Alcohol-impaired driving is an important health and social issue as it remains a major risk to Americans' health today, surpassing deaths per year of certain cancers, HIV/AIDS, and drownings, among others, and contributing to long-term disabilities from head and spinal injuries. Progress has been made over the past decades towards reducing these trends, but that progress has been incremental and has stagnated more recently.

Getting to Zero Alcohol-Impaired Driving Fatalities examines which interventions (programs, systems, and policies) are most promising to prevent injuries and death from alcohol-impaired driving, the barriers to action and approaches to overcome them, and which interventions need to be changed or adopted. This report makes broad-reaching recommendations that will serve as a blueprint for the nation to accelerate the progress in reducing alcohol-impaired driving fatalities.

Contents

• The National Academies of SCIENCES • ENGINEERING • MEDICINE
• COMMITTEE ON ACCELERATING PROGRESS TO REDUCE ALCOHOL-IMPAIRED DRIVING FATALITIES
• Reviewers
• Acknowledgments
• Acronyms and Abbreviations
• Glossary
• Preface
• 1. Summary
  • ABOUT THIS REPORT
  • THE ROAD AHEAD
  • THE CURRENT ENVIRONMENT
  • ALCOHOL-IMPAIRED DRIVING INTERVENTIONS
  • GENERATING ACTION
  • ACHIEVING ZERO DEATHS
• 1. Introduction and Context
  • INTRODUCTION
  • ABOUT THIS REPORT
  • THE ROAD AHEAD
  • WHAT IS ALCOHOL IMPAIRMENT?
  • OVERVIEW OF THE STUDY PROCESS
  • CONCLUSION
  • REFERENCES
• 2. Current Environment: Alcohol, Driving, and Drinking and Driving
  • INTRODUCTION
  • THE ALCOHOL ENVIRONMENT
  • ALCOHOL-IMPAIRED DRIVING TRENDS
  • PATTERNS OF ALCOHOL USE AND DEMOGRAPHICS
  • SITUATIONAL FACTORS FOR ALCOHOL-IMPAIRED DRIVING
  • THE DRIVING ENVIRONMENT
  • IMPACTS OF ALCOHOL-IMPAIRED DRIVING
  • ALCOHOL-IMPAIRED DRIVING INTERVENTIONS
  • REFERENCES
• 3. Interventions to Reduce Drinking to Impairment
  • INTRODUCTION
  • POLICIES TO MAINTAIN OR INCREASE PRICE
  • POLICIES TO ADDRESS PHYSICAL AVAILABILITY
  • POLICIES TO REDUCE ILLEGAL ALCOHOL SALES
  • POLICIES TO REDUCE THE HARMFUL EFFECTS OF ALCOHOL MARKETING
  • EDUCATION AND AWARENESS
  • TECHNOLOGICAL INTERVENTIONS
  • CONCLUDING OBSERVATIONS
  • REFERENCES
• 4. Alcohol-Impaired Driving Interventions
  • INTRODUCTION
  • POLICIES AND LAWS
  • ENFORCEMENT AND ARREST
  • TECHNOLOGY AND VEHICLE FACTORS
  • PHYSICAL ENVIRONMENT AND TRANSPORTATION
  • RESEARCH NEEDS
  • REFERENCES
• 5. Postcrash and Arrest Interventions
  • INTRODUCTION
  • LEGAL SYSTEM INTERVENTIONS: ENFORCEMENT
  • LEGAL SYSTEM INTERVENTIONS: ADJUDICATION
  • IMPROVING EMERGENCY MEDICAL AND TRAUMA SYSTEM SERVICES
  • REFERENCES
• 6. Data and Surveillance Needs and Opportunities
  • INTRODUCTION
  • OVERVIEW OF AVAILABLE DATA SOURCES ON ALCOHOL-IMPAIRED DRIVING
  • GAPS AND BARRIERS
  • PUBLIC HEALTH AND HOSPITAL DATASETS
  • OPPORTUNITIES FOR DATA COLLECTION AND SURVEILLANCE
  • DATA TRANSPARENCY, ACCESS, AND STAKEHOLDERS
  • FUTURE DATA AND SURVEILLANCE NEEDS
  • REFERENCES
• 7. Generating Action
  • INTRODUCTION
  • THE ROLE OF SOCIAL MOVEMENTS
  • RECENT COMMUNITY-BASED APPROACHES
  • THE MEDIA ENVIRONMENT AND MEDIA ADVOCACY
  • STAKEHOLDER ACTION
  • CONCLUDING OBSERVATIONS
  • REFERENCES
• 8. Conclusion
  • REFERENCE
• APPENDIXES
  • A. Alcohol-Impaired Driving in the United States: Review of Data Sources and Analyses
    Charles DiMaggio, Katherine Wheeler-Martin, and Jamie Oliver.
  • B. Content Analysis of Alcohol-Impaired Driving Stories in the News
    Deborah A. Fisher.
  • C. The Role of the Alcohol Industry in Policy Interventions for Alcohol-Impaired Driving
    Thomas F. Babor, Katherine Robaina, and Jonathan Noel.
  • D. Reducing Alcohol-Impaired Driving: Lessons from a Global Review
    Adnan A. Hyder, Lead Consultant and Andres Vecino, Co-Author for Part 1.
  • E. Committee Meeting Agendas
  • F. Committee Biosketches

Suggested citation:

National Academies of Sciences, Engineering, and Medicine. 2018. Getting to zero alcohol-impaired driving fatalities: A comprehensive approach to a persistent problem. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24951.