Epidemiology, West Virginia University, Morgantown, West Virginia, USA
Epidemiology, West Virginia University, Morgantown, West Virginia, USA.
Inj Prev. 2021 Dec;27(6):514-520. doi: 10.1136/injuryprev-2020-044015. Epub 2020 Dec 10.
Driving under the influence of drugs (DUID) is a burgeoning public health concern in the USA. Because little is known about individuals who engage in DUID, the purpose of this study was to analyse potential sociodemographic characteristics and behavioural risk factors associated with the behaviour.
Self-reported data from drivers ≥18 years of age who ever used drugs and participated in the 2018 National Survey on Drug Use and Health were used. Characteristics of those who reported to engage and not engage in DUID were compared via frequencies, percentages and logistic regression analyses, which accounted for the multistage survey design.
Among eligible respondents, 10.4% (weighted n=117 275 154) reported DUID. DUID was higher among those aged 18-25 year (34%), males (65%), unmarried individuals (61%), lesbian/gay/bisexuals (13%), those whom abused or were drug dependent (45%), engaged in numerous risky lifestyle behaviours (12%) and those taking medication for a mental health issue (22%). Nearly 20% and 6% of respondents engaged in DUID abused or were dependent on marijuana or methamphetamine, respectively. The adjusted odds of DUID were greatest among those 18-25 years of age (OR 3.7; 95% CI 2.8 to 5.0), those never/not married (OR 1.8; 95% CI 1.5 to 2.2), those who abused or were drug dependent (OR 4.0; 95% CI 3.5 to 4.7), exhibited riskier lifestyle behaviours (OR 8.0; 95% CI 5.9 to 11.0), were employed (OR 1.3; 95% CI 1.1 to 1.6) or lesbian/gay/bisexuals (OR 1.4; 95% CI 1.1 to 1.7).
DUID was common among some population sub-groups who may benefit from intervention.
在美国，药物影响下驾驶（DUID）是一个日益严重的公共卫生问题。由于对从事 DUID 的个人知之甚少，本研究的目的是分析与该行为相关的潜在社会人口统计学特征和行为风险因素。
使用了≥18 岁的曾使用过毒品并参加 2018 年全国毒品使用与健康调查的自报数据。通过频率、百分比和逻辑回归分析比较了报告从事和不从事 DUID 的人的特征，这些分析考虑了多阶段调查设计。
在合格的受访者中，有 10.4%（加权 n=117275154）报告了 DUID。18-25 岁的人群（34%）、男性（65%）、未婚人士（61%）、同性恋者/双性恋者（13%）、滥用或依赖药物者（45%）、从事多种高风险生活方式行为者（12%）和因心理健康问题而服药者（22%）中 DUID 的发生率更高。近 20%和 6%的受访者分别因滥用或依赖大麻或甲基苯丙胺而从事 DUID。年龄在 18-25 岁之间的人（OR 3.7；95%CI 2.8 至 5.0）、从未结婚或已婚的人（OR 1.8；95%CI 1.5 至 2.2）、滥用或依赖药物的人（OR 4.0；95%CI 3.5 至 4.7）、表现出更危险的生活方式行为的人（OR 8.0；95%CI 5.9 至 11.0）、有工作的人（OR 1.3；95%CI 1.1 至 1.6）或同性恋者/双性恋者（OR 1.4；95%CI 1.1 至 1.7），从事 DUID 的可能性更大。
DUID 在一些可能受益于干预的人群亚组中较为常见。
