Cannabis Adaptation During and After Alcohol Ignition Interlock Device Installation: A Longitudinal Study

A common intervention to prevent alcohol-impaired driving are alcohol ignition interlock devices (IIDs), which prevent drivers with a blood alcohol concentration greater than .025% from starting the car. These devices force drivers to adapt their drinking to accommodate the device. Prior studies ind...

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Veröffentlicht in:Journal of studies on alcohol and drugs 2022-07, Vol.83 (4), p.486-493
Hauptverfasser: Scherer, Michael, Romano, Eduardo, King, Sagan, Marques, Paul, Romosz, Ann, Taylor, Eileen, Nochajski, Thomas H, Voas, Robert, Manning, Amy, Tippetts, Scott
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container_end_page 493
container_issue 4
container_start_page 486
container_title Journal of studies on alcohol and drugs
container_volume 83
creator Scherer, Michael
Romano, Eduardo
King, Sagan
Marques, Paul
Romosz, Ann
Taylor, Eileen
Nochajski, Thomas H
Voas, Robert
Manning, Amy
Tippetts, Scott
description A common intervention to prevent alcohol-impaired driving are alcohol ignition interlock devices (IIDs), which prevent drivers with a blood alcohol concentration greater than .025% from starting the car. These devices force drivers to adapt their drinking to accommodate the device. Prior studies indicated a transfer of risk as some drivers with an IID may increase cannabis use as they decrease alcohol use. This study examines whether this increase in cannabis use persists after IID removal when alcohol use reverts to pre-IID levels. The data are from the Managing Heavy Drinking (MHD) study of drivers in New York State. The MHD is a comprehensive three-wave study of drivers convicted of driving under the influence from 2015 to 2020. Participants ( = 189) completed all waves, and provided oral fluid/blood and hair samples to measure cannabis and alcohol use, respectively. Mixed between-within analysis of variance was conducted to assess cannabis use at IID installation (Time 1), removal (Time 2), and at 6-month follow-up (Time 3). In aggregate, participants increased their cannabis use over the course of the study. Drivers who decreased their alcohol use while the IID was installed on their car significantly increased their cannabis use while the IID was in place and further increased cannabis use after the device's removal. IIDs are efficacious in preventing alcohol-impaired driving. However, in some cases, they may have the unintended effect of increasing other substance use. The current study outlines the need for supplemental treatment interventions while on IID to prevent a transfer of risk to other substances, or polysubstance use after the device is removed.
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These devices force drivers to adapt their drinking to accommodate the device. Prior studies indicated a transfer of risk as some drivers with an IID may increase cannabis use as they decrease alcohol use. This study examines whether this increase in cannabis use persists after IID removal when alcohol use reverts to pre-IID levels. The data are from the Managing Heavy Drinking (MHD) study of drivers in New York State. The MHD is a comprehensive three-wave study of drivers convicted of driving under the influence from 2015 to 2020. Participants ( = 189) completed all waves, and provided oral fluid/blood and hair samples to measure cannabis and alcohol use, respectively. Mixed between-within analysis of variance was conducted to assess cannabis use at IID installation (Time 1), removal (Time 2), and at 6-month follow-up (Time 3). In aggregate, participants increased their cannabis use over the course of the study. Drivers who decreased their alcohol use while the IID was installed on their car significantly increased their cannabis use while the IID was in place and further increased cannabis use after the device's removal. IIDs are efficacious in preventing alcohol-impaired driving. However, in some cases, they may have the unintended effect of increasing other substance use. 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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Alma/SFX Local Collection
subjects Accidents, Traffic - prevention & control
Alcohol Drinking - epidemiology
Alcohol use
Automobile Driving
Blood Alcohol Content
Blood alcohol level
Cannabis
Drinking behavior
Drivers
Driving
Driving under the influence
Drunk driving
DUI
Ethanol
Hair
Hallucinogens
Humans
Ignition interlock devices
Installation
Intervention
Longitudinal Studies
Marijuana
Multiple drugs
Policy Studies
Protective Devices
Substance abuse
Treatment needs
title Cannabis Adaptation During and After Alcohol Ignition Interlock Device Installation: A Longitudinal Study
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