A meta-analysis study of worldwide prevalence of mortality in cocaine-consuming motorcyclists

Abstract For this meta-analysis, the aim is to estimate the prevalence and to determine the factors associated with changes in this prevalence in the world. A systematic review of PubMed/Medline, ISI Web of Knowledge, Scopus, and Science Direct, SID, and Google Scholar from 2011 to April 2020 was performed. Point prevalence was analyzed with a 95% confidence interval. The variances of each study were calculated using a two-sentence distribution formula, and the heterogeneity between the studies was assessed by the Q-Cochran test with a significance level of less than 0.1. Also, the index of changes attributed to I2 was examined. Due to the heterogeneity between the studies, the random-effects model was used to combine the results of the studies. All statistical analyses were performed by the STATA software version 11 using Meta-Analysis commands. The significance level of the tests was considered to be P < 0.05. The prevalence of mortality in motorcyclists in six studies was reported to be 12% (0.05-0.18 = 95% CI). We stratified this study by participant geographical region and age group. In this study, the highest prevalence of mortality was in the under-30 age group. Furthermore, planning educational campaigns and advertisements by state authorities that are pointing out the harmful effects of motorcyclists' cocaine and/or other substances consumption is necessary.

[1]  Matthew F Garnett,et al.  Increase in Drug Overdose Deaths Involving Cocaine: United States, 2009-2018. , 2020, NCHS data brief.

[2]  H. Soori,et al.  Prevalence of mortality in cannabis consumer motorcyclists: meta-analysis of international studies , 2020, International journal of injury control and safety promotion.

[3]  Athanasia H. Papalimperi,et al.  Incidence of fatalities of road traffic accidents associated with alcohol consumption and the use of psychoactive drugs: A 7-year survey (2011-2017). , 2019, Experimental and therapeutic medicine.

[4]  H. Soori,et al.  Worldwide prevalence of alcohol in fatally injured motorcyclists: A meta-analysis , 2019, Traffic injury prevention.

[5]  B. Grant,et al.  Changes in the prevalence and correlates of cocaine use and cocaine use disorder in the United States, 2001-2002 and 2012-2013. , 2019, Addictive behaviors.

[6]  H. Gjerde,et al.  Trends in the use of psychoactive substances by truck drivers in São Paulo State, Brazil: A time-series cross sectional roadside survey (2009–2016) , 2019, Traffic injury prevention.

[7]  K. Faryar,et al.  Shift in Drug vs Alcohol Prevalence in Milwaukee County Motor Vehicle Decedents, 2010-2016. , 2018, WMJ : official publication of the State Medical Society of Wisconsin.

[8]  M. Aghajani,et al.  Emotional Intelligence and the Occurrence of Accidents in Motorcycle Drivers in Kashan, Iran , 2017, Journal of trauma nursing : the official journal of the Society of Trauma Nurses.

[9]  F. Izzati,et al.  Toxicological findings in driver and motorcyclist fatalities in Scotland 2012-2015. , 2017, Forensic science international.

[10]  P. Shekelle,et al.  Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation , 2016, British Medical Journal.

[11]  G. Andreuccetti,et al.  Alcohol and drug involvement in motorcycle driver injuries in the city of Sao Paulo, Brazil: Analysis of crash culpability and other associated factors. , 2016, Drug and alcohol dependence.

[12]  R. Brant,et al.  Prevalence of alcohol and drug use in injured British Columbia drivers , 2016, BMJ Open.

[13]  P. Shekelle,et al.  Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement , 2015, Systematic Reviews.

[14]  A. Sutton,et al.  In meta-analyses of proportion studies, funnel plots were found to be an inaccurate method of assessing publication bias. , 2014, Journal of clinical epidemiology.

[15]  Fernando A Wilson,et al.  Fatal Crashes from Drivers Testing Positive for Drugs in the U.S., 1993–2010 , 2014, Public health reports.

[16]  Cecilia Cheng,et al.  The association between internet addiction and psychiatric co-morbidity: a meta-analysis , 2014, BMC Psychiatry.

[17]  Mark Asbridge,et al.  Alcohol- or drug-use disorders and motor vehicle accident mortality: a retrospective cohort study. , 2013, Accident; analysis and prevention.

[18]  I. Fierro,et al.  Prevalence of psychoactive substances, alcohol, illicit drugs, and medicines, in Spanish drivers: a roadside study. , 2012, Forensic science international.

[19]  A. Sutton,et al.  Quality control in systematic reviews and meta-analyses. , 2010, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[20]  A. Kanaan,et al.  Incidence of different health factors and their influence on traffic accidents in the province of Madrid, Spain. , 2009, Legal medicine.

[21]  Simon Elliott,et al.  The prevalence of drugs and alcohol found in road traffic fatalities: a comparative study of victims. , 2009, Science & justice : journal of the Forensic Science Society.

[22]  Dongping Fang,et al.  The nature of safety culture: A survey of the state-of-the-art , 2007 .

[23]  Armand Maul,et al.  Drugs and chronic alcohol abuse in drivers. , 2005, Forensic science international.

[24]  Mark Asbridge,et al.  Motor vehicle collision risk and driving under the influence of cannabis: evidence from adolescents in Atlantic Canada. , 2005, Accident; analysis and prevention.

[25]  A E Ades,et al.  The Interpretation of Random-Effects Meta-Analysis in Decision Models , 2005, Medical decision making : an international journal of the Society for Medical Decision Making.

[26]  E. Kelly,et al.  A review of drug use and driving: epidemiology, impairment, risk factors and risk perceptions. , 2004, Drug and alcohol review.

[27]  F Javier Alvarez,et al.  Alcohol, illicit drugs and medicinal drugs in fatally injured drivers in Spain between 1991 and 2000. , 2002, Forensic science international.

[28]  E. Towner Injury Prevention and Public Health: Practical Knowledge, Skills, and Strategies. , 1999 .

[29]  D. Jamison,et al.  Disease Control Priorities in Developing Countries , 1993 .

[30]  Michel Bédard,et al.  The impact of cannabis on driving. , 2007, Canadian journal of public health = Revue canadienne de sante publique.

[31]  S. Ferrara,et al.  EPIDEMIOLOGICAL ROADSIDE SURVEY ON PSYCHOACTIVE SUBSTANCES AND DRIVING IN THE VENETO REGION (NORTH-EAST ITALY) , 2000 .

[32]  Jack L. Vevea,et al.  Fixed- and random-effects models in meta-analysis. , 1998 .