The 6th Alcohol & Substance Abuse Conference July 16-18, 2014 Boise, Idaho Effectiveness of Social Host and Fake Identification Laws on Reducing Underage Drinking Driver Fatal Crashes James Fell, Michael Scherer, Sue Thomas & Robert Voas Pacific Institute for Research & Evaluation Calverton, MD July 17, 2014 Northwest Alcohol Conference Boise, Idaho Acknowledgements This study was conducted under a grant from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) [R21 AA019539]. We thank Mr. Gregory Bloss of NIAAA for his excellent guidance and Dr. Ralph Hingson of NIAAA for his comments and suggestions. The scoring of the 20 underage drinking laws was conducted under a NIAAA grant [R03 AA022446] and a grant from the Office of Juvenile Justice and Delinquency Prevention (OJJDP) [2012-AH-FX-0005]. This study is scheduled to be published in Traffic Injury Prevention in October 2014. Background Minimum Legal Drinking Age 21 (MLDA-21) History in the United States • Minimum Legal Drinking Age (MLDA) Laws established in the States after the Repeal of Prohibition in 1933 (21st Amendment to the US Constitution) • Most States set the MLDA at 21 (e.g., 11 States set and stayed at 21): AR (1935); CA (1933); IN (1934); KY (1938); NV (1935); NM (1934); ND (1936); OR (1933); PA (1935); UT (1935); WA (1934) Minimum Legal Drinking Age 21 History in the United States • Voting age lowered from 21 to 18 in 1971 (26th Amendment to the US Constitution) • Many States began to lower the drinking age to 18 or 19 in the early 1970s • Studies in the 1970s and 1980s showed significant increases in alcohol-related fatal traffic crashes involving youth aged 16-20 in States that lowered their drinking age Minimum Legal Drinking Age 21 History in the United States • Mothers Against Drunk Driving (MADD) founded in 1980 • President’s Commission on Drunk Driving established in 1982 • MADD, President’s Commission, Members of Congress recommended a National Uniform Drinking Age Law set at 21 in order to reduce youthful alcohol-related fatalities and eliminate the “blood borders” MLDA 21 Milestones President Ronald Reagan signs federal 21 Minimum Drinking Age law in 1984. All 50 States plus DC adopt age 21 as minimum legal drinking age (illegal to possess alcohol and illegal to purchase alcohol) by 1988 or risk the withholding of a portion of Federal Highway Construction funds. US Minimum Legal Drinking Ages as of December 31, 1969 35 states had 21 as the drinking age WA NH ND MT VT MN ME SD OR ID WI WY NY MI MA IA NE IL NV UT CO NJ MO KS PA OH IN WV KY CA DE VA RI CT MD TN OK AZ NC AR NM LA DC SC MS AL GA TX FL AK 21 years old 20 years old 18 years old HI US Minimum Legal Drinking Ages as of December 31, 1975 Only 12 states had 21 as the drinking age WA NH ND MT VT MN ME SD OR ID WI WY NY MI MA IA NE IL NV UT CO NJ MO KS PA OH IN WV KY CA DE VA RI CT MD TN OK AZ NC AR NM LA DC SC MS AL GA TX FL AK 21 years old 20 years old 19 years old 18 years old HI US Minimum Legal Drinking Ages as of July 1, 1988 All states had 21 as the drinking age WA NH ND MT VT MN ME SD OR ID WI WY NY MI MA IA NE IL NV UT CO NJ MO KS PA OH IN WV KY CA DE VA MD TN OK AZ NC AR NM LA SC MS AL GA TX FL AK HI DC RI CT What Have Been the Effects of the Minimum Legal Drinking Age 21 in the United States? • Reduction in alcohol consumption by those <21 • Reduction in drinking driver fatal crashes by those <21 • Reduction in alcohol-related homicides, suicides, unintentional injuries by those <21 Research • Studies in the 1980s and 1990s show that raising the drinking age saves lives • Studies from the National Highway Traffic Safety Administration (NHTSA) show that MLDA 21 laws reduce 18- to 20-year-old driver involvements in fatal crashes by 13% (Arnold, 1985; Womble, 1989; Kindelberger, 2005) • MLDA-21 laws estimated to save 800-900 lives each year in reductions in traffic fatalities Drivers Over Age 21 Involved in Fatal Crashes, 1982-2004 Sources: FARS; NHTSA +38% Sober drivers age 21+ Drinking drivers age 21+ -33% Drivers Under Age 21 Involved in Fatal Crashes, 1982-2004 Sources: FARS; NHTSA +9% Sober drivers under age 21 Drinking drivers under age 21 -62% MLDA-21 Law Components 20 Key Components of Underage Drinking Laws in the United States MLDA 21 Law Components CORE LAWS: • Apply to Youth – Possession – Purchase/attempt to purchase EXPANDED LAWS: • Apply to Youth – Consumption – Internal possession – Use and lose driving privileges – Use of fake ID illegal • Apply to Youth Driving – Zero tolerance – GDL with night restrictions # States with Law 51 48 35 9 40 51 51 51 20 Key Components of Underage Drinking Laws in the United States MLDA 21 Law Components # States with Law • Apply to Providers – Furnishing/selling – Age 21 for on-premises Server (all 3 beverage types) – Age 21 for on-premises Bartender (all 3 beverage types) – Age 21 for off-premises Seller – Keg registration – Beverage Service Training – Retail Support Provisions for Fake ID – Hosting underage drinking parties – Dram Shop Liability – Social Host Civil Liability 51 13 24 23 31 38 45 28 45 33 20 Key Components of Underage Drinking Laws in the United States MLDA 21 Law Components # States with Law • Apply to Manufacturers of Fake ID – Transfer/production of Fake ID illegal 24 • Apply to State – State control of alcohol (at least 1 beverage) 11 Prior Research The Impact of Underage Drinking Laws on Alcohol-Related Fatal Crashes of Young Drivers By Fell, Fisher, Voas, Blackman & Tippetts Alcoholism: Clinical and Experimental Research Vol. 33, No. 7, July 2009 Results MLDA 21 Law Effects on Ratio of <Age 21 Drinking Drivers to Non- Drinking Drivers in Fatal Crashes (1982-2004) 20% Core Laws Possession/ Purchase Use & Lose Keg Zero Tolerance Registration Driving GDL with Night Restriction 12% (p<.001) 10% No Effect 0% -5% (p=.026) -10% -20% -16% (p<.001) -5% (p=.015) Results Traffic Safety Law Effects on the Ratio of Underage 21 Drinking Drivers to Non-Drinking Drivers in Fatal Crashes (1982-2004) .08 BAC Per Se .10 BAC Per Se Seat Belt Law ALR 10% 0% -3% (p=.041) -8% -10% (p=.002) -7% ( p =.065) -5% ( p =.024) Results Traffic Safety Law Effects and Enforcement on the Ratio of Over Age 25 Drinking Drivers to Non-Drinking Drivers in Fatal Crashes (1982-2004) 10% .08 BAC Per Se ALR .10 BAC Per Se Sobriety Checkpoint Frequency 0% -1.4% (p=.004) -10% -6% (p<.001) -4% (p<.001) -4% (p=.042) Methods MLDA-21 Laws We selected for evaluation: Three False Identification (FID) laws: (1) FID for minors; (2) FID for suppliers; (3) FID for retailer support; and Two social host laws: (4) Social Host Prohibition (SHP); and (5) Social Host Civil Liability (SHCL). MLDA-21 Laws Fake ID laws (1) for minors prohibited the use of false identification cards by minors (i.e., minors under age 21); (2) for suppliers prohibited a person from lending, transferring to, or producing false identification for an underage person (i.e., suppliers); and (3) for retailer support established policies which allowed one or more of the following for retailers of alcohol outlets: the use of identification scanners, distinctive licenses for those under age 21, seizure of identification cards deemed false, or the right to sue an underage person that uses false identification to purchase alcohol (i.e., retailer support). MLDA-21 Laws Social Host Laws 1. Social Host Civil Liability (SHCL) laws involve the liability faced by noncommercial alcohol servers for injuries or damages caused by their intoxicated or underage drinking guests. In states with SHCL laws, injured third parties are able to sue social hosts (as well as the minor who caused the crash) for monetary damages. SHCL law is established by statute or by a state court through common law. MLDA-21 Laws Social Host Laws 2. Social Host Prohibitions (SHP) involve underage furnishing and host party criminal policies which can result in penalties imposed by the state (e.g., fines, jail, etc.). Data Sources Legal Research • Alcohol Policy Information System (APIS) developed and maintained by the National Institute on Alcohol Abuse and Alcoholism (NIAAA); Westlaw; HeinOnline Crash Analyses • Fatality Analysis Reporting System (FARS) developed and maintained by the National Highway Traffic Safety Administration (NHTSA) for the years 1982-2010 Model The model is composed of: 1. three FID laws (i.e., minor, retailer support, and supplier); 2. two versions of the social host laws (i.e., social host prohibitions (SHP) and social host civil liability (SHCL) laws) 3. three drinking-and-driving laws (0.08 legal limit, 0.10 legal limit, and ALR); 4. two driving-safety laws (use of sobriety checkpoints and seatbelt use laws); 5. two variables determining economic strength (employment rate and VMT by state and year); 6. per capita beer consumption by state and year; 7. ratio of underage 21 drinking drivers to underage 21 nondrinking drivers in fatal crashes; and 8. ratio of drinking drivers to non-drinking drivers in fatal crashes among drivers aged 26 years and older as a comparison. Structural Equation Modeling (SEM) Strengths of the Laws Scoring Fake Identification – Minor Scoring Criteria Fake Identification law License sanction procedure Weight Point Values +1.0 point for presence of the law +2.0 points for administrative sanctions OR +2.0 points for administrative and judicial sanctions OR +1.0 points for judicial sanctions only Scoring Fake Identification – Supplier Scoring Criteria Lending, transfer or sale of false IDs criminalized Manufacturing and distribution of false IDs criminalized Weight Point Values +1.0 point if yes +1.0 point if yes Scoring Fake Identification – Retailer Support Scoring Criteria Incentives for retailers to use scanners Use of distinctive licenses Seizure of suspicious ID by retailer permitted Right to sue minor Affirmative defense Weight Point Values +1.0 point if yes +2.0 points if yes +1.0 point if yes +1.0 point if yes -1.0 point for general affirmative defense 0.0 points for specific affirmative defense or none Scoring Scoring Criteria Type of statute Weight Point Values Social Host Prohibitions +2.0 points for general OR +1.0 point for specific Underage guest actions triggering violation +1.0 point for possession +1.0 point for consumption +1.0 point for intention to possess or consume Property type covered by law +1.0 point for residence +1.0 point for outdoor area +1.0 point for other areas Knowledge standard +2.0 points for negligence +1.0 point for knowledge 0 points for overt act Preventive actions available to offender -1.0 if yes Exceptions to law -1.0 point for family -1.0 point for resident of household -1.0 point for other Scoring Social Host Civil Liability Common law or common law and statutory law Statutory law only Limitations to the law +3.0 points +3.0 points -1.0 point for limitation on who may be sued -1.0 point for limitation on elements or standards of proof Results Regression Weights and Significance Level for Direct Effects Including Strength of Fake Identification and Social Host MLDA-21 Laws [values in bold and italics indicate a significant effect] Model including strength of FID and SHP laws Predictor Estimate S.E. p-value Outcome = under 21 FARS ratio Alcohol-impaired driving laws -.160 .019 <.001 Driving safety laws -.151 .007 <.001 Economic strength .001 .003 .866 FID minor laws -.003 .006 .564 FID supplier laws -.010 .005 .030 FID retailer laws -.004 .003 .218 SHP laws -.001 .001 .937 SHCL laws -.006 .003 .054 Beer consumption .181 .022 <.001 Effects of five MLDA-21 laws on the ratio of <age 21 drinking drivers to <age 21 nondrinking drivers involved in fatal crashes (Source: FARS 1982-2010) Conclusions • If all States adopt fake ID supplier laws (effect size 1.0%) an additional 30 lives per year would be saved—of which 14 lives are currently being saved in the 24 States that have the law. Conclusions • Our prior study (Fell et al., 2009) estimated that the two core MLDA-21 laws (possession and purchase) and the zero tolerance law for driving (BAC>.02 illegal) are saving 732 lives per year. • Use & Lose laws are saving an additional 132 lives annually and if all states adopted Use & Lose laws an estimated 165 lives could be saved per year. Conclusions • An estimated 878 lives per year are being saved by these five effective laws. If all states adopted all five laws, up to 927 lives could be saved each year. Conclusions NHTSA Estimates MLDA Laws Have Saved 29,292 Lives Since 1975 25,507 26,338 24,619 22,810 23,737 19752003 2004 2005 2006 2007 27,054 27,680 2008 2009 29,292 28,232 28,767 2010 2011 2012 Future Research • Eleven of the 20 MLDA-21 Laws have now been evaluated for their effectiveness on underage drinking driver fatal crashes. • Under a NIAAA grant [R03 AA022446] we are currently evaluating: • Dram Shop Laws • State Alcohol Control Laws • Responsible Beverage Service Training Laws • Eventually all 20 MLDA-21 Laws with strengths will be evaluated. Contact Information James C. Fell, M.S. Pacific Institute for Research and Evaluation (PIRE) 11720 Beltsville Dr. Suite 900 Calverton, MD 20705-3111 301-755-2746 E-mail: [email protected]
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