Berg Carla J
Department of Behavioral Sciences and Health Education, Rollins School of Public Health; Winship Cancer Institute; Emory University, Atlanta, GA, USA.
Subst Abuse. 2018 Oct 14;12:1178221818805084. doi: 10.1177/1178221818805084. eCollection 2018.
Young adults are at high risk for using marijuana, driving under the influence (DUI) of marijuana, and fatalities or serious injuries from motor vehicle crashes related to DUI of marijuana. Within the context of increased legalization of marijuana use and shifting social norms, these public health concerns are particularly prominent. Drawing from a socioecological perspective, this commentary summarizes the literature indicating the importance of multilevel influences on DUI of marijuana among young adults. Indeed, prior research has indicated that risk for DUI of marijuana is associated with policy-level factors such as state and local policies related to marijuana, community-level factors including marijuana access (eg, legalized retail, black market), interpersonal influences including social norms, and intrapersonal factors such as risk perceptions of marijuana use and DUI. This literature should inform future research and practice aiming to develop, test, and implement multilevel interventions and develop messaging strategies aimed at curtailing DUI of marijuana.
年轻人使用大麻、在大麻影响下驾驶（DUI）以及因与大麻DUI相关的机动车碰撞而导致死亡或重伤的风险很高。在大麻使用合法化程度提高和社会规范不断变化的背景下，这些公共卫生问题尤为突出。从社会生态视角出发，本评论总结了相关文献，这些文献表明多层次影响对年轻人中大麻DUI的重要性。事实上，先前的研究表明，大麻DUI的风险与政策层面的因素有关，如与大麻相关的州和地方法规，社区层面的因素包括大麻的可获取性（如合法零售、黑市），人际影响包括社会规范，以及个人层面的因素，如对大麻使用和DUI的风险认知。这些文献应为未来旨在开发、测试和实施多层次干预措施以及制定旨在减少大麻DUI的信息传播策略的研究和实践提供参考。
