The Journal of Primary Prevention

, Volume 38, Issue 3, pp 315–328 | Cite as

Marijuana and the Risk of Fatal Car Crashes: What Can We Learn from FARS and NRS Data?

  • Eduardo Romano
  • Pedro Torres-Saavedra
  • Robert B. Voas
  • John H. Lacey
Original Paper


Lab studies have shown that marijuana can severely impair driving skills. Epidemiological studies, however, have been inconclusive regarding the contribution of marijuana use to crash risk. In the United States, case–control studies based on the merging of comparable crash Fatality Analysis Reporting System (FARS) and non-crash National Roadside Survey (NRS) data have been applied to assess the contribution of drugs to crash risk, but these studies have yielded confusing, even contradictory results. We hypothesize that such a divergence of results emanates from limitations in the databases used in these studies, in particular that of the FARS. The goal of this effort is to examine this hypothesis, and in doing so, illuminate the pros and cons of using these databases for drugged-driving research efforts. We took advantage of two relatively recent cannabis crash risk studies that, despite using similar databases (the FARS and the NRS) and following similar overall approaches, yielded opposite results (Li, Brady, & Chen, 2013; Romano, Torres-Saavedra, Voas, & Lacey, 2014). By identifying methodological similarities and differences between these efforts, we assessed how the limitations of the FARS and NRS databases contributed to contradictory and biased results. Because of its limitations, we suggest that the FARS database should neither be used to examine trends in drug use nor to obtain precise risk estimates. However, under certain conditions (e.g., based on data from jurisdictions that routinely test for drugs, with as little variation in testing procedures as possible), the FARS database could be used to assess the contribution of drugs to fatal crash risk relative to other sources of risk such as alcohol.


Cannabis Alcohol Crash risk FARS NRS 


Compliance With Ethical Standards

Conflict of Interest

All the authors declare that they have no conflict of interest.

Human and Animal Rights Statements

This article performs secondary analyses on data containing no personal identifiers. This article does not include any studies with human participants or animals conducted by any of the authors.


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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  • Eduardo Romano
    • 1
  • Pedro Torres-Saavedra
    • 2
  • Robert B. Voas
    • 1
  • John H. Lacey
    • 1
  1. 1.Pacific Institute for Research and Evaluation (PIRE)CalvertonUSA
  2. 2.Department of Mathematical SciencesUniversity of Puerto Rico at MayagüezMayagüezPuerto Rico

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