Marijuana use and driving in Washington State: Risk perceptions and behaviors before and after implementation of retail sales

Objective: Washington is among the first states to legalize recreational use of marijuana. This study examined marijuana use and risk perceptions before and after retail sales of recreational marijuana began in July 2014, the relationship between risk perceptions and marijuana use, and the relationship between self-reported marijuana use and drug test results.

Methods: Roadside surveys were conducted in 3 waves: June 2014, the month before retail sales of marijuana began; 5–6 months later (November–December 2014); and 1 year later (June 2015). A total of 2,355 drivers completed a marijuana questionnaire about their past and current marijuana use and perceived risks associated with driving after using marijuana. Data collection also included biological specimens (oral fluid and/or blood for marijuana testing and breath for alcohol testing). Drivers who tested positive for delta-9-tetrahydrocannabinol or 11-hydroxy-delta-9-tetrahydrocannabinol in oral fluid or blood were defined as THC-positive.

Results: The proportion of drivers who reported recent marijuana use was similar across the 3 surveys. However, the proportion of THC-positive daytime drivers increased from 8% before retail sales to 23% 6 months after retail sales; this proportion did not change among nighttime drivers (19 and 20%). Drivers’ perceived risk of impairment by marijuana and perceived risk of being arrested for marijuana-impaired driving were similar before and after retail sales. The odds of being THC-positive were 40% lower among drivers who perceived that marijuana was very likely to impair driving, compared to other drivers. Drivers’ perceived risk of being arrested for marijuana-impaired driving was not predictive of THC-positive driving.

Conclusions: The prevalence of daytime THC-positive drivers increased substantially a few months after retail sales of marijuana were legal. Daytime and nighttime prevalence of THC-positive drivers was similar after retail sales. This pattern differs from that typically found for alcohol use, which is consistently higher among drivers at nighttime, compared to daytime. Reports of marijuana use were not always consistent with drug test results, which suggests that comparisons of self-reported marijuana use before and after legalization could be biased. This study examined marijuana use and risk perceptions over the course of 1 year. However, law changes may influence cultural norms gradually over a longer period of time. Future studies should continue to monitor marijuana use over time, as well as identify ways to determine whether drivers are impaired by marijuana.     

A gateway to nature: Teenagers' narratives on smoking marijuana outdoors

Increasingly, many youth are disconnected from the natural world; rather, they inhabit a technological world. Although experiences in nature have long been a source of fascination, little is known about how youth independently access and make sense of nature. We focus on the experiences of youth who chose to use marijuana in nature. A substance such as marijuana is often viewed as a “gateway” leading to “harder” drug use; rarely do we consider how marijuana might be a gateway to positive experiences. Narrative analysis was used to explore how young people, aged 14–18, describe their marijuana use in nature, an important aspect of the culture and context of marijuana use. Youth's constructions of nature are revealed in four narratives in which they situate themselves: freedom in nature, the pleasure of leisure, in awe of the natural world and making meaning of the world. One subnarrative, flowing through space, was also uncovered. The findings point to the importance of these nature experiences for youth who expressed how they were able to be in nature in new ways. Participants articulated their yearning for and ability to establish a connection within their natural world.