Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica

Objectives To determine cannabis use patterns, the predictive sociodemographic correlates of driving under the influence of cannabis (DUIC) and the association between risk perception and cannabis dependence among vehicle drivers in Jamaica.Design Secondary data analysis.Setting Used the Jamaica Nat...

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Main Authors: Wendel Abel, Kunal Lalwani, Gralyn Frazier, Jacqueline Martin, Everard Barton
Format: Article
Language:English
Published: BMJ Publishing Group 2024-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/1/e078437.full
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author Wendel Abel
Kunal Lalwani
Gralyn Frazier
Jacqueline Martin
Everard Barton
author_facet Wendel Abel
Kunal Lalwani
Gralyn Frazier
Jacqueline Martin
Everard Barton
author_sort Wendel Abel
collection DOAJ
description Objectives To determine cannabis use patterns, the predictive sociodemographic correlates of driving under the influence of cannabis (DUIC) and the association between risk perception and cannabis dependence among vehicle drivers in Jamaica.Design Secondary data analysis.Setting Used the Jamaica National Drug Prevalence Survey 2016 dataset.Participants 1060 vehicle drivers extracted from the population sample of 4623.Primary and secondary outcome measures Analysis used Pearson’s χ2 test and logistic regression. ORs and 95% CIs were recorded. A p<0.05 was considered statistically significant.Results More than 10% of Jamaican drivers admitted to DUIC in the past year. Approximately 43.3% of drivers who currently use cannabis reported DUIC only. Evidently, 86.8% of drivers who DUIC were heavy cannabis users. Approximately 30% of drivers with moderate to high-risk perception of smoking cannabis sometimes or often were dependent on cannabis. Notwithstanding, drivers with no to low-risk perception of smoking cannabis sometimes or often were significantly likelier to be dependent (p<0.001 and p<0.001, respectively). Logistic regression highlighted male drivers (OR 4.14, 95% CI 1.59 to 14.20, p=0.009) that were 34 years and under (OR 2.97, 95% CI 1.71 to 5.29, p<0.001) and were the head of the household (OR 2.22, 95% CI 1.10 to 4.75, p=0.031) and operated a machine as part of their job (OR 1.87, 95% CI 1.09 to 3.24, p=0.023) were more likely to DUIC, while those who were married (OR 0.42, 95% CI 0.22 to 0.74, p=0.004) and had achieved a tertiary-level education (OR 0.26, 95% CI 0.06 to 0.76, p=0.031) were less likely.Conclusions Two in five Jamaican drivers, who currently smoke cannabis, drive under its influence, with over 85% engaging in heavy use. Public health implications necessitate policy-makers consider mobile roadside drug testing and amending drug-driving laws to meet international standards.
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spelling doaj.art-8d8d5469161b45ce9e8394e6176e51ea2025-02-13T20:50:09ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-078437Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in JamaicaWendel Abel0Kunal Lalwani1Gralyn Frazier2Jacqueline Martin3Everard Barton4Department of Community Health and Psychiatry, The University of the West Indies, Mona, JamaicaDepartment of Community Health and Psychiatry, The University of the West Indies, Mona, JamaicaDepartment of Economics, Western Michigan University, Kalamazoo, Michigan, USADepartment of Community Health and Psychiatry, The University of the West Indies, Mona, JamaicaDepartment of Medicine, The University of the West Indies, Mona, JamaicaObjectives To determine cannabis use patterns, the predictive sociodemographic correlates of driving under the influence of cannabis (DUIC) and the association between risk perception and cannabis dependence among vehicle drivers in Jamaica.Design Secondary data analysis.Setting Used the Jamaica National Drug Prevalence Survey 2016 dataset.Participants 1060 vehicle drivers extracted from the population sample of 4623.Primary and secondary outcome measures Analysis used Pearson’s χ2 test and logistic regression. ORs and 95% CIs were recorded. A p<0.05 was considered statistically significant.Results More than 10% of Jamaican drivers admitted to DUIC in the past year. Approximately 43.3% of drivers who currently use cannabis reported DUIC only. Evidently, 86.8% of drivers who DUIC were heavy cannabis users. Approximately 30% of drivers with moderate to high-risk perception of smoking cannabis sometimes or often were dependent on cannabis. Notwithstanding, drivers with no to low-risk perception of smoking cannabis sometimes or often were significantly likelier to be dependent (p<0.001 and p<0.001, respectively). Logistic regression highlighted male drivers (OR 4.14, 95% CI 1.59 to 14.20, p=0.009) that were 34 years and under (OR 2.97, 95% CI 1.71 to 5.29, p<0.001) and were the head of the household (OR 2.22, 95% CI 1.10 to 4.75, p=0.031) and operated a machine as part of their job (OR 1.87, 95% CI 1.09 to 3.24, p=0.023) were more likely to DUIC, while those who were married (OR 0.42, 95% CI 0.22 to 0.74, p=0.004) and had achieved a tertiary-level education (OR 0.26, 95% CI 0.06 to 0.76, p=0.031) were less likely.Conclusions Two in five Jamaican drivers, who currently smoke cannabis, drive under its influence, with over 85% engaging in heavy use. Public health implications necessitate policy-makers consider mobile roadside drug testing and amending drug-driving laws to meet international standards.https://bmjopen.bmj.com/content/14/1/e078437.full
spellingShingle Wendel Abel
Kunal Lalwani
Gralyn Frazier
Jacqueline Martin
Everard Barton
Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica
BMJ Open
title Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica
title_full Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica
title_fullStr Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica
title_full_unstemmed Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica
title_short Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica
title_sort drug driving a secondary analysis of factors associated with driving under the influence of cannabis in jamaica
url https://bmjopen.bmj.com/content/14/1/e078437.full
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