Legalization of Marijuana Linked to an Increase in Traffic Crashes and Deaths

Could the legalization of marijuana be causing more car accidents?

According to a recent study published in the Journal of Studies on Alcohol and Drugs, states that legalized recreational marijuana had an increase in traffic crashes and deaths.

“The legalization of marijuana doesn’t come without a cost,” says lead researcher Charles M. Farmer, Ph.D., of the Insurance Institute for Highway Safety in Ruckersville, Va.

After legalization and the launch of retail sales, there was a 5.8% rise in the incidence of traffic collision injuries and a 4.1% increase in the rate of fatal crashes, according to Farmer and colleagues’ analysis of five states that permit people age 21 and older to consume marijuana recreationally. In a comparative group of states without marijuana legalization, the researchers did not see any rise during the same period.

Overall, the first increase in the injury crash rate occurred after legalization but before retail sales began. Injury rates from car accidents increased 6.5% following legalization, however, they marginally declined (-0.7%) after retail sales started. However, fatal accident rates climbed both after legalization (+2.3%) and after retail sales were legalized (+1.8%).

“Legalization removes the stigma of marijuana use, while the onset of retail sales merely increases access,” says Farmer. “But access to marijuana isn’t difficult, even in places without retail sales. Users who previously avoided driving high may feel that it’s okay after legalization.”

The sharper relationship between marijuana legalization and traffic crash injuries, rather than fatalities, may be due to how some drivers compensate when impaired by marijuana. Often, drivers under the influence of marijuana slow down and maintain a larger distance between themselves and other vehicles. Impaired but at lower speeds, drivers may not be able to avoid a crash, but the crashes that occur may be less likely to be deadly.

According to the authors, earlier studies involving driving simulators have shown marijuana use to affect reaction time, road tracking, lane keeping and attention. However, Farmer notes that the current study is correlational, and increased marijuana use itself is likely not the sole cause of the increases seen.

“Studies looking for a direct causal link between marijuana use and crash risk have been inconclusive,” he says. “Unlike alcohol, there is no good objective measure of just how impaired a marijuana user has become. Until we can accurately measure marijuana impairment, we won’t be able to link it to crash risk.”

To conduct their research, the investigators collected data on traffic crashes and traffic volume from 2009 to 2019 from 11 states and from the Federal Highway Administration. Five states (Colorado, Washington, Oregon, California, and Nevada) legalized recreational marijuana during the study period. A comparison group of six states (Arizona, Idaho, Montana, New Mexico, Utah, and Wyoming) did not. The authors statistically adjusted for factors known to contribute to crashes and fatalities, including seat belt use and unemployment rate.

The changes in injury crash rates varied by state: Colorado had the biggest jump (+17.8%) and California the smallest (+5.7%) after both legalization and the onset of retail sales. Nevada’s rate decreased (-6.7%). For fatal crashes, increases occurred in Colorado (+1.4%) and Oregon (3.8%), but decreases were found in Washington (-1.9%), California (-7.6%) and Nevada (-9.8%).

Farmer points out that states considering marijuana legalization should consider a few steps to help forestall a potential increase in crashes. “First, convince everyone that driving under the influence of marijuana is not okay,” he says. “Then, enact laws and sanctions penalizing those who ignore the message. Finally, make sure you have the resources (i.e., staffing and training) to enforce these laws and sanctions.”

Reference: “Changes in Traffic Crash Rates After Legalization of Marijuana: Results by Crash Severity” by Charles M. Farmer, Ph.D., Samuel S. Monfort, Ph.D. and Amber N. Woods, Ph.D., 19 July 2022, Journal of Studies on Alcohol and Drugs.
DOI: 10.15288/jsad.2022.83.494