Conde Karina, Peltzer Raquel Inés, Gimenez Paula Victoria, Salomón Tomás, Suarez Gabriel, Monteiro Maristela, Cherpitel Cheryl J, Cremonte Mariana
Universidad Nacional de Mar del Plata Mar del Plata Argentina Universidad Nacional de Mar del Plata, Mar del Plata, Argentina.
Hospital Interzonal General de Agudos "Dr. Oscar Alende" Mar del Plata Argentina Hospital Interzonal General de Agudos "Dr. Oscar Alende", Mar del Plata, Argentina.
Rev Panam Salud Publica. 2022 Aug 30;46:e116. doi: 10.26633/RPSP.2022.116. eCollection 2022.
To report the risk from alcohol, cannabis, and their combined use for non-fatal road traffic injuries for drivers, passengers, and pedestrians.
Risk was estimated using the case-crossover method. Participants (N= 306) were injured patients from an emergency department in Mar del Plata, Argentina.
Alcohol use (OR= 6.78, CI 95% 3.75-12.25) as well as combined alcohol and cannabis use (OR= 7.05, CI 95% 1.16-42.73) significantly increased the risk of a road traffic injuries. Alcohol use increased the risk in both, women (OR= 8.87, CI 95% 2.69-29.21) and men (OR= 6.16, CI 95% 3.10-12.23); in those >30 years old (OR= 6.01, CI 95% 2.09-17.24) and those <30 years old (OR= 7.15, CI 95% 3.49-14.65). This last group also had an increased risk after combined alcohol and cannabis use (OR= 7.05, CI 95% 1.16-42.75). Both drivers (OR= 6.40, CI 95% 3.23-12.69) and passengers (OR= 13.83, CI 95% 2.87-66.42) had an increased risk after alcohol consumption.
To our knowledge, these are the first estimates of the risk of having a road traffic injury after alcohol and cannabis consumption in one of the countries of the Southern Cone (Argentina, Chile, and Uruguay). These results highlight the urgent need to implement and enforce comprehensive alcohol control measures. Furthermore, given the global trend towards legalizing cannabis for recreational use, our results could also inform policymakers to enact or amend impaired driving laws.
报告酒精、大麻及其联合使用对司机、乘客和行人非致命道路交通伤害的风险。
采用病例交叉法估计风险。参与者（N = 306）为阿根廷马德普拉塔一家急诊科的受伤患者。
饮酒（比值比=6.78，95%置信区间3.75 - 12.25）以及酒精和大麻联合使用（比值比=7.05，95%置信区间1.16 - 42.73）显著增加道路交通伤害风险。饮酒增加了女性（比值比=8.87，95%置信区间2.69 - 29.21）和男性（比值比=6.16，95%置信区间3.10 - 12.23）的风险；在30岁以上人群（比值比=6.01，95%置信区间2.09 - 17.24）和30岁以下人群（比值比=7.15，95%置信区间3.49 - 14.65）中均如此。后一组在酒精和大麻联合使用后风险也增加（比值比=7.05，95%置信区间1.16 - 42.75）。饮酒后，司机（比值比=6.40，95%置信区间3.23 - 12.69）和乘客（比值比=13.83，95%置信区间2.87 - 66.42）的风险均增加。
据我们所知，这些是对南锥体国家（阿根廷、智利和乌拉圭）之一饮酒和吸食大麻后道路交通伤害风险的首次估计。这些结果凸显了实施和执行全面酒精控制措施的迫切需要。此外，鉴于全球将大麻用于娱乐用途合法化的趋势，我们的结果也可为政策制定者制定或修订酒后驾车法律提供参考。
