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大麻影响下的驾驶与加拿大青少年。

Cannabis-impaired driving and Canadian youth.

作者信息

Brubacher Jeff R, Chan Herbert, Staples John A

机构信息

Faculty of Medicine, Department of Emergency Medicine, The University of British Columbia, Vancouver, British Columbia.

Faculty of Medicine, Department of Medicine, The University of British Columbia, Vancouver, British Columbia.

出版信息

Paediatr Child Health. 2020 Jun;25(Suppl 1):S21-S25. doi: 10.1093/pch/pxaa017. Epub 2020 Jun 15.

DOI:10.1093/pch/pxaa017
PMID:32581627
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7295103/
Abstract

Acute cannabis use results in inattention, delayed information processing, impaired coordination, and slowed reaction time. Driving simulator studies and epidemiologic analyses suggest that cannabis use increases motor vehicle crash risk. How much concern should we have regarding cannabis associated motor vehicle collision risks among younger drivers? This article summarizes why young, inexperienced drivers may be at a particularly high risk of crashing after using cannabis. We describe the epidemiology of cannabis use among younger drivers, why combining cannabis with alcohol causes significant impairment and why cannabis edibles may pose a heightened risk to traffic safety. We provide recommendations for clinicians counselling younger drivers about cannabis use and driving.

摘要

急性吸食大麻会导致注意力不集中、信息处理延迟、协调能力受损以及反应时间变慢。驾驶模拟器研究和流行病学分析表明,吸食大麻会增加机动车碰撞风险。对于年轻驾驶员中与大麻相关的机动车碰撞风险,我们应该有多担心呢?本文总结了为什么年轻、缺乏经验的驾驶员在吸食大麻后可能特别容易发生撞车事故。我们描述了年轻驾驶员中大麻使用的流行病学情况,为什么大麻与酒精混合使用会导致严重损害,以及为什么大麻食品可能对交通安全构成更高风险。我们为临床医生就大麻使用和驾驶问题为年轻驾驶员提供咨询提供建议。

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本文引用的文献

1
Early evidence of the impact of cannabis legalization on cannabis use, cannabis use disorder, and the use of other substances: Findings from state policy evaluations.大麻合法化对大麻使用、大麻使用障碍和其他物质使用影响的早期证据:州政策评估结果。
Am J Drug Alcohol Abuse. 2019;45(6):644-663. doi: 10.1080/00952990.2019.1669626. Epub 2019 Oct 11.
2
Cannabis use as a risk factor for causing motor vehicle crashes: a prospective study.大麻使用作为导致机动车事故的风险因素:一项前瞻性研究。
Addiction. 2019 Sep;114(9):1616-1626. doi: 10.1111/add.14663. Epub 2019 Jul 3.
3
The relative risk of motor vehicle collision on cannabis celebration day in Great Britain.英国大麻庆祝日机动车碰撞的相对风险。
Accid Anal Prev. 2019 Jul;128:248-252. doi: 10.1016/j.aap.2019.02.013. Epub 2019 Mar 20.
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The Major Causes of Death in Children and Adolescents in the United States.美国儿童和青少年的主要死因
N Engl J Med. 2018 Dec 20;379(25):2468-2475. doi: 10.1056/NEJMsr1804754.
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Prevalence of Cannabis Use in Youths After Legalization in Washington State.华盛顿州大麻合法化后青少年大麻使用的流行率。
JAMA Pediatr. 2019 Feb 1;173(2):192-193. doi: 10.1001/jamapediatrics.2018.4458.
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Childhood road traffic injuries in Canada - a provincial comparison of transport injury rates over time.加拿大儿童道路交通伤害-随时间推移的交通伤害率的省级比较。
BMC Public Health. 2018 Dec 6;18(1):1348. doi: 10.1186/s12889-018-6269-9.
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Reefer madness or much ado about nothing? Cannabis legalization outcomes among young adults in the United States.是“致幻蘑菇热”还是“无事生非”?美国年轻人中大麻合法化的结果。
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The April 20 Cannabis Celebration and Fatal Traffic Crashes in the United States.美国 4 月 20 日的大麻庆祝活动和致命交通事故。
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Psychol Addict Behav. 2018 Feb;32(1):84-92. doi: 10.1037/adb0000327. Epub 2017 Nov 16.