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How Students in 6 Countries View the Dangers of Driving After Cannabis vs. Alcohol

Cross SectionalModerate evidence
The takeaway

In a survey of over 5,000 university students across 6 countries, most rated impaired driving as dangerous, but perceptions varied significantly by country, with some viewing cannabis-impaired driving as less threatening.

Young drivers, traffic safety advocates, policymakers, and anyone interested in how cannabis legalization affects driving safety perceptions.

What the researchers found

Less than 12% of students across all countries endorsed impaired driving. Significant cross-national differences emerged: England and Spain rated alcohol-impaired driving as less threatening, while Argentina rated cannabis-impaired driving as less threatening. Students with prior DUI experience and men in some countries held more favorable risk perceptions.

Why it matters

As cannabis legalization expands globally, understanding how young drivers perceive cannabis-impaired driving across different legal contexts can inform targeted prevention campaigns and enforcement strategies.

The numbers in context

5,167 students from 6 countries. 70% women. Mean age 20.1 years. Less than 12% endorsed impaired driving in any country. Argentina rated cannabis DUI as less threatening. England and Spain rated alcohol DUI as less threatening. Prior DUI history linked to lower risk perceptions.

How the study worked

Cross-national survey of 5,167 university students across Argentina, Canada, England, Spain, South Africa, and the United States (70% women, mean age 20.1). Online survey assessed past-year impaired driving frequency, passenger experiences, and risk perceptions. Chi-square tests with Bonferroni corrections for pairwise comparisons.

What this study cannot tell us

University students not representative of general driving population. Self-reported DUI may underestimate actual behavior. Cross-sectional design cannot determine if perceptions drive behavior or vice versa. Convenience sampling limits generalizability.

How to read the evidence

Large cross-national sample with consistent methodology, but convenience sampling of university students limits generalizability.

When this study was published

Published in 2026, providing timely cross-national data as more countries consider cannabis legalization.

The bigger picture

Risk perception differences across countries likely reflect local laws, enforcement levels, and cultural norms around substances. Countries with less cannabis enforcement may produce drivers who underestimate the risks, suggesting prevention campaigns need cultural tailoring.

Questions still open

  • Does cannabis legalization change how young drivers perceive impairment risk? How does enforcement visibility affect these perceptions? Would targeted campaigns change behavior in low-perception countries?

Common questions

Do young people think driving after cannabis is safe?
Most don't — less than 12% endorsed impaired driving across all 6 countries. However, perceptions varied: students in Argentina, for example, viewed cannabis-impaired driving as less threatening than students elsewhere.
Do people who've driven impaired think it's less dangerous?
Yes — students who reported prior impaired driving were more likely to view it as less threatening, suggesting that experience without negative consequences may reinforce risky behavior.

Read the original research

Risk Perceptions Related to Driving After Use of Alcohol and Cannabis in a Cross-National Sample of University Students in 6 Countries.

Substance use & addiction journal, 47(1), 112-122

Citation

Csölle, Kianna; Amlung, Michael; Bravo, Adrian J; Ortet-Walker, Jordi; Vidal Arenas, Verónica; Michelini, Yanina; Romano, Eduardo. (2026). Risk Perceptions Related to Driving After Use of Alcohol and Cannabis in a Cross-National Sample of University Students in 6 Countries.. Substance use & addiction journal, 47(1), 112-122. https://doi.org/10.1177/29767342251356352

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