The association between strengthened cellphone laws and police-reported rear-end crash rates

•Evaluations of the link between cellphone laws and crashes show an unclear historical relationship.•We studied the association of rear-end crash rates and laws banning driver cellphone use.•California, Oregon, and Washington strengthened existing cellphone laws in 2017.•Rates of rear-end crashes with injury decreased significantly in Oregon and Washington only.•Rear-end crashes may be a useful albeit imperfect surrogate for distracted driving crashes. Introduction: Prior evaluations of the connection between cellphone bans and crashes show unclear results. California, Oregon, and Washington enacted legislation (effective in 2017) to update earlier bans specific to handheld conversation and texting. This study evaluated the relationship between the laws and rear-end rates, a crash type sensitive to visual-manual cellphone use, in California, Oregon, and Washington. Method: Negative binomial regression compared the change in monthly per capita rear-end crash rates in California, Oregon, and Washington before and after the law changes relative to two control states, Colorado and Idaho, during 2015–2019. Analyses examined (a) rear-end crashes with injuries in all three study states, including minor to fatal injuries; and (b) rear-end crashes of all severities in California and Washington, including property-damage-only crashes and crashes with injuries; Oregon was excluded from this analysis because of a 2018 change to its reporting criteria for property-damage-only crashes. Results: Washington’s strengthened law was associated with a significant 7.6% reduction in the rate of monthly rear-end crashes of all severities relative to the controls. Law changes in Oregon and Washington were associated with significant reductions of 8.8% and 10.9%, respectively, in the rates of monthly rear-end crashes with injury relative to the controls. California did not experience changes in rear-end crash rates of all severities or with injuries associated with the strengthened law. Conclusion: The results of this study are mixed, with law changes associated with significant reductions in rear-end crash rates in two of the three study states. Differences in the wording of the laws, levels of enforcement, and sanction severity may help explain the divergent results. Practical application: Crash reductions in Oregon and Washington suggest that enacting legislation that comprehensively bans practically all visual-manual cellphone activity may have made the laws easier to enforce