Evidence map›Paper›PMID 41118377›Full record

ArticlePloS one2025

Quantitative and qualitative changes in substance-related administrative offences in road traffic during the SARS-CoV-2 pandemic in Munich.

Anna Holzer, Andreas Stoever, Michael Lau, Sabine Gleich, Matthias Graw, Anouk Ludwig, Benno Hartung

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna HolzerInstitute of Legal Medicine, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0009-0006-8093-0532
Andreas StoeverInstitute of Legal Medicine, Ludwig Maximilians University Munich, Munich, Germany.
Michael LauMathematical Institute, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0002-5327-8351
Sabine GleichInstitute of Legal Medicine, Ludwig Maximilians University Munich, Munich, Germany.
Matthias GrawInstitute of Legal Medicine, Ludwig Maximilians University Munich, Munich, Germany.
Anouk LudwigInstitute of Legal Medicine, University Hospital Essen, Essen, Germany.
Benno HartungInstitute of Legal Medicine, University Hospital Essen, Essen, Germany.ORCID https://orcid.org/0000-0003-1975-3320

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe SARS-CoV-2 pandemic beginning in 2020 led to significant restrictions on social life and mobility, raising concerns about increased substance use across the general population. To investigate whether the pandemic resulted in quantitative or qualitative changes in alcohol and/or drug use in the context of road traffic, a retrospective analysis of toxicological findings was conducted in the city of Munich, considering the local pandemic-related restrictions. MATERIALS AND

methodsA total of 6,210 blood samples were analyzed from individuals suspected of committing substance-related administrative traffic offences under §24a of the German Road Traffic Act between January 1, 2019, and July 31, 2021. Samples were examined for the presence of substances, their concentrations, and the type of vehicle involved. The cohort was stratified into pre-pandemic and pandemic periods, with March 16, 2020 set as the cut-off date. The pandemic period was further subdivided based on the severity of imposed restrictions. Statistical comparisons were performed using Fisher's exact test, t-tests, ANOVA, and logistic regression.

resultsCannabis was the most frequently detected substance (66.2% pre-pandemic; 67.4% during the pandemic), followed by alcohol (11.7% vs. 10.8%) and cocaine (5.7% vs. 5.2%). Only minor differences were observed between the pre-pandemic and pandemic periods, as well as across phases of mild versus severe restrictions. Notably, THC-COOH concentrations were higher during the pandemic. Alcohol levels were elevated during phases of light restrictions and reduced during periods of strict lockdown. Cannabis was most commonly detected in car drivers, whereas alcohol was more frequently found in e-scooter riders, particularly during less restrictive phases.

conclusionSubstance detection patterns among drivers in Munich showed overall stability during the COVID-19 pandemic, with cannabis remaining the most commonly identified drug. However, shifts in substance concentrations and differences by vehicle type and restriction severity suggest subtle changes in consumption behavior. These findings underscore the need for continued surveillance and context-specific traffic safety measures.

Indexed as

Accidents, TrafficAutomobile DrivingCOVID-19Substance-Related DisordersAdultAlcohol DrinkingCocaineFemaleGermanyHumansMaleMiddle AgedPandemicsRetrospective StudiesSARS-CoV-2Young AdultCocaine

Identifiers

PMID41118377
PMCPMC12539698

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.