One in ten Ontario high school drivers reported driving within an hour of using cannabis

Among 1,161 licensed high school students in Ontario, 10.3% reported driving within an hour of cannabis use, with cannabis dependence, low perceived risk, and pro-legalization attitudes as the strongest predictors.

Cantor, Nathan et al.·Preventive medicine·2021·Moderate EvidenceCross-Sectional
RTHC-03043Cross SectionalModerate Evidence2021RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Past-year cannabis-impaired driving prevalence was 10.3%. The strongest predictors were probable cannabis dependence (OR=12.7), low perceived risk of cannabis (OR=5.3), pro-legalization attitudes (OR=4.3), and being male (OR=2.6). Cannabis-impaired driving was also correlated with texting while driving and driving after alcohol.

Key Numbers

1,161 licensed students; mean age 16.8; 10.3% drove within 1 hour of cannabis use; OR 12.7 for cannabis dependence; OR 5.3 for low perceived risk; OR 4.3 for pro-legalization; OR 2.6 for male

How They Did This

Cross-sectional analysis of 1,161 licensed high school students from the 2017 Ontario Student Health and Drug Use Survey, using multivariable logistic regression.

Why This Research Matters

With cannabis now legal in Canada, understanding what drives teen cannabis-impaired driving is essential for designing effective prevention programs, especially since many correlates are attitudinal and potentially modifiable.

The Bigger Picture

The clustering of cannabis-impaired driving with other risky driving behaviors suggests that prevention programs need to address a broader pattern of risk-taking rather than focusing on cannabis alone.

What This Study Doesn't Tell Us

Self-reported driving behaviors, cross-sectional design, Ontario-specific findings, 2017 data precedes legalization, licensed students may not represent all teen drivers.

Questions This Raises

  • ?Has legalization changed the prevalence of cannabis-impaired driving among teens?
  • ?Would changing perceptions of cannabis risk through education reduce impaired driving?
  • ?Are different intervention approaches needed for dependent vs casual users?

Trust & Context

Key Stat:
10.3% of licensed high school students drove within an hour of cannabis use
Evidence Grade:
Large provincial student health survey with multivariable analysis
Study Age:
Published in 2021 using 2017 data, before cannabis legalization in Canada. Prevalence may have changed since.
Original Title:
Correlates of driving after cannabis use in high school students.
Published In:
Preventive medicine, 150, 106667 (2021)
Database ID:
RTHC-03043

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

How common is cannabis-impaired driving among teens?

In this Ontario survey, 10.3% of licensed high school students reported driving within an hour of using cannabis in the past year.

What predicts teen cannabis-impaired driving?

The strongest predictor was probable cannabis dependence (12.7 times the odds), followed by low perceived risk of cannabis, pro-legalization attitudes, and being male. These teens also tended to text while driving and drive after drinking.

Read More on RethinkTHC

Cite This Study

RTHC-03043·https://rethinkthc.com/research/RTHC-03043

APA

Cantor, Nathan; Kingsbury, Mila; Hamilton, Hayley A; Wild, T Cameron; Owusu-Bempah, Akwasi; Colman, Ian. (2021). Correlates of driving after cannabis use in high school students.. Preventive medicine, 150, 106667. https://doi.org/10.1016/j.ypmed.2021.106667

MLA

Cantor, Nathan, et al. "Correlates of driving after cannabis use in high school students.." Preventive medicine, 2021. https://doi.org/10.1016/j.ypmed.2021.106667

RethinkTHC

RethinkTHC Research Database. "Correlates of driving after cannabis use in high school stud..." RTHC-03043. Retrieved from https://rethinkthc.com/research/cantor-2021-correlates-of-driving-after

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.