"In 2012, 2014, 2016 and 2018, 1.8%, 1.7%, 2.1% and 1.7% of adults engaged in AID [Alcohol-Impaired Driving]. This translated to 4.2 million adults, 3.7 million adults, 4.9 million adults and 4.0 million adults engaging in 121 million annual AID episodes, 111 million episodes, 186 million episodes and 147 million episodes during each of the 4 years.¹⁸ Rates across the 4 years were 505, 452, 741 and 574 per 1000 population.¹⁸ Similar to 2014–2018, in 2012, men accounted for 80% of AID episodes and respondents who reported binge drinking accounted for 85% of episodes.¹⁸ Taken all together, there were slight differences in AID across these years with a peak in AID prevalence and number of episodes in 2016, but no clear trend across the years 2012, 2014, 2016 and 2018. This roughly correlates with national annual motor vehicle crash death data that suggest crash deaths and the percentage of them related to AID have remained relatively constant over the years 2012–2018.^{1 3–6} It is unclear what might be behind the peak in AID in 2016. Changes in AID can be influenced by changing economic and societal factors (like economic recessions). Preliminary data show an increase in AID-related crash deaths in 2020 (during the COVID-19 pandemic), which might signify an associated increase in 2020 BRFSS AID rates.²¹"