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Characterizing driving under the influence arrest detection, 2002-2023.
James Macinko1, Mia Ann Xu2, Diana Silver2
1Departments of Health Policy and Management and Community Health Sciences, UCLA Fielding School of Public Health, 650 Charles E Young Dr S, Los Angeles, CA 90095 USA.
Journal of Safety Research
|March 5, 2026
Summary
Despite declining rates, most alcohol-impaired drivers evade detection. This study highlights the persistent challenge of undetected driving under the influence (DUI) and the need for improved public health strategies.
Area of Science:
- Public Health
- Epidemiology
- Criminology
Background:
- Alcohol-impaired driving remains a critical public health issue in the U.S.
- Existing measures have not fully curbed the behavior, with many offenders going undetected.
Purpose of the Study:
- To analyze trends in self-reported drinking and driving and driving under the influence (DUI) arrests.
- To identify factors associated with undetected instances of alcohol-impaired driving.
Main Methods:
- Secondary analysis of the National Survey on Drug Use and Health (NSDUH) data from 2002-2023.
- Multivariable Poisson regression was used to examine self-reported drinking and driving, DUI arrests, and undetected DUIs, controlling for various demographic and behavioral factors.
Main Results:
- Self-reported drinking and driving decreased from 15% (2002-2014) to 8.5% (2021-2023).
- Approximately 95% of individuals who reported drinking and driving did not report a DUI arrest in the same year.
- White populations and those with higher incomes showed higher rates of undetected DUIs.
Conclusions:
- While self-reported alcohol-impaired driving has declined, the vast majority of offenders are not apprehended.
- Novel and more effective strategies are essential to address the persistent public health problem of undetected DUI.
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