The Association Between Vaping and Driving Under the Influence of Cannabis Among US Young Adults

Introduction: Driving under the influence of cannabis is a significant public health concern that is particularly common in young adults (aged 18-25 years) and has increased in recent years. Vaping has also dramatically increased, particularly among young populations, and is frequently used for cannabis administration among young adults. Therefore, this study aimed to examine the positive association between vaping and cannabis driving under the influence among young adults (aged 18-25 years).Methods: This study used the 2020 National Survey on Drug Use and Health and included young adults aged 18-25 years. This study examined past-year cannabis driving under the influence prevalence by past-year vaping at the intersection of past-year cannabis use, after adjusting for other associated factors such as race/ethnicity, sex, employment status, past-year other tobacco use, past year serious psychological distress, and past-year driving under the influence of alcohol. Data were analyzed in 2022.Results: Among a sample of 7,860 U.S. individuals aged 18-25 years, 23.8% vaped in the past year, and 9.7% reported past-year cannabis driving under the influence. Past-year vaping was positively associated with past-year cannabis use (adjusted prevalence ratio=2.12; 95% CI=1.91, 2.35). Among those with cannabis use in the past year, past-year vaping was positively associated with past-year cannabis driving under the influence (adjusted prevalence ratio=1.52; 95% CI=1.25, 1.84).Conclusions: This study found positive associations between past-year vaping, cannabis use, and cannabis driving under the influence among U.S. young adults, indicating that vaping was positively associated with cannabis use. Vaping was also positively associated with cannabis driving under the influence among those who used cannabis. This preliminary evidence could inform prevention/ intervention strategies related to vaping and cannabis driving under the influence.Am J Prev Med 2023;65(4):721-726. (c) 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.