Marijuana, Other Drugs and Their Relation to Highway Safety: A Report to Congress [1979]

NHTSA · 1979 · ROSA P / United States. Department of Transportation. National Highway Traffic Safety Administration

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Summary

This 1979 report by the National Highway Traffic Safety Administration (NHTSA) addresses the relationship between marijuana, other drugs, and highway safety, mandated by the Surface Transportation Act of 1978. The study was motivated by the need to define the magnitude of drug-impaired driving, a problem previously obscured by a lack of data and detection capabilities. The report contrasts the well-established understanding of alcohol’s impact on driving with the limited knowledge regarding other psychoactive substances, noting that while alcohol is a single, well-understood substance, other drugs vary in complexity, duration, and detection methods. The methodology involved a comprehensive review of existing epidemiological and experimental research, alongside a survey of federal, state, and local programs. NHTSA contacted representatives across all fifty states, including law enforcement, toxicologists, and health agencies, to assess current detection capabilities and legal frameworks. The report synthesizes data from blood analyses of crash-involved and arrested drivers, questionnaire studies, and experimental simulations of driving performance under the influence of various substances. Key findings indicate that the extent to which drugs contribute to highway safety problems remains largely unknown. Epidemiological studies revealed that while drugs are present in some crash-involved drivers, the lack of adequate control groups (non-crash-involved drivers) prevents valid conclusions about relative risk. For instance, while 16% of arrested drivers in one study tested positive for THC, most also had high blood alcohol levels, complicating attribution. Experimental studies confirmed that marijuana and other drugs can impair driving skills at certain doses, but no drug other than alcohol was identified as a high-priority highway safety concern. Law enforcement capabilities were found to be limited; only ten states had effective drug-and-driving laws, and detection relied heavily on blood tests, as breath or saliva tests for drugs were unavailable. Arrest statistics showed approximately one drug-impaired driving arrest for every 100 alcohol-impaired arrests. The report concludes that significant gaps in knowledge and enforcement hinder effective countermeasures. It recommends that states revise laws to align with the Uniform Vehicle Code, particularly regarding chemical testing and definitions of impairment. NHTSA proposed continued federal research to establish relationships between drug levels and impairment, develop reliable roadside surveys, and create objective performance tests. Additionally, the report called for the National Academy of Sciences to evaluate the feasibility of noninvasive chemical tests and alternative legal approaches, such as administrative law, to address drug-impaired driving.

Key finding

The extent to which marijuana and other drugs contribute to highway safety problems is currently unknown because valid epidemiological studies comparing drug use in crash-involved drivers with non-accident-involved drivers are lacking.

Methodology

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