
Alcohol-impaired driving is a leading cause of traffic-related deaths in the United States. In 2023, 12,429 people were killed in alcohol-impaired crashes, accounting for about 30% of all traffic-related fatalities. Alcohol impairs thinking, reasoning, and muscle coordination, all of which are essential for safe driving. The risk of crashing increases exponentially as blood alcohol concentration (BAC) rises, with drivers at a BAC of 0.08 being approximately four times more likely to crash than sober drivers. While drunk driving fatalities have decreased over the years, it remains a significant issue, with about 34 people dying daily in alcohol-related crashes in the US.
| Characteristics | Values |
|---|---|
| Number of people killed in drunk-driving crashes in 2023 | 12,429 |
| Percentage of all traffic crash fatalities in the US involving drunk drivers | 30% |
| Percentage of children (14 and younger) killed in motor vehicle crashes, who were killed in drunk-driving crashes in 2023 | 25% |
| Percentage of children killed in drunk-driving crashes who were in the vehicle driven by the drunk driver | 52% |
| Number of children ages 0-14 years killed in crashes involving an alcohol-impaired driver in 2020 | 229 |
| Percentage of people who died in crashes involving alcohol-impaired drivers in 2020 who were the alcohol-impaired drivers themselves | 62% |
| Percentage of 21- to 24-year-old drivers in fatal crashes who were impaired (BAC 0.08+ g/dL) | 27% |
| Percentage of 45- to 54-year-old drivers in fatal crashes who were impaired (BAC 0.08+ g/dL) | <20% |
| Percentage of 75+ year-old drivers in fatal crashes who were impaired (BAC 0.08+ g/dL) | 15% |
| Percentage of positive BAC levels in fatal crashes peaking at | 0.13 g/dL |
| Percentage of drivers in fatal crashes who test positive for alcohol but fall below the 0.08 g/dL BAC legal limit | 16% |
| Percentage of drivers in fatal crashes who test positive for alcohol and have BACs of 0.15 g/dL or higher | 50% |
| Percentage of drivers seriously injured in crashes who tested positive for alcohol from Sep 2019 to July 2021 | 22% |
| Estimated number of US residents ages 16 years and older who drove under the influence in the past year | 18.5 million (7.2% of respondents ages 16 years and older) |
| Estimated number of US residents ages 16 years and older who drove under the influence of marijuana in the past year | 11.7 million (4.5% of respondents ages 16 years and older) |
| Estimated number of US residents ages 16 years and older who drove under the influence of illicit drugs (other than marijuana) in the past year | 2.4 million (0.9% of respondents ages 16 years and older) |
| Number of arrests made in the US each year for driving under the influence of alcohol and/or drugs | 1 million |
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What You'll Learn
- In 2023, 12,429 people died in alcohol-impaired crashes
- Alcohol negatively impacts thinking, reasoning and muscle coordination
- Alcohol-impaired driving is a leading cause of traffic-related deaths in the US
- In 2020, 62% of people who died in crashes involving drunk drivers were the drunk drivers themselves
- Drunk driving disproportionately affects children, with 25% of children (14 and younger) killed in motor vehicle crashes dying in drunk-driving crashes

In 2023, 12,429 people died in alcohol-impaired crashes
Alcohol-impaired driving is one of the biggest safety issues on US roads. In 2023, 12,429 people were killed in alcohol-impaired crashes, a decrease of 7.6% from the previous year. This marks the second consecutive yearly improvement. Alcohol-impaired driving crashes involve at least one driver or motorcycle operator with a blood alcohol concentration (BAC) of 0.08 grams per deciliter (g/dL) or higher.
The prevalence of alcohol-impaired drivers in fatal crashes varies by age. Over 27% of 21- to 24-year-old drivers in fatal crashes were impaired (BAC 0.08+ g/dL). This percentage decreases with age, dropping to less than 20% in the 45- to 54-year-old age group and about 15% in the 75 and older age group. In 2023, among children (aged 14 and younger) killed in motor vehicle crashes, 25% were killed in drunk-driving crashes. Of those deaths, more than half (52%) involved a child in the vehicle driven by the drunk driver.
Alcohol is a substance that reduces brain function, impairing thinking, reasoning, and muscle coordination—all essential abilities for operating a vehicle safely. As alcohol levels rise in a person's system, the negative effects on the central nervous system increase. At a BAC of 0.08, drivers are approximately four times more likely to crash than drivers with a BAC of zero. The risk of crashing increases exponentially as BAC levels rise, with drivers at a BAC of 0.15 being at least 12 times more likely to crash.
Various programs and initiatives have contributed to the decrease in alcohol-related deaths on US roads, including high-visibility enforcement and minimum drinking age laws. Since Congress raised the drinking age to 21 in 1984, NHTSA estimates that minimum drinking age laws have saved 31,959 lives. However, drunk driving continues to be a deadly problem across the United States, with about 30% of all traffic crash fatalities involving drunk drivers.
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Alcohol negatively impacts thinking, reasoning and muscle coordination
Alcohol is a substance that negatively impacts thinking, reasoning, and muscle coordination. These abilities are essential for operating a vehicle safely. As alcohol levels rise in a person's system, the negative effects on the central nervous system increase. Alcohol is absorbed directly through the walls of the stomach and small intestine, then it passes into the bloodstream. A person's alcohol level is measured by the weight of the alcohol in a certain volume of blood, known as Blood Alcohol Concentration or BAC.
At a BAC of 0.08 g/dL, crash risk increases exponentially. Drivers with a BAC of 0.08 are approximately four times more likely to crash than drivers with a BAC of zero. At a BAC of 0.15, drivers are at least 12 times more likely to crash than sober drivers. The risk of crashing is even greater for young males. The signs of impairment differ with the individual.
The more a person drinks, the greater the effect of alcohol. During the euphoria stage, with a BAC from 0.03 to 0.12, a person may feel relaxed and confident, but their reasoning and memory may be slightly impaired. This is often referred to as being "tipsy." At the excitement stage, with a BAC from 0.08 to 0.25, a person is legally intoxicated. This level of intoxication affects the occipital lobe, temporal lobe, and frontal lobe in the brain. Drinking too much can cause side effects specific to each lobe's role, including blurred vision, slurred speech, hearing loss, and a lack of control. The parietal lobe, which processes sensory information, is also affected, leading to a loss of fine motor skills and slower reaction times. This stage is often marked by mood swings, impaired judgment, and even nausea or vomiting.
Long-term heavy drinking causes alterations in the neurons, such as reductions in their size. Adolescent brains are more vulnerable to the negative effects of alcohol than adult brains. Misuse of alcohol during adolescence can alter brain development, potentially resulting in long-lasting changes in brain structure and function.
In 2023, 12,429 people died in alcohol-impaired driving crashes in the United States, a decrease of 7.6% from the previous year. About 30% of all traffic crash fatalities involve drunk drivers (with BACs of 0.08 g/dL or higher). Alcohol-impaired driving continues to be one of the biggest safety issues on U.S. roads. Results from the 2020 National Survey on Drug Use and Health indicated that an estimated 18.5 million U.S. residents ages 16 and older drove under the influence of alcohol in the past year.
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Alcohol-impaired driving is a leading cause of traffic-related deaths in the US
Alcohol-impaired driving is a leading cause of traffic-related deaths in the United States. In 2023, 12,429 people lost their lives in alcohol-impaired driving crashes, a decrease of 7.6% from the previous year. This marks the second consecutive annual improvement, with alcohol-impaired crashes accounting for 30% of all traffic deaths in 2023, down from 48% in 1982.
The prevalence of alcohol-impaired drivers in fatal crashes varies by age. Over 27% of drivers aged 21 to 24 in fatal crashes were impaired (BAC 0.08 g/dL or higher), compared to less than 20% in the 45 to 54 age group and about 15% for those 75 and older. In 2022, approximately 16% of drivers in fatal crashes who tested positive for alcohol were below the legal limit of 0.08 g/dL. Higher BAC levels significantly increase the risk of crashing. At a BAC of 0.15, drivers are at least 12 times more likely to crash than those with a BAC of zero.
Alcohol is a substance that impairs brain function, negatively affecting thinking, reasoning, and muscle coordination, all of which are crucial for safe driving. As alcohol levels in the bloodstream rise, the adverse effects on the central nervous system become more pronounced. This leads to a significant increase in crash risk, especially for young male drivers.
The consequences of drunk driving extend beyond the driver. In 2023, 25% of children aged 14 and under killed in motor vehicle crashes were victims of drunk-driving incidents, with more than half of those children riding in the vehicle driven by the drunk driver. Alcohol-impaired driving crashes also impose a substantial financial burden on the country. Based on 2019 figures, impaired-driving crashes cost the United States $68.9 billion annually.
To address the issue of alcohol-impaired driving, various programs and initiatives have been implemented. These include high-visibility enforcement, minimum drinking age laws, and public awareness campaigns. While progress has been made, with a reduction in alcohol-related deaths on US roads, drunk driving remains a significant safety concern, claiming thousands of preventable deaths each year.
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In 2020, 62% of people who died in crashes involving drunk drivers were the drunk drivers themselves
Impaired driving is a leading cause of all traffic-related deaths in the United States. Alcohol-impaired driving continues to be one of the biggest safety issues on U.S. roads. In 2020, 62% of people who died in crashes involving drunk drivers were the drunk drivers themselves. This means that drunk drivers are often the victims of their own actions.
Drunk driving is a deadly problem that persists across the United States. Driving after drinking is dangerous and can lead to serious injuries or fatalities. About 30% of all traffic crash fatalities in the United States involve drunk drivers with a Blood Alcohol Concentration (BAC) of 0.08 grams per deciliter (g/dL) or higher. At this BAC level, drivers are approximately four times more likely to crash than those with no alcohol in their system. The risk of crashing increases exponentially with BAC levels, and at 0.15 g/dL, drivers are at least 12 times more likely to crash than sober drivers.
In 2023, there were 12,429 people killed in drunk-driving crashes, which is about 34 people per day or one person every 42 minutes. These deaths are preventable. Alcohol impairs thinking, reasoning, and muscle coordination, all of which are essential for operating a vehicle safely. As alcohol levels rise in a person's system, the negative effects on the central nervous system increase, significantly impacting their driving abilities.
Young males are at an even higher risk of crashing when driving under the influence of alcohol. Drunk driving has a significant impact on teen drivers, and in 2023, 30% of young drivers aged 15 to 20 who were killed in crashes had BACs of 0.01 g/dL or higher. To address this issue, all states have adopted a minimum legal drinking age of 21, and these laws have saved an estimated 31,959 lives from 1975 to 2017.
While drunk driving fatalities primarily affect the drunk driver, it's important to note that they also endanger the lives of others. In 2020, 38% of those who died in crashes involving drunk drivers were passengers of the drunk driver, occupants of another vehicle, or non-occupants such as pedestrians. Among these fatalities, 229 children aged 0–14 years lost their lives in crashes involving alcohol-impaired drivers.
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Drunk driving disproportionately affects children, with 25% of children (14 and younger) killed in motor vehicle crashes dying in drunk-driving crashes
Alcohol-impaired driving is a leading cause of traffic-related deaths in the United States. In 2023, 12,429 people lost their lives in drunk-driving crashes, with about 34 people dying daily—one person every 42 minutes. These fatalities are often preventable, as alcohol impairs thinking, reasoning, and muscle coordination, all of which are essential for safe driving.
Various factors contribute to the high risk of drunk-driving crashes among teenagers. Firstly, peer pressure and environmental influences play a significant role in teenage alcohol consumption. Secondly, teens are less experienced at driving and, therefore, less adept at handling hazardous situations, controlling their vehicles, and adjusting their speed. The fatal crash rate at night for teen drivers (ages 16-19) is approximately three times higher than that of adult drivers (ages 30-59). Additionally, the low rate of seatbelt use among teenagers increases the risk of severe injuries in crashes.
To address this issue, it is crucial for parents to engage in open and honest conversations with their children about the dangers of drunk driving and the importance of responsible decision-making. Encouraging teens to choose friends who don't drink and educating them about the legal and health consequences of drunk driving can also help deter them from engaging in this risky behavior. Additionally, parents can promote safe alternatives, such as offering to pay for a taxi or arranging a sober ride home. By staying involved in their children's lives and providing guidance, parents can play a vital role in preventing drunk driving and protecting their teens from harm.
Furthermore, drunk driving is not limited to teenagers. Adults must also take responsibility and make informed decisions when consuming alcohol. It is essential to plan ahead when drinking, such as designating a sober driver or using a ride-hailing service. By prioritizing safety and adhering to legal drinking and driving guidelines, adults can set a positive example for younger generations and help reduce the incidence of drunk driving in society.
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Frequently asked questions
Approximately 34 people in the US die in drunk-driving crashes every day, which equates to one person every 42 minutes.
About 30% of all traffic crash fatalities in the US involve drunk drivers. This has decreased over the years, with 48% of all traffic deaths involving alcohol-impaired crashes in 1982.
62% of people who died in crashes involving alcohol-impaired drivers in 2020 were the impaired drivers. 38% were passengers of the impaired drivers, or drivers or passengers of another vehicle, or nonoccupants (such as a pedestrian).


















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