{"id":18747,"date":"2014-06-18T00:00:00","date_gmt":"2014-06-18T00:00:00","guid":{"rendered":"https:\/\/carsp.ca\/?p=18747"},"modified":"2022-10-29T22:50:59","modified_gmt":"2022-10-29T22:50:59","slug":"driving-under-the-influence-of-prescription-opioids-among-senior-high-school-students-in-atlantic-canada-prevalence-key-correlates-and-the-role-of-intentions-to-use","status":"publish","type":"post","link":"https:\/\/carsp.ca\/en\/presentations-and-papers\/2014-cmrsc-ccmsr-xxiv-vancouver\/driving-under-the-influence-of-prescription-opioids-among-senior-high-school-students-in-atlantic-canada-prevalence-key-correlates-and-the-role-of-intentions-to-use\/","title":{"rendered":"Driving under the influence of prescription opioids among senior high-school students in  Atlantic Canada: Prevalence, key correlates, and the role of intentions to use"},"content":{"rendered":"Author(s): Mark Asbridge, Donald Langille, Jenny Cartwright<\/p>\n<h2>Slidedeck Presentation Only (no paper submitted):<\/h2>\n<p><a href=\"https:\/\/carsp.ca\/wp-content\/uploads\/2014\/06\/2B-Asbridge_Driving-Under-the-Influence-of-Prescription-Opioids.pdf\">2B Asbridge_Driving Under the Influence of Prescription Opioids<\/a><\/p>\n<div class=\"su-divider su-divider-style-default\" style=\"margin:15px 0;border-width:1px;border-color:#ccc\"><\/div>\n<h2>Abstract:<\/h2>\n<p>Background<br \/>\nIn the last five years, Canadians have become the second largest per capita consumers of<br \/>\nprescription opioids. Opioids comprise a broad range of natural and synthetic compounds such<br \/>\nas morphine, codeine and oxycodone that are used for pain relief. Higher doses of these drugs<br \/>\nhave demonstrated negative effects on the ability to operate a motor vehicle safely. As such,<br \/>\nopioid use rates represent a concern in the context of impaired driving and road safety.<br \/>\nExperimental and epidemiologic research indicates that opioid use prior to driving increases the<br \/>\nrisk of a motor vehicle collision. While there are some estimates of driving under the influence<br \/>\nof opioids (DUIO) among adults, no research has examined this behaviour among adolescent<br \/>\ndrivers.<br \/>\nAim<br \/>\nEmploying a sample of 3655 senior students (grades 10 and 12) in Atlantic Canada, this paper<br \/>\nexamines three objectives: 1) What sociodemographic and psychosocial predictors are<br \/>\nassociated with DUIO? 2) Is there a relationship between intentions to use opioids, either<br \/>\nmedically or for nonmedical reasons, and DUIO? 3) Is DUIO associated with other risky driving<br \/>\nbehaviours, including driving under the influence of alcohol (DUIA) or cannabis (DUIC), and<br \/>\nbeing a passenger of an impaired driver?<br \/>\nMethods<br \/>\nParticipants were drawn from the 2012 Student Drug Use Survey of the Atlantic Provinces, an<br \/>\nanonymous cross-sectional survey of students attending public schools in Atlantic Canada.<br \/>\nLogistic regression techniques were employed in the analysis of unadjusted and adjusted<br \/>\nmodels of DUIO. Covariates included respondent gender, family structure, socioeconomic<br \/>\nstatus, school achievement, general health and well-being, sensation seeking, and parental<br \/>\nattachment. An indicator of the respondent\u2019s intention to use opioids for medical or<br \/>\nnonmedical reasons was also included. DUIO was subsequently modeled as a predictor of other<br \/>\nrisky driving behaviours that included DUIA, DUIC, and being a passenger of an impaired driver.<br \/>\nResults<br \/>\nJust over 32% of senior students report using a prescription opioid in the past 12 months.<br \/>\nAmong senior students who had used an opioid, the prevalence of DUIO in the past year was<br \/>\n14%, varying depending on whether the student used opioids medically (9.6%) or nonmedically<br \/>\n(19.7%). Predictors of DUIO were socioeconomic status, sensation seeking, and parental<br \/>\nattachment, as well as nonmedical intentions to use prescription opioids. DUIO was significantly<br \/>\nassociated with other risky driving behaviours, though only among students who used<br \/>\nprescription opioids nonmedically.<br \/>\nDiscussion and conclusions<br \/>\nThese findings extend our knowledge of DUIO as a socio-legal and public health issue with<br \/>\nimplications on road safety. Effort must be placed on educating new drivers about opioid use in<br \/>\nthe context of driving. Additionally, physicians must be encouraged to warn patients to whom<br \/>\nthey have prescribed opioids about the potential of driver impairment. The control of, and<br \/>\nreductions in, the nonmedical use of prescription opioids must remain a health and legal<br \/>\npriority in the Atlantic Provinces and in Canada.<\/p>\n<p><div class=\"su-divider su-divider-style-default\" style=\"margin:15px 0;border-width:1px;border-color:#ccc\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Mark Asbridge, Donald Langille, Jenny Cartwright<\/p>\n","protected":false},"author":163,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[128,346],"tags":[],"class_list":["post-18747","post","type-post","status-publish","format-standard","hentry","category-2014-cmrsc-ccmsr-xxiv-vancouver","category-research-and-evaluation"],"acf":[],"_links":{"self":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/18747","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/users\/163"}],"replies":[{"embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/comments?post=18747"}],"version-history":[{"count":1,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/18747\/revisions"}],"predecessor-version":[{"id":18875,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/18747\/revisions\/18875"}],"wp:attachment":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/media?parent=18747"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/categories?post=18747"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/tags?post=18747"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}