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老年人酒后驾车:与大麻使用、大麻使用障碍及风险认知的关联。

Older Adults Driving Under the Influence: Associations With Marijuana Use, Marijuana Use Disorder, and Risk Perceptions.

机构信息

The University of Texas at Austin, TX, USA.

出版信息

J Appl Gerontol. 2019 Dec;38(12):1687-1707. doi: 10.1177/0733464817745379. Epub 2017 Dec 4.

DOI:10.1177/0733464817745379
PMID:29199501
Abstract

Despite increasing marijuana use among the 50+ age group, little research has been done on marijuana's impact on older adults' driving under the influence (DUI). Using the 2013 to 2014 National Survey on Drug Use and Health data, this study examined the association of older adults' self-reported DUI with marijuana use, marijuana abuse/dependence, and marijuana risk perception. The findings show that one third of past-year marijuana users aged 50+ reported past-year DUI, two thirds of which involved drugs. Those with marijuana abuse/dependence were 2.6 times more likely than those without the disorder to report DUI, controlling for alcohol abuse/dependence, other illicit drug use, and sociodemographic and health/mental health statuses. As safe driving is key to prolonging independence in late life, clinicians need to educate older adults about the risk of marijuana use, alone and with other substances, on their driving capacity and provide age-appropriate treatment for marijuana use disorder.

摘要

尽管 50 岁以上人群的大麻使用量不断增加,但针对大麻对老年司机影响(DUI)的研究却很少。本研究利用 2013 至 2014 年全国毒品使用与健康调查数据,调查了老年司机自我报告的 DUI 与大麻使用、大麻滥用/依赖和大麻风险认知之间的关系。研究结果表明,过去一年中,三分之一的 50 岁以上大麻使用者报告了过去一年的 DUI,其中 2/3 涉及药物。与没有这种障碍的人相比,有大麻滥用/依赖的人报告 DUI 的可能性高出 2.6 倍,在控制了酒精滥用/依赖、其他非法药物使用以及社会人口学和健康/心理健康状况后。由于安全驾驶是老年人晚年保持独立性的关键,因此临床医生需要教育老年人,使其了解单独使用和与其他物质一起使用大麻对驾驶能力的风险,并为大麻使用障碍提供适合年龄的治疗。

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