University of Michigan Addiction Center, Department of Psychiatry, University of Michigan School of Medicine, 4250 Plymouth Road, Ann Arbor, MI 48109, United States; University of Michigan Injury Center, University of Michigan School of Medicine, 2800 Plymouth Road, NCRC10-G080, Ann Arbor, MI 48109, United States.
University of Michigan Addiction Center, Department of Psychiatry, University of Michigan School of Medicine, 4250 Plymouth Road, Ann Arbor, MI 48109, United States.
Addict Behav. 2018 Mar;78:80-84. doi: 10.1016/j.addbeh.2017.11.002. Epub 2017 Nov 9.
Drugged driving [DD] is a public health concern, particularly among emerging adults who have the highest rates of drug use. Understanding involvement with DD could inform prevention efforts for this population. We evaluated the prevalence of, motives for, and correlates of past-year DD among emerging adults from an urban, under-resourced community.
Emerging adults (N=586) ages 18-25years (54% male, 56% African American, 34% European American) seeking care in an urban emergency department completed past-year surveys of demographics, frequency of DD within 4h of substance use, reasons for DD, and substance use.
DD was reported by 24% of participants (with 25% of those engaging in high frequency DD). DD after cannabis use was most common (96%), followed by prescription opioids, sedatives, and stimulants (9%-19%). Common reasons for DD were: needing to go home (67%), not thinking drugs affected driving ability (44%), not having to drive far (33%), and not feeling high (32%). Demographics were not associated with DD, but, as expected, those with DD had riskier substance use.
In this clinical sample, using a conservative measure, DD, particularly following cannabis use, was relatively common among emerging adults. Based on these data, clinical interventions for cannabis and other drug use should include content on prevention of DD, with particular attention to motives such as planning ahead for alternatives to get home safely and weighing benefits and risks of DD.
药物驾驶[DD]是一个公共健康问题，尤其是在药物使用率最高的新兴成年人中。了解与 DD 的关联可以为该人群的预防工作提供信息。我们评估了来自城市资源匮乏社区的新兴成年人过去一年 DD 的发生率、动机和相关因素。
年龄在 18-25 岁之间（54%为男性，56%为非裔美国人，34%为欧裔美国人）的新兴成年人在城市急诊室接受治疗时，完成了过去一年的人口统计、4 小时内药物使用后 DD 的频率、DD 的原因以及物质使用的调查。
24%的参与者报告了 DD（其中 25%的人高频 DD）。大麻使用后发生 DD 最为常见（96%），其次是处方阿片类药物、镇静剂和兴奋剂（9%-19%）。DD 的常见原因是：需要回家（67%）、不认为药物会影响驾驶能力（44%）、不需要开很远（33%）、感觉不到高（32%）。人口统计学因素与 DD 无关，但正如预期的那样，有 DD 的人物质使用风险更高。
在这个临床样本中，使用保守的 DD 测量方法，特别是在大麻使用后，DD 在新兴成年人中相对常见。根据这些数据，针对大麻和其他药物使用的临床干预措施应包括预防 DD 的内容，特别要注意提前计划替代方案以安全回家和权衡 DD 的利弊和风险等动机。
