Driving under the influence of cannabis versus alcohol: A mixed-methods study examining perceptions and related risk behaviors among US and Israeli adults

Cassidy R. LoParco; Yuxian Cui; Yael Bar-Zeev; Hagai Levine; Zongshuan Duan; Yan Wang; Lorien C. Abroms; Amal Khayat; Y. Tony Yang; Carla J. Berg

doi:10.1016/j.addbeh.2023.107843

Driving under the influence of cannabis versus alcohol: A mixed-methods study examining perceptions and related risk behaviors among US and Israeli adults

Cassidy R. LoParco
, Yuxian Cui
, Yael Bar-Zeev
, Hagai Levine
, Zongshuan Duan
, Yan Wang
, Lorien C. Abroms
, Amal Khayat
, Y. Tony Yang
, Carla J. Berg

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Background: Despite the dangers of driving under the influence (DUI), little is known about DUI substance-specific risk perceptions or risk factors for riding with drunk/drugged drivers (RDD). Methods: In this sequential exploratory mixed-methods study, we conducted: 1) multivariable analyses of cross-sectional survey data from 2222 US and Israeli adults to identify correlates of perceived cannabis- vs. alcohol-related DUI risks (linear regression) and past-month RDD involving alcohol-only, cannabis-only, or both (alcohol-cannabis) (multinomial logistic regression); and 2) deductive-inductive thematic analyses of qualitative interview data from 84 participants to identify themes elaborating on survey findings regarding DUI-related risk perceptions. Results: 54.0 % reported past-month alcohol use, 16.7 % cannabis use, 4.2 % alcohol-only RDD, 5.5 % cannabis-only RDD, and 7.9 % alcohol-cannabis RDD. Being from the US, not having children at home, and cannabis non-use correlated with lower perceived cannabis vs. alcohol DUI risk. Lower perceived cannabis vs. alcohol DUI risk correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. cannabis-only) RDD. Alcohol use correlated with alcohol-only (vs. no) RDD and alcohol-cannabis (vs. cannabis-only) RDD. Cannabis use correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. alcohol-only) RDD. Being from the US correlated with alcohol-only (vs. alcohol-cannabis and none) RDD and cannabis-only (vs. alcohol-cannabis) RDD; being from Israel correlated with alcohol-cannabis (vs. no) RDD. Qualitative data indicated most participants perceived greater risk of DUI of alcohol vs. cannabis and desired more effective DUI-related prevention and regulatory efforts. Conclusions: Prevention interventions targeting DUI- and RDD-related risk perceptions are needed, particularly for high-risk populations.

Original language	English
Article number	107843
Journal	Addictive Behaviors
Volume	148
DOIs	https://doi.org/10.1016/j.addbeh.2023.107843
State	Published - 1 Jan 2024
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Driving under the influence
Drugged driving
Drunk driving
Perceived risk
Riding with a drugged driver
Riding with a drunk driver

ASJC Scopus subject areas

Medicine (miscellaneous)
Clinical Psychology
Toxicology
Psychiatry and Mental health

Access to Document

10.1016/j.addbeh.2023.107843

Cite this

LoParco, C. R., Cui, Y., Bar-Zeev, Y., Levine, H., Duan, Z., Wang, Y., Abroms, L. C., Khayat, A., Yang, Y. T., & Berg, C. J. (2024). Driving under the influence of cannabis versus alcohol: A mixed-methods study examining perceptions and related risk behaviors among US and Israeli adults. Addictive Behaviors, 148, Article 107843. https://doi.org/10.1016/j.addbeh.2023.107843

@article{7f91bf174ed449a3a8ac774ad5b941f5,

title = "Driving under the influence of cannabis versus alcohol: A mixed-methods study examining perceptions and related risk behaviors among US and Israeli adults",

abstract = "Background: Despite the dangers of driving under the influence (DUI), little is known about DUI substance-specific risk perceptions or risk factors for riding with drunk/drugged drivers (RDD). Methods: In this sequential exploratory mixed-methods study, we conducted: 1) multivariable analyses of cross-sectional survey data from 2222 US and Israeli adults to identify correlates of perceived cannabis- vs. alcohol-related DUI risks (linear regression) and past-month RDD involving alcohol-only, cannabis-only, or both (alcohol-cannabis) (multinomial logistic regression); and 2) deductive-inductive thematic analyses of qualitative interview data from 84 participants to identify themes elaborating on survey findings regarding DUI-related risk perceptions. Results: 54.0 \% reported past-month alcohol use, 16.7 \% cannabis use, 4.2 \% alcohol-only RDD, 5.5 \% cannabis-only RDD, and 7.9 \% alcohol-cannabis RDD. Being from the US, not having children at home, and cannabis non-use correlated with lower perceived cannabis vs. alcohol DUI risk. Lower perceived cannabis vs. alcohol DUI risk correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. cannabis-only) RDD. Alcohol use correlated with alcohol-only (vs. no) RDD and alcohol-cannabis (vs. cannabis-only) RDD. Cannabis use correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. alcohol-only) RDD. Being from the US correlated with alcohol-only (vs. alcohol-cannabis and none) RDD and cannabis-only (vs. alcohol-cannabis) RDD; being from Israel correlated with alcohol-cannabis (vs. no) RDD. Qualitative data indicated most participants perceived greater risk of DUI of alcohol vs. cannabis and desired more effective DUI-related prevention and regulatory efforts. Conclusions: Prevention interventions targeting DUI- and RDD-related risk perceptions are needed, particularly for high-risk populations.",

keywords = "Driving under the influence, Drugged driving, Drunk driving, Perceived risk, Riding with a drugged driver, Riding with a drunk driver",

author = "LoParco, \{Cassidy R.\} and Yuxian Cui and Yael Bar-Zeev and Hagai Levine and Zongshuan Duan and Yan Wang and Abroms, \{Lorien C.\} and Amal Khayat and Yang, \{Y. Tony\} and Berg, \{Carla J.\}",

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month = jan,

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doi = "10.1016/j.addbeh.2023.107843",

language = "English",

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T1 - Driving under the influence of cannabis versus alcohol

T2 - A mixed-methods study examining perceptions and related risk behaviors among US and Israeli adults

AU - LoParco, Cassidy R.

AU - Cui, Yuxian

AU - Bar-Zeev, Yael

AU - Levine, Hagai

AU - Duan, Zongshuan

AU - Wang, Yan

AU - Abroms, Lorien C.

AU - Khayat, Amal

AU - Yang, Y. Tony

AU - Berg, Carla J.

PY - 2024/1/1

Y1 - 2024/1/1

N2 - Background: Despite the dangers of driving under the influence (DUI), little is known about DUI substance-specific risk perceptions or risk factors for riding with drunk/drugged drivers (RDD). Methods: In this sequential exploratory mixed-methods study, we conducted: 1) multivariable analyses of cross-sectional survey data from 2222 US and Israeli adults to identify correlates of perceived cannabis- vs. alcohol-related DUI risks (linear regression) and past-month RDD involving alcohol-only, cannabis-only, or both (alcohol-cannabis) (multinomial logistic regression); and 2) deductive-inductive thematic analyses of qualitative interview data from 84 participants to identify themes elaborating on survey findings regarding DUI-related risk perceptions. Results: 54.0 % reported past-month alcohol use, 16.7 % cannabis use, 4.2 % alcohol-only RDD, 5.5 % cannabis-only RDD, and 7.9 % alcohol-cannabis RDD. Being from the US, not having children at home, and cannabis non-use correlated with lower perceived cannabis vs. alcohol DUI risk. Lower perceived cannabis vs. alcohol DUI risk correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. cannabis-only) RDD. Alcohol use correlated with alcohol-only (vs. no) RDD and alcohol-cannabis (vs. cannabis-only) RDD. Cannabis use correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. alcohol-only) RDD. Being from the US correlated with alcohol-only (vs. alcohol-cannabis and none) RDD and cannabis-only (vs. alcohol-cannabis) RDD; being from Israel correlated with alcohol-cannabis (vs. no) RDD. Qualitative data indicated most participants perceived greater risk of DUI of alcohol vs. cannabis and desired more effective DUI-related prevention and regulatory efforts. Conclusions: Prevention interventions targeting DUI- and RDD-related risk perceptions are needed, particularly for high-risk populations.

AB - Background: Despite the dangers of driving under the influence (DUI), little is known about DUI substance-specific risk perceptions or risk factors for riding with drunk/drugged drivers (RDD). Methods: In this sequential exploratory mixed-methods study, we conducted: 1) multivariable analyses of cross-sectional survey data from 2222 US and Israeli adults to identify correlates of perceived cannabis- vs. alcohol-related DUI risks (linear regression) and past-month RDD involving alcohol-only, cannabis-only, or both (alcohol-cannabis) (multinomial logistic regression); and 2) deductive-inductive thematic analyses of qualitative interview data from 84 participants to identify themes elaborating on survey findings regarding DUI-related risk perceptions. Results: 54.0 % reported past-month alcohol use, 16.7 % cannabis use, 4.2 % alcohol-only RDD, 5.5 % cannabis-only RDD, and 7.9 % alcohol-cannabis RDD. Being from the US, not having children at home, and cannabis non-use correlated with lower perceived cannabis vs. alcohol DUI risk. Lower perceived cannabis vs. alcohol DUI risk correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. cannabis-only) RDD. Alcohol use correlated with alcohol-only (vs. no) RDD and alcohol-cannabis (vs. cannabis-only) RDD. Cannabis use correlated with cannabis-only and alcohol-cannabis (vs. no) RDD, and with alcohol-cannabis (vs. alcohol-only) RDD. Being from the US correlated with alcohol-only (vs. alcohol-cannabis and none) RDD and cannabis-only (vs. alcohol-cannabis) RDD; being from Israel correlated with alcohol-cannabis (vs. no) RDD. Qualitative data indicated most participants perceived greater risk of DUI of alcohol vs. cannabis and desired more effective DUI-related prevention and regulatory efforts. Conclusions: Prevention interventions targeting DUI- and RDD-related risk perceptions are needed, particularly for high-risk populations.

KW - Driving under the influence

KW - Drugged driving

KW - Drunk driving

KW - Perceived risk

KW - Riding with a drugged driver

KW - Riding with a drunk driver

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DO - 10.1016/j.addbeh.2023.107843

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SN - 0306-4603

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JO - Addictive Behaviors

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ER -

Driving under the influence of cannabis versus alcohol: A mixed-methods study examining perceptions and related risk behaviors among US and Israeli adults

Abstract

UN SDGs

Keywords

ASJC Scopus subject areas

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