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Health Education & Behavior
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The Nature of the Alcohol Problem in U. S. Fatal Crashes

James C. Fell, MS

Fatal Accident Reporting System in the National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation

Carl E. Nash, PhD

National Highway Traffic Safety Administration, U.S. Department of Transportation

Alcohol is involved in more than half of all U.S. traffic fatalities. In 1987, an esti mated 23,630 people were killed in alcohol-related crashes. Alcohol-related traffic fatalities continue to be the leading cause of death for young people. Alcohol is involved in almost 80% of the fatal crashes that occur between 8 p.m. and 4 a.m. on any night of the week. During the 1980s, alcohol involvement in fatal crashes declined. The proportion of drivers involved in fatal crashes who were intoxicated at the time of the crash decreased 17% from 1982 to 1987. The reduction was especially signifi cant for teenaged drivers, females, surviving drivers, teenaged pedestrians, older drivers, and drivers in daytime crashes. On the other hand, there was little or no change for drivers aged 25-34, motorcycle drivers, pedestrians aged 20 to 64, and drivers in late- night crashes. Reasons for the reduction in alcohol appear to be: (1) increased public awareness of the problem during that time period; (2) tougher laws and better enforce ment of existing laws by state and local governments; (3) the raising of the drinking age to 21 in most states; (4) other public and private programs to reduce drinking and driving, and (5) socioeconomic and demographic factors.

Health Education & Behavior, Vol. 16, No. 3, 335-343 (1989)
DOI: 10.1177/109019818901600303
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