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Record W4414168330 · doi:10.1016/j.aap.2025.108242

A comparison of the prevalence of cannabis and alcohol use among drivers and passengers in British Columbia and Ontario, Canada

2025· article· en· W4414168330 on OpenAlexafffundabout
Lulu X Pei, Herbert Chan, Floyd Besserer, Jeffrey Eppler, Jacques Lee, Andrew MacPherson, Michael J. McGrath, Robert Ohle, John Taylor, Christian Vaillancourt, Jeffrey R. Brubacher

Bibliographic record

VenueAccident Analysis & Prevention · 2025
Typearticle
Languageen
FieldMedicine
TopicCannabis and Cannabinoid Research
Canadian institutionsUniversity of British Columbia HospitalUniversity of OttawaUniversity of British ColumbiaNOSM UniversityOttawa HospitalMinistry of Transportation of OntarioUniversity of Toronto
FundersCanadian Institutes of Health Research
KeywordsHuman factors and ergonomicsPoison controlOccupational safety and healthInjury preventionAlcohol consumptionSuicide preventionCannabis

Abstract

fetched live from OpenAlex

• A higher percentage of motor vehicle passengers than drivers had used alcohol. • No differences between passengers and drivers were observed for THC. • Alcohol detection was higher in drivers from Ontario than in drivers from BC. • THC detection was lower in drivers from Ontario than in drivers from BC. • These findings may be due to differences in traffic policy or societal norms. Similar to drink driving, the prevalence of driving under the influence of cannabis (DUIC) is expected to depend on the availability and cost of cannabis which would impact cannabis use in both drivers and passengers, and factors that specifically target cannabis use in drivers such as the deterrent effect of traffic laws and driver’s opinion about the risks and acceptability of DUIC. To disentangle these effects, we aimed to compare the prevalence of alcohol and tetrahydrocannabinol (THC) detection 1) in drivers vs. passengers involved in motor vehicle accidents and 2) in drivers and passengers from BC vs. Ontario. Chart review and toxicology data from an ongoing prospective study of moderately injured motor vehicle occupants were analyzed. Log-binomial regression models were used to obtain prevalence ratios (PRs). This manuscript reports on data from 3004 drivers and 941 passengers. Approximately half (55.1%) were male, and the mean (SD) age was 43.8 (19.1) years. Alcohol and THC detection prevalence was 14.2% and 12.4%, respectively. Passengers had higher prevalence of alcohol than drivers (aPR [95% CI]: 1.22 [1.06, 1.40]). No difference in THC prevalence was observed between drivers and passengers. Ontario drivers had higher prevalence of alcohol detection than BC drivers (aPR [95% CI]: 1.33 [1.13, 1.58]) but lower prevalence of THC detection (aPR [95% CI]: 0.80 [0.64, 0.99]). Among passengers, no significant interprovincial differences were observed for alcohol or THC detection. These findings may be partially explained by differences in provincial traffic laws, public opinion, and overall consumption rates.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.024
Threshold uncertainty score0.318

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.293
Teacher spread0.281 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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