2023 SafeTREC Traffic Safety Facts: Drug-Involved Driving

Introduction 

Drug-involved driving consists of driving under the influence of illicit, prescription, or over-the-counter drugs. This includes polysubstance abuse, or the use of multiple drugs at the same time, which is an emerging concern identified by the National Traffic Safety Board (NTSB) and the use of cannabis while driving. 

Types of Drugs that affect Driving Skills

Infographic detailing a pill bottle with pills spilling out of it. For more information, please see the following summary.

Summary 

  • Driving can be negatively affected by a variety of legal and illegal drugs, including over-the-counter medications.  

The Effect of Drugs on Driving Skills

Infographic detailing the effect of drugs on driving skills. For more information see the following summary.

Summary 

  • Drugs can affect driving skills by slowing reaction time, decreasing coordination, increasing aggressive and reckless driving, impairing cognitive function and causing drowsiness.  All of these effects can contribute to crash risk. 

Eliminating unsafe driving following substance abuse through enforcement is part of the Safe Road Userselement of the United States Department of Transportation’s Safe System Approach. The data for drug-involved driving lacks uniformity due to lack of uniformity in testing procedures for drug use.  Analyses from National Highway Traffic Safety Administration’s (NHTSA) Fatality Analysis Reporting System (FARS) presented in the Police Reported Drug-Involved program area include fatalities in crashes that involved a driver who tested positive for a drug that could cause impairment  Analyses from the Statewide Integrated Traffic Records System (SWITRS) presented in this program area refer to drug involvement in fatalities and serious injuries where law enforcement reported the driver to be under the influence of drugs.  

Drug-Involved Fatality Trends Nationwide and in California from 2017 to 2021

Trend-line chart detailing drug-involved fatalities nationally and in California from 2017 to 2021.  For more information, go to the following summary.

Data source: Fatality Analysis Reporting System (FARS) 2017 – 2020 Final File & 2021 ARF

Summary 

  • Nationally, 10903 people were killed in drug-involved traffic crashes in 2021.

  • In California, there were 751 people killed in  drug-involved traffic crashes in 2021.

  •  Drug-involved fatalities increased nationally by 1.0  percent between 2020 and 2021.

  •  Drug-involved fatalities decreased in California 41.4 percent between 2020 and 2021.

Nationwide Summary

Breakdown of Drug-Involved Fatalities Nationwide and in California in 2021

 Break-down of drug testing results in fatally injured drivers with known drug tests nationwide and in California in 2021.  For more information, go to the following summary.

Data sources:  i) Fatality Analysis Reporting System (FARS) ARF 2021; ii) Provisional Statewide Integrated Traffic Record System (SWITRS) 2021

Summary 

  • Of fatally injured drivers with known drug tests, 52 percent of fatalities nationwide and 50 percent of fatalities in California were positive for legal or illegal drugs.

California Summary 

The information in this section refers to all victims including drivers, passengers, bicyclists, and pedestrians fatally or seriously injured in a drug-involved crash in California in 2021.

Drug-Involved Driving Fatalities and Serious Injuries by County in 2021

Top 5 Counties in California by Fatalities

RankingCountiesFatalities
1Kern65
2Los Angeles49
2Riverside49
4Orange48
4San Bernardino44

Top 5 Counties in California by Fatalities Per 100k Population

RankingCountyFatalities Per 100k Population
1Lassen21.9
2Lake19.1
3Mono15.2
4Butte13.3
5Imperial11.2

Top 5 Counties in California by Serious Injuries

RankingCountySerious Injuries
1Los Angeles72
2Riverside62
3San Diego55
4San Bernardino38
5Orange37

Top 5 Counties in California by Serious Injuries Per 100k Population

RankingCountySerious Injuries Per 100k Population
1Colusa27.5
2Madera10.9
3Glenn10.4
4Mendocino9.8
5Lassen9.4

Data sources: i) Fatality Analysis Reporting System (FARS) ARF 2021; ii) Provisional Statewide Integrated Traffic Records System (SWITRS) 2021 iii) 2020 Census State Redistricting Data (P.L. 94-171) Summary File, U.S. Census Bureau

Primary Crash Factors and Crash Types of Drug-Involved Driving Fatal and Serious Injury (FSI) Crashes

Drug-involved crashes are defined as crashes where law enforcement reported a driver or motorcyclist to have been under the influence of drugs. Therefore the majority of drug-involved crashes will have driving or biking under the influence of alcohol or drugs as a primary crash factor but some may have a different primary crash factor listed.

Top Five Primary Crash Factors of Drug-Involved Fatal and Serious Injury Crashes in California (2021)

Bar chart detailing the top five most common primary crash factors in drug-involved fatal and serious injury crashes in California in 2021. For more information, go to the following summary.

Note: Pedestrian violations occur when a pedestrian commits a violation, whereas a pedestrian right-of-way is defined as when a pedestrian’s right-of-way is violated. However, neither indicates which party is at fault for the crash. For more information on the different Crash Types, please see the Transportation Injury Mapping System (TIMS) Help FAQ page, in the Codebook - Crash Level Section

Data source: Provisional Statewide Integrated Traffic Records System (SWITRS) 2021

Summary 

  • Driving or bicycling under the influence of alcohol or drugs was the most common primary crash factor in drug-involved FSI crashes in 2021 making up 80.8 percent, followed by unknown (7.4 percent) and unsafe speed (3.2 percent.) 

  • Improper turning followed by pedestrian violation made up the fourth and fifth most common primary crash factor in drug-involved FSI crashes in 2021, accounting for 2.3  and 1.7 percent respectively.  

Crash Location for Fatal Drug-Involved Driving Crashes

Crash Location of Drug-Involved Fatal Crashes in California in 2021

Infographic detailing the breakdown of drug-involved fatal crashes by location in California in 2021. For more information, go to the following summary.

Note: Urban and Rural areas are defined in the Fatality Analysis Reporting System (FARS) based on the boundaries decided by the US Census Bureau which considers population and housing density. 

Data source: i) Fatality Analysis Reporting System (FARS) ARF 2021; ii) California Public Road Data 2020. pp. 15-17, Table 4 2020 HPMS.

https://dot.ca.gov/-/media/dot-media/programs/research-innovation-system-information/documents/california-public-road-data/prd-2020-a11y.pdf

Summary

  • Urban crashes accounted for about two-third  (66 percent) of all drug-involved fatal crashes in 2021 compared to the 34 percent that occurred on rural roads. 

  • For comparison, 18.5 percent of travel in 2020 occurred on rural roads. 

  • Principal arterials were the most common location for drug-involved fatal crashes in 2021 accounting for 29 percent. 

  • Minor arterials, followed by major collectors made up the second and third most common crash locations in drug-involved fatal crashes in 2021 accounting for 22 and 16 percent respectively. 

  • The fourth most common crash location was interstates which made up 12 percent of drug-involved fatal crashes in 2021. 

  • Other Freeways and Expressways, Local streets, and Minor Collectors constitute the remaining 21 percent.

Top Five Crash Types of Drug-Involved Fatal and Serious Injury Crashes in California (2021)

 Bar chart detailing the top five most common crash types in drug-involved fatal and serious injury crashes in California in 2021. For more information, go to the following summary.

Note: For more information on the different Crash Types, please see the Transportation Injury Mapping System (TIMS) Help FAQ page, in the Codebook - Crash Level Section

Data source: Provisional Statewide Integrated Traffic Records System (SWITRS) 2021

Summary

  • Hit object crashes were the most common type of drug-involved FSI crashes in 2021 making up 33.8 percent, followed by broadside (17.5 percent) and head-on crashes (15.2 percent.)

  • Rear end crashes followed by overturned crashes made up the fourth and fifth most common type of drug-involved FSI crashes in 2021 accounting for 11.3 and 8.4 percent respectively.  

Time and Day of Drug-Involved Driving Fatal and Serious Injury Crashes

Time and Day of Drug-Involved Driving Fatal and Serious Injury Crashes in California in 2021

 Infographic detailing the most common day and time of day in fatal drug-involved crashes in California in 2021. For more information,  go to the following summary.

Data sources: i) Fatality Analysis Reporting System (FARS) ARF 2021; ii) Provisional Statewide Integrated Traffic Records System (SWITRS) 2021

Summary

  • 45 percent of all fatal drug-involved crashes in 2021 occurred between 6pm on Friday and 6am on Monday.

  • 38 percent of all serious injury drug-involved crashes in 2021 occurred between 6pm on Friday and 6am Monday.

Victim Demographics for Drug-Involved Driving Fatal and Serious Injury Crashes

Gender, Age and Race in Victims in Fatal and Serious Injury Drug-Involved Crashes in California in 2021

 Infographic detailing the gender, age and race of victims in fatal and serious injury drug-involved crashes in California in 2021. For more information,  go to the following summary.

Data sources: i) Fatality Analysis Reporting System (FARS) ARF 2021; ii) Provisional Statewide Integrated Traffic Records System (SWITRS) 2021

Summary

  • Male victims made up 74 percent of all fatally injured victims while also making up 62 percent of all seriously injured victims in drug-involved crashes in 2021.

  • Male victims aged 15-34 were the most represented group in drug-involved crashes in 2021, making up 35.6 percent of fatalities and 28.3 of serious injuries. 

  • Race was reported in only 43.9 percent of all drug-involved fatalities in 2021. Of the 330 fatalities of drug-involved crashes in 2021 with a known race, 81 percent were white.