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. 2023 May 9;17:11782218231172054. doi: 10.1177/11782218231172054

Table 4.

Studies looking at recreational cannabis legalization and driving related outcomes.

Author Year Location Date of legalization Study design Sample Brief findings
Aydelotte et al 2017 Colorado & Washington 2012 Archival administrative data N = 60 737 Rates of fatal car crashes did not differ between both states pre-RCL and controls. Post-RCL, there were no significant changes in fatality rates.
Aydelotte et al 2019 Colorado & Washington 2012 Archival administrative data N = 25 561 Rates of fatal accidents were non-significantly higher in both states post-RCL than control states.
Borst et al 2021 California 2016 Archival administrative data N = 11 491 The rate of drivers testing positive for cannabis over time did increase. However, there was not a significant association with RCL, suggesting that the increasing rates were not driven by RCL.
Brubacher et al 2022 British Columbia 2018 Archival administrative data N = 4339 There was a significant increase in moderately injured drivers testing positive for THC with a THC level of 2 ng/ml and 5 ng/ml post-RCL.
Lane & Hall 2018 Colorado, Washington & Oregon 2012 Interrupted time series CDC and Prevention WONDER There was significant increase in traffic fatalities post-RCL. Neighboring states of Colorado also had significant increases in followed significant trend reductions, suggesting RCL creates a temporary increase in fatalities.
Nazif-Munoz et al 2020 Uruguay 2013 Interrupted time series National Road Safety Agency of Uruguay and the Ministry of Transport and Public Work RCL was associated with an immediate increase in light motor vehicle driver fatality rate in larger cities. However, there was no change in light motor vehicle driver fatality rates in rural areas. There was no significant change associated with RCL for motorcyclist fatality rates.

Author, Author of article; Year, Publication year of article; Location, Jurisdiction article data was collected in; Date of Legalization, Year legalization was enacted in jurisdiction; Sample, Total N of article sample; CDC, Center for Disease Prevention; WONDER, Wide-Ranging Online Data for Epidemiologic Research; RCL, Recreational Cannabis Legalization.