Case Report

Fatal Passenger Vehicle Crashes 1999 to 2004 with Drivers Under Age 15: The Impact in Texas and Other Southern and Southwestern States

Authors: Larry Frisch, MD, MPH

Abstract

Texas has more fatal crashes involving unlicensed drivers under age 15 than does any other US state. Numbers and rates of such crashes are also above the national mean in many southern and Southwest states. Data on fatal passenger vehicle crashes from 1999 through 2004 were obtained from the online Fatality Analysis Reporting System (FARS). During the study period, there were 51 fatal passenger vehicle crashes in Texas in which drivers were under age 15. These crashes accounted for 12.3% of the US total. Nine southern states, including Texas, together accounted for 44% of all fatal crashes involving drivers under 15. Unlicensed crash rates per million inhabitants were higher in Texas than in other states with comparable populations but were much lower than those in other southern, southwest, and north central states. While Texas has recently improved its compliance with proposed graduated licensing models, state law explicitly prohibits police from stopping drivers based solely on age-related probable cause. This restriction may be a major barrier to effective detection and interdiction of under-age unlicensed driving.


Because of the relatively high number of fatal crashes involving drivers under age 15 occurring in Texas, preventive efforts targeted to this state could modestly reduce the national burden of deaths due to very young unlicensed drivers. Expanding these efforts to other southern and southwest states could further reduce numbers and rates of such crashes. Expanded use of graduated licensing and increased public awareness are likely to prove effective tools in this public health effort.


Key Points


* Unlicensed driving accounts for up to 20% of fatal motor vehicle crashes nationally.


* A small proportion of unlicensed drivers are under 15 years of age.


* Texas has the highest number of fatal passenger vehicle crashes involving drivers under 15 in the US.


* Crash rates/100,000 inhabitants are fifteen times higher in Texas nonmetro compared to metro counties.


* Successful prevention of fatal very young driver crashes in Texas would reduce the national impact of these events but may require legalization of probable-cause police stops for underage driving.


* Similar efforts in a number of other southern and southwest states could significantly reduce the number of fatalities due to unlicensed underage driving.

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References

1. Griffin LI III, DeLaZerda S. Unlicensed to kill. Washington, DC: AAA Foundation for Traffic Safety 2000:1–58. Available at http://www.aaafoundation.org/pdf/unlicensed2kill.PDF. Accessed February 24, 2006.
 
2. Scopatz RA, Hatch CE, DeLucia BH, et al. Unlicensed to kill: the sequel. Washington, DC, AAA Foundation for Traffic Safety 2003:1–120. Available at http://www.aaafoundation.org/pdf/UnlicensedToKill2.pdf. Accessed February 24, 2006.
 
3. Frisch L, Choate Johnston S, Melhorn K, et al. In the hands of children: fatal car, van, and truck crashes involving drivers aged 7 through 14 years. Arch Pediatr Adolesc Med 2003;157:1032.
 
4. Anonymous. Rural Urban Continuum Codes Washington, DC, US Department of Agriculture. 2003. Available at http://www.ers.usda.gov/Data/RuralUrbanContinuumCodes/2003/. Accessed January 6, 2007.
 
5. Isserman AM. In the national interest: defining rural and urban correctly in research and public policy. Int Reg Science Rev 2005;28:465–499.
 
6. Anonymous. Best and worst traffic safety laws: some states do a better job than others. Arlington, VA: Insurance Institute for Highway Safety. 2000. Available at http://www.iihs.org/news/2000/iihs_news_122000.pdf. Accessed February 24, 2006.
 
7. Anonymous. Graduated licensing: a blueprint for North America. Arlington, Insurance Institute for Highway Safety. 2004. Available at http://www.iihs.org/laws/state_laws/pdf/blueprint.pdf. Accessed February 24, 2006.
 
8. Begg DJ, Langley JD, Cahlmers D. Motor vehicle road crashes during the fourteenth and fifteenth years of life. N Z Med J 1992;105:150–151.
 
9. Anonymous. Graduated Driver Licensing Program. Austin, Texas Department of Safety. Available at http://www.txdps.state.tx.us/director_staff/public_information/pr122101.htm. Accessed January 6, 2007.
 
10. Campos-Outcalt D, Bay C, Dellapenna A, et al. Pedestrian fatalities by race/ethnicity in Arizona, 1990–1996. Am J Prev Med 2002;23:129–135.
 
11. Bridges NC, Levine RS, Haliburton WP, et al. The fatality analysis reporting system as a tool for investigating racial and ethnic determinants of motor vehicle crash fatalities. Accid Anal Prev 2005;37:641–649.
 

*2004 fatal crash numbers for drivers 16 and older were obtained from FARS and then multiplied by six to calculate a six-year rate. 

Other states allowing driving before the age of 15 include Iowa, Kansas, Alaska, Arkansas, Idaho, Michigan, and Montana.