Almarhabi Yahya, Mufti Abdulrahman I, Almaymuni Adel D, Abdurahman Talib, Abdulaziz Ghamri, Alghamdi Ahmed A, Moniem Mukhtar Abdel
a Department of Surgery, Faculty of Medicine , King Abdulaziz University , Jeddah , Saudi Arabia.
b Center of Excellence in Trauma and Accidents, King Abdulaziz University , Jeddah , Saudi Arabia.
Traffic Inj Prev. 2018;19(7):687-692. doi: 10.1080/15389588.2018.1494828. Epub 2018 Nov 6.
Worldwide, trauma is a major health problem, and road traffic accidents (RTAs) are the primary cause of death among young men in Saudi Arabia. The aim of our study was to estimate the extent of driving under the influence of an abused substance in Saudi Arabia and to explore the associated factors.
This is a cross-sectional survey conducted between May and September 2016 at Al-Amal Hospital in Jeddah, Saudi Arabia, a referral center for addiction. We included all patients who were admitted for additional education and rehabilitation and had no psychotic symptoms. We used a standardized and pretested questionnaire to collect data regarding sociodemographic and socioeconomic characteristics, history of and current substance abuse, driving under the influence of an abused substance, injuries, imprisonment, and fatalities under the influence of an abused substance. Whenever possible, we compared self-reported data with medical records and resolved any conflict by discussion with the patient.
A total of 101 out of 112 invited patients participated in our study (90.2%). The mean age of the participants was 33.28 years (SD = 9.46 years). Of the total, 93.1% (n = 94) drove under the influence of an abused substance. Amphetamines and alcohol were the first substance abused (56.4% [n = 57] and 25.7% [n = 26] of patients, respectively). As currently abused substances, amphetamines and cannabis were reported in 38.6% (n = 39) and 24.8% (n = 25) of participants, respectively. The mean age at the time of the first substance abuse was 18.76 years (SD = 4.99 years). In the univariate regression (odds ratio [OR] = 0.86; 95% confidence interval [CI], 0.75-0.99; P = .046) but not the multivariate regression (OR =0.87; 95% CI, 0.75-1.00; P = .056), a younger age at the time of the first substance abuse was associated with a higher probability of driving under the influence of an abused substance.
Our study showed that among individuals hospitalized due to substance abuse problems, driving under the influence of drugs and alcohol was common. Preventive measures to reduce driving under the influence should be introduced in addition to specialized hospitals. Further research is required to investigate the factors associated with driving under the influence of abused substances in Saudi Arabia.
在全球范围内，创伤是一个重大的健康问题，而道路交通事故（RTAs）是沙特阿拉伯年轻男性死亡的主要原因。我们研究的目的是估计沙特阿拉伯在受滥用物质影响下驾驶的程度，并探讨相关因素。
这是一项于2016年5月至9月在沙特阿拉伯吉达的阿迈勒医院进行的横断面调查，该医院是一家成瘾转诊中心。我们纳入了所有因接受进一步教育和康复而入院且无精神症状的患者。我们使用一份经过标准化和预测试的问卷来收集有关社会人口学和社会经济特征、既往和当前物质滥用情况、在受滥用物质影响下驾驶、受伤、监禁以及在受滥用物质影响下的死亡情况的数据。只要有可能，我们就将自我报告的数据与病历进行比较，并通过与患者讨论解决任何冲突。
在112名受邀患者中，共有101名参与了我们的研究（90.2%）。参与者的平均年龄为33.28岁（标准差 = 9.46岁）。在总计中，93.1%（n = 94）在受滥用物质影响下驾驶。苯丙胺和酒精是首先被滥用的物质（分别占患者的56.4% [n = 57] 和25.7% [n = 26]）。作为当前被滥用的物质，分别有38.6%（n = 39）和24.8%（n = 25）的参与者报告滥用苯丙胺和大麻。首次滥用物质时的平均年龄为18.76岁（标准差 = 4.99岁）。在单变量回归中（优势比[OR] = 0.86；95%置信区间[CI]，0.75 - 0.99；P = 0.046），但在多变量回归中未显示（OR = 0.87；95% CI，0.75 - 1.00；P = 0.056），首次滥用物质时年龄较小与在受滥用物质影响下驾驶的可能性较高相关。
我们的研究表明，在因物质滥用问题住院的个体中，在药物和酒精影响下驾驶很常见。除了专科医院外，还应采取预防措施以减少在受影响下驾驶的情况。需要进一步研究来调查沙特阿拉伯与在受滥用物质影响下驾驶相关的因素。
