Seventy studies from seven countries originating predominantly from the United States and Canada met inclusion criteria. Thematic analysis identified six themes. (I) Attitudes toward the safety and acceptability of DACU are mixed; participants in 35 studies predominantly expressed negative attitudes toward DACU (e.g., DACU is dangerous, affects driving ability, and increases crash risk). However, 20 studies reported opposing views. (II) Attitudes toward DACU vary by age, sex/gender, and cannabis use frequency; youth, men, and frequent cannabis users tended to view DACU more favorably than older participants, women, and occasional or non-users. (III) Attitudes toward DACU are associated with past DACU and intention to DACU. (IV) DACU is viewed more favorably than driving after drinking alcohol. (V) The relationship between legal status of recreational cannabis and attitudes toward DACU is unclear. (VI) Perceived risk of apprehension for DACU is low to moderate.

Conclusions: This review found that perceptions of DACU are primarily negative but mixed. Findings suggest that attitudes toward DACU are important targets for interventions to reduce this behaviour.

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对吸食大麻后驾车的态度:系统综述。
背景:吸食大麻后驾车(DACU)与机动车碰撞风险增加有关。随着大麻合法化的扩大,吸食大麻后驾车正在成为一个主要的公共安全问题。态度对行为决策有重大影响。因此,了解人们对 DACU 的有利或不利评价程度是为预防工作提供信息的重要第一步。本系统综述总结了有关对 DACU 的态度、其与实际或打算使用 DACU 的关联以及娱乐性大麻合法化后态度变化的现有证据:对四个电子数据库(MEDLINE、EMBASE、PsycINFO 和 TRID)进行了检索,以查找在其开始日期至 2024 年 2 月 26 日期间发表的报告了对 DACU 的态度或态度变化的研究。共检索到 1,099 条记录。研究采用归纳式专题综合方法进行分析:来自七个国家(主要来自美国和加拿大)的 70 项研究符合纳入标准。专题分析确定了六个主题。(I)对 DACU 的安全性和可接受性的态度不一;35 项研究的参与者主要对 DACU 表达了负面态度(例如,DACU 是危险的、影响驾驶能力并增加碰撞风险)。不过,有 20 项研究报告了相反的观点。(二)对 DACU 的态度因年龄、性别和使用大麻的频率而异;青年、男性和经常使用大麻者对 DACU 的看法往往比老年参与者、女性和偶尔使用或不使用大麻者更赞成。(III) 对 DACU 的态度与过去 DACU 和打算 DACU 有关。(IV) DACU 比饮酒后驾车更受青睐。(五)娱乐性大麻的合法地位与对 DACU 的态度之间的关系尚不明确。(六)对 DACU 的忧虑风险感知为低度至中度:本综述发现,人们对 DACU 的看法主要是负面的,但也有好有坏。研究结果表明,对 DACU 的态度是减少这种行为的干预措施的重要目标。
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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Review of the current ongoing clinical trials exploring the possible anti-anxiety effects of cannabidiol. Association between cannabis use and physical activity in the United States based on legalization and health status. Cannabis-related information sources among US residents: A probability-weighted nationally representative survey. Attitudes toward driving after cannabis use: a systematic review. Changes in health-related quality of life over the first three months of medical marijuana use.
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