Abstract

BackgroundMotor vehicle crashes are a leading cause of injury mortality. Adverse weather and road conditions have the potential to affect the likelihood of motor vehicle fatalities through several pathways. However, there remains a dearth of assessments associating adverse weather conditions to fatal crashes in the United States. We assessed trends in motor vehicle fatalities associated with adverse weather and present spatial variation in fatality rates by state.MethodsWe analyzed the Fatality Analysis Reporting System (FARS) datasets from 1994 to 2012 produced by the National Highway Traffic Safety Administration (NHTSA) that contains reported weather information for each fatal crash. For each year, we estimated the fatal crashes that were associated with adverse weather conditions. We stratified these fatalities by months to examine seasonal patterns. We calculated state-specific rates using annual vehicle miles traveled data for all fatalities and for those related to adverse weather to examine spatial variations in fatality rates. To investigate the role of adverse weather as an independent risk factor for fatal crashes, we calculated odds ratios for known risk factors (e.g., alcohol and drug use, no restraint use, poor driving records, poor light conditions, highway driving) to be reported along with adverse weather.ResultsTotal and adverse weather-related fatalities decreased over 1994–2012. Adverse weather-related fatalities constituted about 16 % of total fatalities on average over the study period. On average, 65 % of adverse weather-related fatalities happened between November and April, with rain/wet conditions more frequently reported than snow/icy conditions. The spatial distribution of fatalities associated with adverse weather by state was different than the distribution of total fatalities. Involvement of alcohol or drugs, no restraint use, and speeding were less likely to co-occur with fatalities during adverse weather conditions.ConclusionsWhile adverse weather is reported for a large number of motor vehicle fatalities for the US, the type of adverse weather and the rate of associated fatality vary geographically. These fatalities may be addressed and potentially prevented by modifying speed limits during inclement weather, improving road surfacing, ice and snow removal, and providing transit alternatives, but the impact of potential interventions requires further research.Electronic supplementary materialThe online version of this article (doi:10.1186/s12940-016-0189-x) contains supplementary material, which is available to authorized users.

Highlights

  • Motor vehicle crashes are a leading cause of injury mortality

  • Based on the location and time of each crash, we identified if the crash happened on a highway or under poor light conditions

  • Even though total vehicle miles traveled increased over the study period, the rate of total motor vehicle fatalities per billion VMT decreased from 17.3 in 1994 to 11.3 in 2012

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Summary

Introduction

Adverse weather and road conditions have the potential to affect the likelihood of motor vehicle fatalities through several pathways. There remains a dearth of assessments associating adverse weather conditions to fatal crashes in the United States. Centers for Disease Control and Prevention (CDC) calculated the medical spending and productivity loss associated with fatal and non-fatal motor vehicle injuries to exceed 99 billion in 2005 [2]. Given this disease burden and cost, the CDC have singled out reducing motor vehicle injuries as a high priority “winnable battle” for public health [3]. It can be difficult to determine exposure to weather with precision [7], compounded by the potential correlation between weather and other factors, like road utilization, driver behavior, road conditions, and post-event factors such as delayed response time for emergency medical services [8, 9]

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