Examination of Cannabis Users’ Perceptions and Self-Reported Behaviors to Inform Messaging to Deter Impaired Driving

AAA Foundation for Traffic Safety · 2025 · AAA Foundation for Traffic Safety

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Summary

This study addresses the critical public safety issue of impaired driving following cannabis use, which is associated with increased crash risk but lacks effective deterrence strategies. The research was motivated by the prevalence of cannabis use in the United States and widespread user misperceptions, such as the belief that cannabis is less risky than alcohol, that legality implies lawful driving, and that police cannot detect impairment. The primary goal was to examine user perceptions and self-reported behaviors to inform targeted messaging campaigns aimed at reducing impaired driving. The methodology comprised three phases. Phase 1 involved interviews with 19 subject matter experts from research, government, and traffic safety domains to identify misconceptions and messaging strategies. Phase 2 surveyed 2,000 current cannabis users across eight states representing varying regulatory environments (fully legal, medical-only, and illegal). Phase 3 surveyed 800 users from the same states, categorizing them by risk level based on their driving habits post-consumption, to evaluate reactions to eight specific safety messages. Participants rated messages on appeal, relevance, and offensiveness, and indicated potential behavioral changes. Results revealed that 84.8% of users drive on the same day they consume cannabis, with higher rates in states where cannabis is not fully legal. Perceptions of impairment were skewed: only 19.0% believed their driving worsened, while 19.4% believed it improved. Knowledge of laws was poor, with significant portions of users in medical-only and illegal states incorrectly believing cannabis was fully legal. Only 29.2% believed police could detect impairment. Risk categorization showed 53% of users were "ultra-high risk" (driving within one hour of use). In Phase 3, three factual, respectful messages performed best. The message "If you feel different, you drive different" elicited the highest intent to increase wait times (62%) and use alternate transportation (58%). However, messages had little impact on reducing cannabis use itself. Trusted information sources varied by risk group, with brands trusted by high-risk users and medical professionals by medium-risk users. The study concludes that cannabis users exhibit high-risk driving patterns and significant knowledge gaps regarding laws and impairment. Effective messaging must be factual, avoid stereotyping, and address specific misconceptions. The findings provide actionable recommendations for policymakers, law enforcement, and public health professionals to develop campaigns that leverage trusted sources and emphasize the tangible risks of driving after use, rather than attempting to reduce consumption directly.

Key finding

Cannabis users predominantly engage in high-risk driving behaviors, such as driving within one hour of consumption, and respond most effectively to factual, non-stigmatizing safety messages that increase their likelihood of delaying driving or using alternative transportation.

Methodology

mixed_methods

Sample size: 2819

Provenance

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archive success 1 2026-05-23
extract success cached 2 2026-06-10
clean success 1 2026-06-01
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embed success 1 2026-06-02
enrich success 1 2026-05-23
promote success 1 2026-05-23
summarize success llm qwen3.6-27b-prismaquant summ-v5 3 2026-06-10
tag success vector_similarity 19 2026-06-11
verify success 2 2026-06-10

Summary generated by qwen3.6-27b-prismaquant on 2026-06-10; verification: verified.

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