Data and analysis are presented for the study of efficiency droop in visible III-nitride light-emitting diodes (LEDs) considering the effects of both electron spill-over out of active region and hole injection into the active region. Performance characteristics of blue LEDs with lattice-matched In 0.18Al 0.82N electron-blocking layers (EBLs) with different thicknesses were measured in order to exclude the effects of strain and doping efficiency of the EBL, and the quantum efficiencies were analyzed taking account of the electron spill-over current and the relative hole concentration. The results suggest that the highest efficiency in LEDs with a 15-nm In 0.18Al 0.82N EBL is due to relatively lower hole-blocking effect, hence higher hole injection than in LEDs with a 20-nm EBL, while providing a higher potential barrier for reduced electron spill-over than in LEDs with thinner EBLs. This study suggests that the EBL hole-blocking and electron-confinement effects should be considered in order to achieve higher light output power and reduced efficiency droop at high currents. © 2012 American Institute of Physics.