“…In general, the literature on the effects of MLDA changes on fatal/nonfatal MVCs in youth populations has found that raising the MLDA was associated with decreases, and lowering the MLDA was associated with increases. 20,[22][23][24][25][26][27][28] Many of these studies, however, are decades old and it would be reasonable to argue that the impacts of MLDA observed in the 1970s and 1980s might be substantially attenuated in the contemporary context, owing in large part to advances in both traffic safety and alcohol policy (e.g., road and vehicle safety, 29,30 graduated driver licensing legislation, [31][32][33][34] and impaired-driving laws [35][36][37].…”