NHTSA studies behaviors and attitudes in highway safety, focusing on drivers, passengers, pedestrians, and motorcyclists. We identify and measure behaviors involved in crashes or associated with injuries, and develop and refine countermeasures to deter unsafe behaviors and promote safe alternatives.
This is the third of three reports examining driver medical review practices in the United States and how they fulfill the basic functions of identifying, assessing, and rendering licensing decisions on medically or functionally at-risk drivers. This volume updates the information presented in 2003 (Summary of Medical Advisory Board Practices in the United States). Medical Review/Driver Reexamination Department staff in 49 of the 51 State driver licensing agencies plus the District of Columbia responded to a survey designed to gather information about the driver medical review structure and processes in their jurisdictions. The first section of this report presents a 5- to 10-page narrative for each jurisdiction describing the organization of the medical review program; mechanisms used to identify drivers with medical conditions and functional impairments; procedures and medical guidelines used to evaluate drivers for fitness to drive; medical review and reexamination outcomes; appeals processes; availability of counseling and public information and education; outreach to law enforcement, medical professionals and others who may have concerns about a medically or functionally impaired driver; and administrative issues such as training of employees, and costs associated with medical review/reexamination. Following the State-by-State summaries, tables compare and contrast States’ responses to each survey question. This updated information may serve as a reference to State driver licensing agencies when updating their own guidelines, practices, and outreach to those who may refer drivers for medical review, by showing what works in other jurisdictions; and may promote practices that maintain public safety while allowing for personal mobility.
Evaluating the Enforceability of Texting Laws: Strategies Tested in Connecticut and Massachusetts
This evaluation sought to determine the enforceability of texting laws and to test methods for enforcing these laws. Participating law enforcement agencies in Connecticut and Massachusetts demonstrated that a variety of enforcement strategies could be used to enforce texting laws, including spotter, stationary, and roving patrol strategies. Strategy variations involved using one- and two-officer patrols, uniformed and plain clothed officers, marked and unmarked patrol vehicles, and a variety of vehicle types, including SUVs, vans, pickup trucks, motorcycles, and cruisers. This evaluation gathered first-hand insights from the participating officers regarding their experiences enforcing texting laws. Key insights highlighted the importance of conducting officer training, holding roll calls focused on texting enforcement, engaging in pre-planning to ensure smooth operation of the strategies, creating partnerships with local and State enforcement agencies to multiply forces and maximize resources, and establishing leadership priority for conducting texting enforcement.
Medical Review Practices for Driver Licensing Volume 2: Case Studies of Medical Referrals and Licensing Outcomes in Maine, Ohio, Oregon, Texas, Washington, and Wisconsin
Second of three reports examining driver medical review practices in the United States and how they fulfill the basic functions of identifying, assessing, and rendering licensing decisions on medically at-risk drivers. This volume presents findings of case studies describing the referral sources, medical review requirements, and licensing outcomes in six States in 2012, Maine, Ohio, Oregon, Texas, Washington, and Wisconsin. Conclusions support recommendations that may increase appropriate referrals for medical review. improve the medical review process while maintaining individual and public safety and preserving mobility among those with declining functional abilities, and ensure licensing agency resources applied to medical review focus on drivers most needing to be medically reviewed and tested.
Researchers examined behavioral-change strategies proven effective in education, healthcare, advertising as possible approaches to increase seat belt use. This report is the result, a "starter kit" of ideas of varying levels of readiness so occupant protection programmers can use them in seat belt programming across the country. Five strategies include high school service-learning programs, hospital discharge programs, targeted online advertising, online learning and e-learning, and product/message placement.
This study used a “case-control” design to estimate the risk of crashes involving drivers using drugs, alcohol or both obtaining 10,221 breath samples, 9,285 oral fluid samples, and 1,764 blood samples from more than 3,000 crash drivers and 6,000 control drivers. Crash risk estimates for alcohol indicated drivers with BrACs of .08 g/210L is 3.98 times that of drivers with no alcohol.
This is the first of three reports examining driver medical review practices in the United States and how they fulfilled the basic functions of identifying, assessing, and rendering licensing decisions on medically at-risk drivers, documenting strengths and weaknesses of a variety of approaches. This report presents the methods used to group the diverse medical review practices across the 51 driver licensing agencies into four broad medical review structures, describes selection of States for case study, and identifies strengths and weaknesses associated with each of the four medical review structures. The seven States were Maine, North Carolina, Texas, Wisconsin, Ohio, Washington, and Oregon.
Three southeastern States initiated high-visibility enforcement campaigns to address lower seat belt use in their rural areas than in non-rural areas. Florida, Georgia, and Tennessee conducted four waves of intensified enforcement and media from November 2008 to May 2010. The May campaigns were conducted just prior to the national Click It or Ticket campaigns. Combining activity, awareness and usage data from all three States, there was a significant positive correlation between media expenditures and awareness of rural seat belt messages. Two awareness indices correlated highly with usage and achieved statistical significance: awareness of rural seat belt messages and perceived risk of a ticket for not buckling up. While the significant correlations between awareness measures and belt usage suggest that the message got through to drivers, comparison of changes in belt use in the RDP versus the control areas produced mixed results. Seat belt usage increased significantly in the targeted rural areas of all three States, but it also increased at about the same rate in the control areas in two of the States.
In Washington State legal sale of marijuana began July 8, 2014. A voluntary, anonymous roadside study was conducted to assess the prevalence of drivers testing positive for alcohol and other drugs including marijuana on Washington’s roads. Data was collected in three waves, before implementation of legal sales, about 6 months after implementation, and one year after implementation. Of almost 2,500 participants, 14.6 percent of drivers, 19.4 percent of drivers, and 21.8 percent of drivers were THC-positive in Waves 1, 2, and 3, respectively.
Research has shown that seat belt use is lower in rural areas of the United States, which may be one reason fatalities are higher in these areas than in urban area. NHTSA sponsored two State-level demonstration projects intended to increase seat belt use in rural areas of Kansas and Missouri. During the study, Kansas and Missouri had secondary seat belt laws. Kansas used multiple media and enforcement waves, and Missouri employed a month-long media and enforcement campaign. Evaluations demonstrated increases in seat belt usage in many of the rural counties participating in the project, but some counties showed no change or even a decrease in seat belt use. Kansas showed an overall increase in seat belt use, from 61 to 70 percent use after the second intervention. Missouri showed increases in belt use in some of the 10 counties, though offset by decreases or no change in the other counties. Results support the conclusion that supplemental efforts of the demonstration projects produced positive results in the target counties and also benefited the total occupant protection programs in the State.
This literature review summarizes pedestrian distraction, driver distraction, and pedestrian-vehicle interactions. The findings further divide into subsections on study methodologies such as naturalistic observations, simulation, laboratory, or crash database analysis. A few studies investigate electronic device use by pedestrians and drivers and the effect on pedestrian safety, although with fewer naturalistic observation studies. Most previous studies focus primarily on cell phone use, but the discussion regarding other types of electronic devices is missing. The review illustrates the need to conduct naturalistic observations of the effect of electronic device use on pedestrian distraction and safety.
This study examined naturalistic driving data from 164 drivers. It defined speeding in terms of speeding episodes and examined the influence of situational factors on different types of speeding. Analyses identified several types of speeding: Speeding that occurs around speed-zone transitions, incidental speeding, casual speeding, cruising speeding, and aggressive speeding. Analyses also identified four driver types: Unintentional Speeders, Situational Speeders, Typical Speeders, and Deliberate Speeders. The types of speeding and driver types identified occurred across all demographic groups. Findings on the general riskiness of different types of speeding and location-specific characteristics and driving environment effects on speeding are reported.