Role of alcohol and marijuana use in the initiation of fatal two-vehicle crashes

Abstract Purpose To assess individual and joint effects of alcohol and marijuana on the initiation of fatal two-vehicle crashes. Methods Data on 14,742 culpable drivers (initiators) and 14,742 nonculpable drivers (non-initiators) involved in the same fatal two-vehicle crashes between 1993 and 2014 w...

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Veröffentlicht in:Annals of epidemiology 2017-05, Vol.27 (5), p.342-347.e1
Hauptverfasser: Li, Guohua, MD, DrPH, Chihuri, Stanford, MPH, Brady, Joanne E., PhD
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container_end_page 347.e1
container_issue 5
container_start_page 342
container_title Annals of epidemiology
container_volume 27
creator Li, Guohua, MD, DrPH
Chihuri, Stanford, MPH
Brady, Joanne E., PhD
description Abstract Purpose To assess individual and joint effects of alcohol and marijuana on the initiation of fatal two-vehicle crashes. Methods Data on 14,742 culpable drivers (initiators) and 14,742 nonculpable drivers (non-initiators) involved in the same fatal two-vehicle crashes between 1993 and 2014 were obtained from the Fatality Analysis Reporting System. Multivariable conditional logistic regression models were used to assess the association of driver use of alcohol, marijuana or both with fatal crash initiation with adjustment for demographic variables. Results Initiators were significantly more likely than non-initiators to test positive for alcohol (28.3% vs. 9.6%, p
doi_str_mv 10.1016/j.annepidem.2017.05.003
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Methods Data on 14,742 culpable drivers (initiators) and 14,742 nonculpable drivers (non-initiators) involved in the same fatal two-vehicle crashes between 1993 and 2014 were obtained from the Fatality Analysis Reporting System. Multivariable conditional logistic regression models were used to assess the association of driver use of alcohol, marijuana or both with fatal crash initiation with adjustment for demographic variables. Results Initiators were significantly more likely than non-initiators to test positive for alcohol (28.3% vs. 9.6%, p&lt;0.0001), marijuana (10.4% vs. 6.0%, p&lt;0.0001) and both substances (4.4% vs. 1.1%, p&lt;0.0001). Relative to drivers testing negative for both alcohol and marijuana, the adjusted odds ratios of fatal crash initiation were 3.70 (95% confidence interval [CI]: 3.42 to 4.00) for those testing positive for alcohol and negative for marijuana, 1.48 (95% CI: 1.32 to 1.65) for those testing positive for marijuana and negative for alcohol, and 5.46 (95% CI: 4.73-6.31) for those testing positive for both alcohol and marijuana. Conclusions Alcohol and marijuana each play a significant role in fatal crash initiation. When used in combination, alcohol and marijuana appear to have a positive interaction effect on the risk of fatal crash initiation on the additive scale.</description><identifier>ISSN: 1047-2797</identifier><identifier>EISSN: 1873-2585</identifier><identifier>DOI: 10.1016/j.annepidem.2017.05.003</identifier><identifier>PMID: 28595738</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accidents ; Accidents, Traffic - mortality ; Accidents, Traffic - statistics &amp; numerical data ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alcohol ; Alcohol Drinking - adverse effects ; Alcohol Drinking - epidemiology ; Automobile Driving ; Blood Alcohol Content ; Case-Control Studies ; Driving Under the Influence - statistics &amp; numerical data ; Drug interaction ; Female ; Humans ; Internal Medicine ; Logistic Models ; Male ; Marijuana ; Marijuana Smoking - adverse effects ; Marijuana Smoking - epidemiology ; Marijuana Use - adverse effects ; Middle Aged ; Motor Vehicles ; New York - epidemiology ; Odds Ratio ; Risk Factors ; Safety ; Traffic</subject><ispartof>Annals of epidemiology, 2017-05, Vol.27 (5), p.342-347.e1</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c426t-dfeacbd9e3b36b4287d8c0f0bce8ce832101eabcdb4b7598f514b4ac96b487643</citedby><cites>FETCH-LOGICAL-c426t-dfeacbd9e3b36b4287d8c0f0bce8ce832101eabcdb4b7598f514b4ac96b487643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.annepidem.2017.05.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28595738$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Guohua, MD, DrPH</creatorcontrib><creatorcontrib>Chihuri, Stanford, MPH</creatorcontrib><creatorcontrib>Brady, Joanne E., PhD</creatorcontrib><title>Role of alcohol and marijuana use in the initiation of fatal two-vehicle crashes</title><title>Annals of epidemiology</title><addtitle>Ann Epidemiol</addtitle><description>Abstract Purpose To assess individual and joint effects of alcohol and marijuana on the initiation of fatal two-vehicle crashes. Methods Data on 14,742 culpable drivers (initiators) and 14,742 nonculpable drivers (non-initiators) involved in the same fatal two-vehicle crashes between 1993 and 2014 were obtained from the Fatality Analysis Reporting System. Multivariable conditional logistic regression models were used to assess the association of driver use of alcohol, marijuana or both with fatal crash initiation with adjustment for demographic variables. Results Initiators were significantly more likely than non-initiators to test positive for alcohol (28.3% vs. 9.6%, p&lt;0.0001), marijuana (10.4% vs. 6.0%, p&lt;0.0001) and both substances (4.4% vs. 1.1%, p&lt;0.0001). Relative to drivers testing negative for both alcohol and marijuana, the adjusted odds ratios of fatal crash initiation were 3.70 (95% confidence interval [CI]: 3.42 to 4.00) for those testing positive for alcohol and negative for marijuana, 1.48 (95% CI: 1.32 to 1.65) for those testing positive for marijuana and negative for alcohol, and 5.46 (95% CI: 4.73-6.31) for those testing positive for both alcohol and marijuana. Conclusions Alcohol and marijuana each play a significant role in fatal crash initiation. When used in combination, alcohol and marijuana appear to have a positive interaction effect on the risk of fatal crash initiation on the additive scale.</description><subject>Accidents</subject><subject>Accidents, Traffic - mortality</subject><subject>Accidents, Traffic - statistics &amp; numerical data</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alcohol</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Automobile Driving</subject><subject>Blood Alcohol Content</subject><subject>Case-Control Studies</subject><subject>Driving Under the Influence - statistics &amp; numerical data</subject><subject>Drug interaction</subject><subject>Female</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Marijuana</subject><subject>Marijuana Smoking - adverse effects</subject><subject>Marijuana Smoking - epidemiology</subject><subject>Marijuana Use - adverse effects</subject><subject>Middle Aged</subject><subject>Motor Vehicles</subject><subject>New York - epidemiology</subject><subject>Odds Ratio</subject><subject>Risk Factors</subject><subject>Safety</subject><subject>Traffic</subject><issn>1047-2797</issn><issn>1873-2585</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUtv1TAQRi0EoqXwFyBLNgl-JXY2SFVFS6VKoBbWlh8TXQdf-2InRf33OLqli66QLI0XZ2b0nUHoA8EdwWT4NHc6Rjh4B_uOYiI63HcYsxfolEjBWtrL_mX9Yy5aKkZxgt6UMmOMhRT0NTqhsh97weQp-n6bAjRpanSwaZdCo6Nr9jr7edVRN2uBxsdm2W3FL14vPsUNn_SiQ7P8Se097LytM2zWZQflLXo16VDg3WM9Qz8vv_y4-NrefLu6vji_aS2nw9K6CbQ1bgRm2GA4lcJJiydsLMj6GK0xQRvrDDeiH-XUE264tmOFpRg4O0Mfj3MPOf1eoSxq74uFEHSEtBZFRiw5o5SLioojanMqJcOkDtnXjA-KYLXpVLN60qk2nQr3quqsne8fl6xmD-6p75-_CpwfAahR7z1kVayHaMH5DHZRLvn_WPL52Qwbqmyrwy94gDKnNcdqUhFVqMLqbrvqdlQyMMyZxOwvrpugTg</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Li, Guohua, MD, DrPH</creator><creator>Chihuri, Stanford, MPH</creator><creator>Brady, Joanne E., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Role of alcohol and marijuana use in the initiation of fatal two-vehicle crashes</title><author>Li, Guohua, MD, DrPH ; Chihuri, Stanford, MPH ; Brady, Joanne E., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-dfeacbd9e3b36b4287d8c0f0bce8ce832101eabcdb4b7598f514b4ac96b487643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accidents</topic><topic>Accidents, Traffic - mortality</topic><topic>Accidents, Traffic - statistics &amp; numerical data</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alcohol</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Automobile Driving</topic><topic>Blood Alcohol Content</topic><topic>Case-Control Studies</topic><topic>Driving Under the Influence - statistics &amp; numerical data</topic><topic>Drug interaction</topic><topic>Female</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Marijuana</topic><topic>Marijuana Smoking - adverse effects</topic><topic>Marijuana Smoking - epidemiology</topic><topic>Marijuana Use - adverse effects</topic><topic>Middle Aged</topic><topic>Motor Vehicles</topic><topic>New York - epidemiology</topic><topic>Odds Ratio</topic><topic>Risk Factors</topic><topic>Safety</topic><topic>Traffic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Guohua, MD, DrPH</creatorcontrib><creatorcontrib>Chihuri, Stanford, MPH</creatorcontrib><creatorcontrib>Brady, Joanne E., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Guohua, MD, DrPH</au><au>Chihuri, Stanford, MPH</au><au>Brady, Joanne E., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Role of alcohol and marijuana use in the initiation of fatal two-vehicle crashes</atitle><jtitle>Annals of epidemiology</jtitle><addtitle>Ann Epidemiol</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>27</volume><issue>5</issue><spage>342</spage><epage>347.e1</epage><pages>342-347.e1</pages><issn>1047-2797</issn><eissn>1873-2585</eissn><abstract>Abstract Purpose To assess individual and joint effects of alcohol and marijuana on the initiation of fatal two-vehicle crashes. Methods Data on 14,742 culpable drivers (initiators) and 14,742 nonculpable drivers (non-initiators) involved in the same fatal two-vehicle crashes between 1993 and 2014 were obtained from the Fatality Analysis Reporting System. Multivariable conditional logistic regression models were used to assess the association of driver use of alcohol, marijuana or both with fatal crash initiation with adjustment for demographic variables. Results Initiators were significantly more likely than non-initiators to test positive for alcohol (28.3% vs. 9.6%, p&lt;0.0001), marijuana (10.4% vs. 6.0%, p&lt;0.0001) and both substances (4.4% vs. 1.1%, p&lt;0.0001). Relative to drivers testing negative for both alcohol and marijuana, the adjusted odds ratios of fatal crash initiation were 3.70 (95% confidence interval [CI]: 3.42 to 4.00) for those testing positive for alcohol and negative for marijuana, 1.48 (95% CI: 1.32 to 1.65) for those testing positive for marijuana and negative for alcohol, and 5.46 (95% CI: 4.73-6.31) for those testing positive for both alcohol and marijuana. Conclusions Alcohol and marijuana each play a significant role in fatal crash initiation. When used in combination, alcohol and marijuana appear to have a positive interaction effect on the risk of fatal crash initiation on the additive scale.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28595738</pmid><doi>10.1016/j.annepidem.2017.05.003</doi></addata></record>
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subjects Accidents
Accidents, Traffic - mortality
Accidents, Traffic - statistics & numerical data
Adolescent
Adult
Aged
Aged, 80 and over
Alcohol
Alcohol Drinking - adverse effects
Alcohol Drinking - epidemiology
Automobile Driving
Blood Alcohol Content
Case-Control Studies
Driving Under the Influence - statistics & numerical data
Drug interaction
Female
Humans
Internal Medicine
Logistic Models
Male
Marijuana
Marijuana Smoking - adverse effects
Marijuana Smoking - epidemiology
Marijuana Use - adverse effects
Middle Aged
Motor Vehicles
New York - epidemiology
Odds Ratio
Risk Factors
Safety
Traffic
title Role of alcohol and marijuana use in the initiation of fatal two-vehicle crashes
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