Objectives. To examine trends in young adult self-reported driving under the influence of alcohol (DUI-A), cannabis (DUI-C), and simultaneous alcohol and cannabis use (DUI-AC) in a state with legalized nonmedical cannabis use from before to during the COVID-19 pandemic. Methods. We used logistic regression and annual statewide data from the Washington Young Adult Health Survey to assess DUI behaviors from 2016 to 2021. Results. Both prepandemic yearly changes in prevalence and deviations from those trends during the pandemic years were small and not statistically significant. However, prevalence estimates were alarming: 12.0% of participants reported DUI-A, 12.5% reported DUI-C, and 2.7% reported DUI-AC. Exploratory moderation analyses indicated a relative increase in DUI-A during 2020 among 4-year college students relative to young adults not attending 4-year colleges. Conclusions. Young adults in Washington State continued to engage in risky DUI behaviors during the pandemic. College students may have increased their likelihood of DUI-A during COVID-19. Public Health Implications. Young adults, for whom vehicle crashes remain a leading cause of death, showed little change in DUI behaviors during the COVID-19 pandemic. There is continued need for young adult DUI prevention efforts. (Am J Public Health. 2024;114(S8):S698-S701. https://doi.org/10.2105/AJPH.2024.307767).

中文翻译：

---

从 COVID-19 大流行之前到期间，华盛顿州年轻人在酒精和大麻影响下驾驶的趋势。


目标。旨在检查从 COVID-19 大流行之前到期间非医用大麻使用合法化的州，年轻人自我报告在酒精 （DUI-A）、大麻 （DUI-C） 和酒精和大麻同时使用 （DUI-AC） 影响下驾驶的趋势。方法。我们使用来自华盛顿青年健康调查的 logistic 回归和年度全州数据来评估 2016 年至 2021 年的 DUI 行为。结果。大流行前患病率的年度变化和大流行期间与这些趋势的偏差都很小，并且没有统计学意义。然而，患病率估计令人震惊：12.0% 的参与者报告了 DUI-A，12.5% 报告了 DUI-C，2.7% 报告了 DUI-AC。探索性调节分析表明，相对于未上 4 年制大学的年轻人，2020 年四年制大学生的 DUI-A 相对增加。结论。在大流行期间，华盛顿州的年轻人继续从事危险的酒后驾车行为。大学生在 COVID-19 期间可能增加了他们 DUI-A 的可能性。公共卫生影响。对于年轻人来说，车祸仍然是导致死亡的主要原因，在 COVID-19 大流行期间，他们的酒后驾车行为几乎没有变化。年轻人继续需要预防酒后驾车的努力。（美国公共卫生杂志，2024 年;114（S8）：S698-S701。https://doi.org/10.2105/AJPH.2024.307767）。