Ethnicity and Alcohol-Related Fatalities: 1990 to 1994

Voas, Robert B.; Tippetts, A. Scott; Fisher, Deborah A. · 2000 · ROSA P / United States. National Highway Traffic Safety Administration

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Summary

This report analyzes the relationship between ethnicity and alcohol involvement in motor vehicle fatalities in the United States from 1990 to 1994. The study was motivated by the need to understand disparities in traffic safety outcomes among racial and ethnic groups, particularly given that minorities often bear a disproportionate share of morbidity and mortality. A primary methodological challenge addressed is the lack of data on vehicle miles of travel (VMT) by ethnicity, which makes comparing absolute crash risks difficult. To mitigate this, the authors focused on the percentage of fatal crashes that were alcohol-related within each group, a metric that minimizes the impact of varying driving exposure levels. The analysis utilized data from the Fatality Analysis Reporting System (FARS), matched with death certificate records from the National Center for Health Statistics (NCHS) to obtain race and ethnicity information. The dataset comprised 199,316 fatally injured road users, including drivers, passengers, pedestrians, and cyclists. Alcohol involvement was defined as a crash where at least one "active" road user (driver, pedestrian, or cyclist) had a blood alcohol concentration (BAC) greater than 0.00. The study examined nine ethnic groups: Caucasian, African American, Native American, Asian-Pacific Islander, Mexican, Puerto Rican, Cuban, Central/South American, and other Hispanic Americans. Data were weighted to correct for differences in age distribution and gender across groups. The findings reveal significant variations in alcohol-related fatality rates among ethnic groups. Caucasian Americans, African Americans, and most Hispanic subgroups exhibited approximately similar proportions of alcohol-related fatalities. In contrast, Native Americans had the highest percentage of alcohol-involved fatalities, with three out of four driver deaths and eight out of ten pedestrian deaths occurring in alcohol-related crashes. Conversely, Asian-Pacific Islander Americans had the lowest rates of alcohol-related fatalities across all road user roles. Among Hispanics, Cuban Americans stood out for having low alcohol-related fatality rates and the highest safety belt usage among fatally injured passengers, while Mexican Americans had the second-highest alcohol-related fatality rates after Native Americans. Additionally, African Americans showed slightly higher alcohol involvement rates than Caucasians for pedestrians and cyclists, particularly in age groups above 40. The report concludes that while many features of impaired driving, such as higher male involvement and declining trends from 1990 to 1994, are consistent across groups, specific ethnic disparities are pronounced. Native Americans face a disproportionately high risk of alcohol-related traffic deaths, whereas Asian-Pacific Islander Americans face a significantly lower risk. The study also highlights that drivers and passengers with positive BACs were least likely to wear safety belts, with Native Americans having the lowest belt usage rates. These findings underscore the importance of ethnicity-specific data in public health surveillance and suggest that targeted, culturally sensitive interventions may be necessary to address the elevated risks faced by certain populations, particularly Native Americans.

Key finding

Native Americans have a substantially higher percentage of alcohol-related fatalities while Asian-Pacific Islander Americans have a substantially lower percentage compared to the similar rates observed in Caucasian, African American, and Hispanic American groups.

Methodology

dataset

Sample size: 199316

Provenance

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enrich success 1 2026-05-23
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tag success vector_similarity 19 2026-06-11
verify partial 2 2026-06-10

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