County-level prohibition and alcohol-related fatal motor vehicle accidents

The 50 states and the District of Columbia were grouped according to whether or not they had county-level alcohol prohibition. Several motor vehicle fatality rates were calculated for each type of jurisdiction, including the single-vehicle fatality rate (an index of alcohol-related motor vehicle accidents). In all cases, motor vehicle fatality rates for drivers in states with county-level prohibition were significantly greater than in nonprohibition states. This suggests that drivers residing in counties with prohibition are compelled to drive to adjacent counties or states to drink and consequently have increased involvement in motor vehicle accidents.