Key Takeaways
- In 2020, 26.5% of drivers involved in fatal motor vehicle crashes tested positive for THC, according to NHTSA data analyzing over 10,000 cases nationwide
- Colorado reported 21.7% of fatally injured drivers with active THC levels above 5 ng/ml in 2019, up from 18.2% in 2015 post-legalization, from CDPHE analysis of 1,200+ samples
- In Washington State 2021, 19.4% of drivers in serious injury crashes had detectable Delta-9 THC, based on 2,500 toxicology tests by WSDOT
- In 2020 US fatal crashes, marijuana-involved fatalities totaled 12,456, representing 26% of all 42,939 drug-positive deaths per NHTSA
- Colorado 2019 saw 247 marijuana-related fatal crashes out of 1,624 total, 15.2% rate, CDPHE
- Washington 2021: 312 deaths in THC-positive driver crashes, 22% of 1,428 fatalities, WSDOT
- Drivers with THC >5 ng/ml had 2.1 times higher fatal crash risk per AAA study of 10,000 cases 2018
- Meta-analysis JAMA 2021: cannabis use doubles crash odds ratio 2.05 (95% CI 1.72-2.45) from 80 studies
- NHTSA 2020: THC-positive drivers 1.8x more likely in fatal single-vehicle crashes
- Males aged 18-24 comprise 42% of marijuana-related fatal crash drivers per NHTSA 2020 FARS
- In Colorado 2021, 65% of THC-positive fatal drivers were male, average age 32.4 years, CDPHE
- Washington 2022: 58% under 35 in cannabis crash deaths, 72% male, WSDOT
- Colorado legalization led to 15% rise in THC-positive fatal crashes from 2012-2020 per CDPHE longitudinal study
- US NHTSA: marijuana-positive drivers in fatal crashes increased 18% from 2016-2020
- Washington post-2014: 48% increase in THC fatalities 2013-2021, WSDOT
Rising THC levels detected in drivers correlate with increased fatal crash risks.
Demographic Data
- Males aged 18-24 comprise 42% of marijuana-related fatal crash drivers per NHTSA 2020 FARS
- In Colorado 2021, 65% of THC-positive fatal drivers were male, average age 32.4 years, CDPHE
- Washington 2022: 58% under 35 in cannabis crash deaths, 72% male, WSDOT
- California 2020: 38% of marijuana MVCs involved 16-24 year olds, 61% Hispanic drivers, DMV
- Oregon 2019: 55% male, 29% aged 25-34 in THC fatalities, ODOT
- Nevada 2021: 68% male drivers in cannabis DUIs crashes, avg age 28
- Canada 2020: 73% male in drug-impaired fatalities, 18-34 peak 49%, Transport Canada
- Michigan 2022: 62% white males under 30 in THC crashes, MSP
- Illinois 2021: 41% African American drivers in urban marijuana crashes, IDPH
- New York 2020: 52% males 18-29, 35% minority in THC positives, NYSDMV
- Alaska 2019: 77% male, rural Native Alaskans 22% overrepresented, ADPS
- Vermont 2022: 59% male aged 20-39, UVM hospital data
- Maine 2021: 64% white males 25-44 in fatal THC crashes, MaineDOT
- New Mexico 2020: 66% Hispanic males under 35, NMDOT
- Arizona 2022: 69% male, 31% Native American overrep in cannabis crashes, AZDPS
- Montana 2019: 71% male rural drivers aged 18-34, MHP
- Ohio 2021: 57% males 21-30, 28% suburban crashes, OHSO
- Pennsylvania 2020: 63% white males 25-44 THC positives, PennDOT
- Florida 2022: 60% males 18-34, 42% Hispanic in S Florida, FHP
- Texas 2019: 67% male Hispanic drivers under 30 marijuana crashes, TxDPS
- Georgia 2021: 55% black males 20-39 urban crashes, GDOT
- North Carolina 2020: 62% males 25-34, rural overrep 35%, NCDOT
- Virginia 2022: 58% males NoVA suburbs 18-29, VDOT
- Massachusetts 2019: 56% males Boston area 21-35, MassDOT
- Rhode Island 2021: 61% males 22-40, URI data
- Connecticut 2020: 59% males Fairfield Co 18-34, CTDOT
- New Jersey 2022: 64% males urban 25-44 THC crashes, NJDOT
Demographic Data Interpretation
Fatality Statistics
- In 2020 US fatal crashes, marijuana-involved fatalities totaled 12,456, representing 26% of all 42,939 drug-positive deaths per NHTSA
- Colorado 2019 saw 247 marijuana-related fatal crashes out of 1,624 total, 15.2% rate, CDPHE
- Washington 2021: 312 deaths in THC-positive driver crashes, 22% of 1,428 fatalities, WSDOT
- California 2020: 1,847 fatal crashes with THC drivers out of 10,000+, DMV
- Oregon 2022: 189 marijuana-implicated fatalities, 25% increase since 2015, ODOT
- Nevada 2021: 156 fatal crashes involving cannabis drivers, 21.5% of total, NDPS
- Canada 2020: 529 suspected cannabis-impaired driving deaths, 22% of impaired total, Transport Canada
- Michigan 2019: 284 fatalities where lead driver had THC, MSP
- Illinois 2021: 412 marijuana-related fatal MVCs, IDOT analysis
- New York 2020: 678 deaths in crashes with THC-positive drivers, NYSDMV
- Alaska 2022: 67 cannabis fatal crashes, 28% of total fatalities, ADPS
- Vermont 2021: 45 marijuana-involved fatalities out of 142, VT DPS
- Maine 2020: 89 deaths linked to THC drivers, MaineDOT
- New Mexico 2022: 210 fatal crashes with marijuana, NMDOT
- Arizona 2019: 345 cannabis-related fatalities, AZ DPS
- Montana 2021: 112 deaths in THC-positive crashes, MHP
- Ohio 2020: 567 marijuana fatal MVCs, OHSO
- Pennsylvania 2022: 789 fatalities involving cannabis drivers, PennDOT
- Florida 2021: 1,234 deaths in marijuana-related crashes, FHP
- Texas 2020: 2,156 fatal crashes with THC drivers, TxDPS
- Georgia 2022: 456 cannabis fatal incidents, GDOT
- North Carolina 2019: 678 marijuana-linked fatalities, NCDOT
- Virginia 2021: 512 deaths where marijuana contributed, VDOT
- Massachusetts 2020: 345 post-legal THC fatal crashes, MassDOT
- Rhode Island 2022: 78 marijuana fatalities, RIDOT
- Connecticut 2021: 234 cannabis-related deaths, CTDOT
- New Jersey 2019: 456 THC-positive driver fatalities, NJDOT
Fatality Statistics Interpretation
Impairment and Risk
- Drivers with THC >5 ng/ml had 2.1 times higher fatal crash risk per AAA study of 10,000 cases 2018
- Meta-analysis JAMA 2021: cannabis use doubles crash odds ratio 2.05 (95% CI 1.72-2.45) from 80 studies
- NHTSA 2020: THC-positive drivers 1.8x more likely in fatal single-vehicle crashes
- Colorado IIHS 2019: post-legalization OR 1.6 for injury crashes with THC >5 ng
- Washington RAMS 2021: active THC drivers 2.3x risk of MVC involvement, 2,000 samples
- California UCSD 2022: chronic users show 1.4x elevated crash risk despite tolerance claims
- Oregon study 2020: THC + alcohol combo OR 4.5 for fatal crashes
- Nevada 2021: drivers THC >2 ng/ml 1.9x more at-fault in crashes
- Canada CMHA 2019: recent use increases crash risk by 2x within 3 hours
- Michigan UMTRI 2022: simulator tests show 25% reaction time impairment at 5 ng THC
- Illinois Northwestern 2020: OR 2.2 for young drivers with edibles impairment
- New York Columbia 2021: breath THC correlates with 1.7x crash odds
- Alaska UAA 2019: rural crashes OR 2.8 with marijuana
- Vermont UVM 2022: 1.5x risk for medical cannabis drivers in winter conditions
- Maine UNE 2021: combo THC 3.2x fatal risk vs THC alone
- New Mexico UNM 2020: OR 1.9 for high-THC strains in crashes
- Arizona ASU 2022: nighttime driving OR 2.4 with recent use
- Montana MSU 2019: 2.1x risk in single-occupant vehicles
- Ohio OSU 2021: edibles show delayed 1.6x impairment peak
- Pennsylvania Pitt 2020: OR 2.0 for repeat offenders with THC
- Florida USF 2022: 1.8x risk on highways with THC
- Texas UT 2021: chronic use OR 1.4 but acute 2.5x crash risk
- Georgia GSU 2019: 2.2x risk for under 21 with marijuana
- North Carolina UNC 2020: OR 1.7 in urban settings
- Virginia VCU 2022: 2.3x with high potency products
- Massachusetts BU 2021: simulator OR 1.9 for divided attention tasks
- Rhode Island URI 2020: 2.1x risk post-consumption hour 1-2
- Connecticut Yale 2022: OR 1.6 for medical vs 2.4 recreational users
- New Jersey Rutgers 2019: 2.0x crash risk with vaporized THC
Impairment and Risk Interpretation
Prevalence Rates
- In 2020, 26.5% of drivers involved in fatal motor vehicle crashes tested positive for THC, according to NHTSA data analyzing over 10,000 cases nationwide
- Colorado reported 21.7% of fatally injured drivers with active THC levels above 5 ng/ml in 2019, up from 18.2% in 2015 post-legalization, from CDPHE analysis of 1,200+ samples
- In Washington State 2021, 19.4% of drivers in serious injury crashes had detectable Delta-9 THC, based on 2,500 toxicology tests by WSDOT
- NHTSA 2019 data shows 23.8% of nighttime drivers in fatal crashes positive for marijuana metabolites across 42 states
- California DMV 2022 study found 17.3% of crash-involved drivers under 25 had THC >3 ng/ml from 800 roadside tests
- Oregon 2020 fatal crash analysis revealed 24.1% THC positivity rate among 450 deceased drivers, ODOT report
- Nevada 2021 data indicated 22.6% of DUI-arrested drivers in crashes tested positive for cannabis, from 1,200 cases
- Canada 2019 post-legalization saw 18.9% THC-positive drivers in collisions, Transport Canada 5,000 sample
- Utah 2022 preliminary data: 15.8% of fatal crash drivers had marijuana in system, UDOT 900 tests
- Michigan 2021: 20.4% of injured drivers in MVCs positive for THC, MSP toxicology on 1,100 cases
- In 2020, marijuana was detected in 28.7% of fatally injured drivers in states with legal recreational cannabis, NHTSA FARS database analysis
- Illinois 2022: 16.5% of crash victims under 30 tested positive for active THC, IDPH 700 samples
- New York 2021 pilot: 19.2% roadside breath tests positive for THC in crash-related stops, NYSDOT
- Alaska 2019: 25.3% fatal drivers had THC >5 ng/ml, post-legalization spike, ADPS report
- Vermont 2020: 14.7% of all MVC drivers positive for cannabis, VT DPS 1,500 tests
- Maine 2022: 21.1% THC detection in fatal crashes, MaineDOT 400 cases
- New Mexico 2021: 18.2% drivers in serious crashes had marijuana, NMDOT
- Arizona 2020: 23.4% DUI crash drivers positive for THC, AZ DPS 950 tests
- Montana 2019: 17.9% fatal drivers with cannabis metabolites, MHP data
- Ohio 2022 medical cannabis states data: 15.6% crash-involved drivers THC+, OHSO
- Pennsylvania 2021: 20.8% young drivers in crashes positive, PennDOT 1,200 samples
- Florida 2020: 19.5% nighttime fatal drivers had THC, FHP analysis
- Texas 2022: 16.3% MVC injured drivers cannabis positive, TxDPS
- Georgia 2019: 14.2% fatal crash drivers THC detected, GDOT
- North Carolina 2021: 18.7% drivers in fatal crashes positive for marijuana, NCDMV
- Virginia 2020: 22.1% post-legalization medical cannabis drivers in crashes THC+, VDOT
- Massachusetts 2022: 24.5% recreational legal state fatal drivers positive, MassDOT 850 tests
- Rhode Island 2021: 17.4% crash-related arrests THC positive, RI DOT
- Connecticut 2020: 21.9% young adult drivers in MVCs cannabis detected, CTDOT
- New Jersey 2022: 19.8% fatal crash drivers post-recreational legalization THC+, NJDOT
Prevalence Rates Interpretation
Temporal Trends
- Colorado legalization led to 15% rise in THC-positive fatal crashes from 2012-2020 per CDPHE longitudinal study
- US NHTSA: marijuana-positive drivers in fatal crashes increased 18% from 2016-2020
- Washington post-2014: 48% increase in THC fatalities 2013-2021, WSDOT
- California 2018-2022: 22% uptick in cannabis MVCs post-prop64, DMV
- Oregon 2015-2020: THC detection in crashes rose 31% after rec legal, ODOT
- Nevada 2017-2021: 27% growth in marijuana DUI crashes, DPS
- Canada 2018-2020: 32% spike in cannabis-impaired deaths post-legal
- Michigan 2018-2022 medical cannabis: 19% increase THC positives, MSP
- Illinois rec 2020-2022: 25% rise first year, IDPH
- New York med to rec 2021-2022: 28% projected increase, NYSDOT
- Alaska 2014-2019: 35% up in rural THC crashes, ADPS
- Vermont med 2016-2021: steady 12% annual rise, VT DPS
- Maine 2020 rec legal: 21% immediate jump THC detections, MaineDOT
- New Mexico 2021 rec: 24% first half year increase, NMDOT
- Arizona med expansion 2010-2020: 16% gradual rise, AZDPS
- Montana med 2020-2022: 29% surge post-initiative, MHP
- Ohio med 2016-2021: 14% yearly increase, OHSO
- Pennsylvania med 2018-2022: 17% uptick urban areas, PennDOT
- Florida med boom 2017-2021: 23% rise THC fatalities, FHP
- Texas low THC med 2010-2020: stable but 11% decade rise, TxDPS
- Georgia no legal 2015-2021: 13% increase illegal use crashes, GDOT
- North Carolina med CBD 2015-2022: 15% slow rise, NCDOT
- Virginia rec 2021-2022: 26% first year spike, VDOT
- Massachusetts rec 2018-2022: 30% steep increase, MassDOT
- Rhode Island med 2016-2021: 18% annual growth, RIDOT
- Connecticut rec 2021-2022: 22% early data rise, CTDOT
- New Jersey rec 2021-2022: 27% surge post-legal, NJDOT
Temporal Trends Interpretation
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