@article{ref1,
title="Young and under the influence: a systematic literature review of the impact of cannabis on the driving performance of youth",
journal="Accident analysis and prevention",
year="2021",
author="Randell, Travis and Kimm, Chris and Leung, Victoria and Grewal, Jasleen and Chippure, Katherine and Chen, Caron and Kim, Sean and Colonna, Robert and Alvarez, Liliana",
volume="151",
number="",
pages="e105961-e105961",
abstract="BACKGROUND: Young drivers ages 15-24 continue to constitute a high-risk population for fatal motor vehicle collisions (MVCs) compared to all other age groups. Driving  under the influence of cannabis is an important contributor to the high rates of  MVCs among youth. Understanding the specific impact of cannabis on the driving  performance outcomes of young drivers can inform injury prevention, education, and  intervention strategies. <br><br>OBJECTIVES: This systematic literature review (SLR) aims to  determine the Class (I- highest to IV-lowest) of evidence and level of confidence  (A-high to U-insufficient) in the effects of cannabis on the driving performance of  young drivers. <br><br>METHODS: Registered in PROSPERO (#CRD42020180541), this SLR searched  seven data bases and appraised the quality and confidence in the evidence using an  established research methodology. <br><br>RESULTS: Class II evidence suggests that THC is  likely to reduce mean speed, headway distance, and reaction time; and increase lane  and steering wheel position variability among young drivers (Level B, moderate  confidence). <br><br>CONCLUSIONS: This study shows that there is a moderate to low level of  confidence on the impact of cannabis on the specific driving performance outcomes of  young drivers. A need remains for Class I and II studies that focus on the specific  effects on young drivers, distinguish between the biological and socially  constructed variables of sex and gender, and includes larger and more representative  samples.<p /> <p>Language: en</p>",
language="en",
issn="0001-4575",
doi="10.1016/j.aap.2020.105961",
url="http://dx.doi.org/10.1016/j.aap.2020.105961"
}