Skip to main content

Study: THC blood tests not a reliable measure of marijuana impairment

2016 NHTSA Fatality Report
kadmy / 123RF Stock Photo
New research indicates that blood THC tests don’t work, with the level of impairment not showing a correlation to the level of THC present in a driver’s bloodstream. As a result, scientific, objective tests of marijuana impairment are needed fast. These blood THC test judgments come from a study by the AAA Foundation for Traffic Safety, as reported by Ars Technica. THC, which is short for delta-9-tetrahydrocannabinol, is the main psychoactive component of weed. The lack of accurate marijuana impairment tests is a growing problem bound to get bigger.

Marijuana-related traffic fatalities in Washington state increased from 8 percent in 2013 to 17 percent in 2014. Washington legalized marijuana for medical use in 2012. Like most statistics, this one can be seen in different ways. Although, the overall number of fatalities involving THC use increased, in most cases alcohol and/or other drugs were used as well. Regardless of how you slice and dice the numbers, however, the fact that blood THC levels did not accurately indicate marijuana impairment calls for new tests that will.

According to the AAA study, individuals who had very low levels of THC in their blood could act totally out of it while others who acted and seemed normal and unimpaired could have THC levels that were “off the charts.”

In the testing, the Foundation compared the results of the standard Drug Recognition Expert (DRE) tests administered to 349 volunteers with no THC in their blood and to 602 people who at the time of their arrests had only marijuana in their systems and who had their blood measured. The DRE roadside test includes walking a straight line and turning, standing on one foot, and touching your own nose. While 55.5 percent of the volunteers passed the walk and turn test, only 6 percent of the arrested people passed. So while it’s not 100 percent accurate, the DRE behavioral test does indicate impairment.

Next, the testers checked the THC blood levels of the arrested population. The levels ranged from 1 to 47 nanograms per millilitre of blood. While the nose-touching test showed some correlation with THC levels, the other elements of the DRE did not.

Several states are passing THC blood level laws to determine marijuana impairment. Colorado, Washington, and Montana have set a limit of 5 nanograms per millilitre as the legal limit and others may follow.

Not only did the researchers fail to find a clear correlation between those who failed the DRE test and THC limits, it also found that 30 percent of those who passed the test had THC levels of 1 ng/mL or higher. The Foundation stated, “Based on this analysis, a quantitative threshold for per se laws for THC following cannabis use cannot be scientifically supported.”

Driving while stoned is dangerous and with marijuana-related fatality rates increasing the Foundation suggests that, in the absence of accurate scientific tests, law enforcement use psychological and behavioral measures such as the DRE to determine fitness to drive. As things stand, relying on blood THC levels could allow some seriously wasted people to get back in their cars and drive away, a danger to themselves and others.

Bruce Brown
Digital Trends Contributing Editor Bruce Brown is a member of the Smart Homes and Commerce teams. Bruce uses smart devices…
Rivian R2 vs R1S: How will Rivian’s cheaper SUV compare?
The front three-quarter view of a 2022 Rivian against a rocky backdrop.

Rivian has finally unveiled the R2, its long-awaited attempt at a more affordable electric SUV. The new vehicle may not be available just yet, but fans of Rivian's design aesthetics and feature set are already looking forward to being able to order the new car. The R2 is targeted at being a more affordable take on the electric SUV and will sit alongside the flagship-tier R1S.

Let's get this out of the way right now: The R1S is most likely going to be a better vehicle than the R2. Rivian isn't replacing the R1S with the R2 — it's releasing the R2 as a more affordable alternative, and there will be some compromises when buying the R2 over the R1S.

Read more
Cybertruck production reportedly halted over pedal issue
Tesla CEO Elon Musk behind the wheel of a Cybertruck.

Tesla CEO Elon Musk behind the wheel of a Cybertruck. Tesla

Tesla’s Cybertruck has been hit by a production delay caused by an issue with a part of the vehicle, a number of media reports have claimed.

Read more
Don’t let the gimmicks fool you. The Ioniq 5 N is a serious track car
2025 Hyundai Ioniq 5 N drifting.

We’re finally getting to the fun part of automakers’ methodical quest to replicate their lineups with electric cars.

Performance versions of ordinary cars have been a staple of the auto industry for decades. But while we’ve already seen some variants of EVs boasting more power and more impressive stats — think Tesla Model S Plaid or Lucid Air Sapphire — the 2025 Hyundai Ioniq 5 N is the first to truly apply that format to an EV.

Read more