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Big Sky State Leads U.S. in Alcohol-Related Traffic Deaths, Research Reveals

- Montana’s drunk driving fatality rate of 44% is more than twice that of Mississippi’s 20%, the nation’s lowest
- Nearly one in three Montana traffic deaths involves drivers with blood alcohol levels of 0.15+ g/dL
- Southern region demonstrates the lowest alcohol-impaired driving fatality percentages nationwide
A comprehensive analysis conducted by Premiere Law Group has revealed that Montana has the nation’s highest proportion of traffic fatalities attributed to alcohol-impaired driving. The research examined nationwide traffic death statistics to determine regional patterns in drunk driving mortality rates.
Statistical evidence shows that Montana experienced 104 deaths from alcohol-impaired driving incidents, constituting 44% of all traffic fatalities in the state. Following Montana, Connecticut ranked second with 38% of its traffic deaths involving alcohol-impaired drivers, while Massachusetts and Arizona shared the third position with 36% each.
“The statistics paint a concerning picture regarding drunk driving prevalence across different states,” according to a representative from Premiere Law Group. “Montana’s rate stands out dramatically, more than doubling Mississippi’s 20%, which ranked as the nation’s lowest.”
The research further identified Montana as leading in another troubling category: 31% of all traffic fatalities in the state involved severely impaired drivers. This means approximately one-third of fatal traffic incidents in Montana included a driver whose blood alcohol concentration measured at least 0.15 g/dL—nearly twice the legal limit.
Northeastern and Western states dominated the list of regions with the highest percentages of alcohol-impaired driving deaths. Every state in the top five positions reported at least 35% of their traffic fatalities involving alcohol-impaired drivers.
10 States with highest percentage of alcohol-impaired driving fatalities:
- Montana – 44%
- Connecticut – 38%
- Massachusetts – 36%
- Arizona – 36%
- Illinois – 35%
- Maryland – 35%
- California – 32%
- Idaho – 31%
- Louisiana – 31%
- Colorado – 31%
The study established a significant correlation between overall alcohol impairment and severe impairment in fatal crashes. Typically, states reporting high percentages of alcohol-impaired fatalities also demonstrated high percentages of severely impaired drivers.
“When drivers reach twice the legal limit, their capabilities become dramatically compromised,” explained the spokesperson. “Their decision-making abilities, response times, and physical coordination are all significantly impaired, creating extremely dangerous conditions on roadways.”
One critical metric helps identify where extremely intoxicated drivers cause the most devastation. Montana’s high BAC rate of 31% substantially exceeded other states’ figures. For every 100 traffic fatalities in Montana, 31 involved drivers with blood alcohol concentrations measuring 0.15 g/dL or above.
The research revealed a distinct geographical pattern among states with the lowest percentages of alcohol-impaired driving fatalities, with Southern states predominantly occupying these positions.
States with lowest percentage of alcohol-impaired driving fatalities:
- Mississippi – 20%
- Georgia – 22%
- Kentucky – 24%
- Delaware – 25%
- Indiana – 25%
- Kansas – 26%
- Florida – 27%
- Arkansas – 27%
- Minnesota – 27%
- Hawaii – 29%
In absolute numbers, California recorded the highest count of alcohol-impaired driving fatalities at 1,370, with Florida following at 1,019. However, these raw figures don’t accurately reflect the proportion of traffic deaths involving alcohol impairment, which is why percentage-based metrics provide a clearer understanding of drunk driving prevalence.
“The combination of rigorous enforcement and effective public awareness campaigns makes a significant difference,” noted the spokesperson. “Certain states have developed more successful approaches to reducing these preventable deaths, and others would benefit from adopting similar strategies.”
The research underscores the continuing challenge of alcohol-impaired driving across the United States, with stark regional differences highlighting both problems and potential solutions. While some states have made progress in reducing drunk driving fatalities, others, particularly Montana, face a continuing crisis requiring urgent attention and intervention.

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