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Study breakdown

Cannabis-impaired driving among young adults in Washington State stayed steady through the COVID pandemic

ObservationalModerate evidence
The takeaway

Among young adults in Washington State, self-reported driving under the influence of alcohol, cannabis, or both showed no significant change from pre-pandemic trends through 2021, with about 12% reporting cannabis-impaired driving.

Traffic safety researchers, public health officials, and young adult prevention program developers

12.5% reported driving under the influence of cannabis

What the researchers found

Pre-pandemic trends in DUI prevalence and pandemic-year deviations were both small and not statistically significant. However, absolute prevalence remained concerning: 12.0% reported driving under the influence of alcohol, 12.5% under cannabis, and 2.7% under both simultaneously. College students showed a relative increase in alcohol-impaired driving during 2020.

Why it matters

Despite major disruptions to daily life during COVID-19, young adults continued to drive impaired at alarming rates, suggesting these behaviors are deeply entrenched and resistant to circumstantial changes.

The numbers in context

12.0% DUI-alcohol; 12.5% DUI-cannabis; 2.7% DUI-both; no significant pandemic-related changes in trends; college students showed relative increase in alcohol DUI during 2020

How the study worked

Annual statewide data from the Washington Young Adult Health Survey (2016-2021) analyzed with logistic regression to assess DUI behaviors and pandemic-related deviations from pre-pandemic trends.

What this study cannot tell us

Self-reported DUI may underestimate true prevalence; Washington State results may not generalize nationally; annual cross-sectional design limits individual-level trend analysis; short pandemic period for trend detection

How to read the evidence

Statewide annual survey data with appropriate statistical methods, but self-reported DUI and single-state focus.

When this study was published

2024 publication with 2016-2021 data

The bigger picture

Vehicle crashes remain a leading cause of death for young adults. The persistence of high DUI rates through a pandemic that reduced driving overall underscores the need for sustained prevention efforts.

Questions still open

  • Why did DUI rates remain stable despite reduced driving during the pandemic? Would ride-sharing services, which declined during COVID, have otherwise helped reduce DUI?

Common questions

Did the pandemic change cannabis-impaired driving rates?
No. Despite major changes to daily life during COVID-19, there was no significant shift in cannabis-impaired driving among young adults in Washington State. About 12.5% continued to report driving under the influence of cannabis.
How common was driving under both alcohol and cannabis?
About 2.7% of young adults reported driving after using both alcohol and cannabis simultaneously. This is particularly concerning because combining substances is associated with greater driving impairment than either substance alone.

Read the original research

Trends in Driving Under the Influence of Alcohol and Cannabis Among Young Adults in Washington State From Before to During the COVID-19 Pandemic.

American journal of public health, 114(S8), S698-S701

Citation

Hultgren, Brittney A; Calhoun, Brian H; Fleming, Charles B; Rhew, Isaac C; Larimer, Mary E; Kilmer, Jason R; Guttmannova, Katarina. (2024). Trends in Driving Under the Influence of Alcohol and Cannabis Among Young Adults in Washington State From Before to During the COVID-19 Pandemic.. American journal of public health, 114(S8), S698-S701. https://doi.org/10.2105/AJPH.2024.307767