A School-Based Study of Adolescent All-Terrain Vehicle Exposure, Safety Behaviors, and Crash Experience

Details

• Personal Author:
  Denning GM ; Harland KK ; Hoogerwerf P ; Jennissen CA ; Peck J ; Wetjen K
• Description:
  PURPOSE: More youth are killed every year in the United States in all-terrain vehicle (ATV) crashes than on bicycles, and since 2001, one-fifth of all ATV fatalities have involved victims aged 15 years or younger. Effectively preventing pediatric ATV-related deaths and injuries requires knowledge about youth riding practices. Our objective was to examine ATV use, crash prevalence, and riding behaviors among adolescent students in a rural state. METHODS: We administered a cross-sectional survey to 4,684 youths aged 11 to 16 years at 30 schools across Iowa from November 2010 to April 2013. Descriptive and comparative analyses were performed. RESULTS: Regardless of rurality, at least 75% of students reported having been on an ATV, with 38% of those riding daily or weekly. Among ATV riders, 57% had been in a crash. Most riders engaged in risky behaviors, including riding with passengers (92%), on public roads (81%), or without a helmet (64%). Almost 60% reported engaging in all 3 behaviors; only 2% engaged in none. Multivariable modeling revealed male youth, students riding daily/weekly, and those reporting both riding on public roads and with passengers were 1.61 (95% CI, 1.36-1.91), 3.73 (95% CI, 3.10-4.50), and 3.24 (95% CI, 2.09-5.04) times more likely to report a crash, respectively. CONCLUSIONS: Three-fourths of youths surveyed were exposed to ATVs. The majority of riders had engaged in unsafe behaviors and experienced a crash. Given this widespread use and the potentially considerable morbidity of pediatric ATV crashes, prevention efforts, including anticipatory guidance by primary care clinicians serving families at risk, should be a higher priority. CORRECTION: Ann Fam Med 2014 Sep/Oct; 12(5):401. [Description provided by NIOSH]
• Subjects:
  Accidents, Occupational Adolescent Age Factors Aging Automobiles Behavior Education Epidemiology Family Health Personnel Mortality Occupational Health Risk Assessment Risk Factors Safety Surveys And Questionnaires

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• Keywords:
  Accident Analysis Accident Rates Accidents Accident Statistics Adolescent Behavior Adolescents Age Factors Age Groups Author Keywords: All-terrain Vehicle Behavior Patterns Children Cross Sectional Studies Drivers Families Fatalities Guidelines Health Care Personnel Health Surveys Helmet Injuries Injury Prevention Medical Personnel Mortality Data Mortality Rates Motor Vehicles Prevention & Control Risk Analysis Risk Factors Rural Safety Safety Education Safety Helmets Statistical Analysis Traumatic Injuries Vehicle Safety

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• ISSN:
  1544-1709
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  District of Columbia ; Iowa ; OSHA Region 3 ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  310-316
• Volume:
  12
• Issue:
  4
• NIOSHTIC Number:
  nn:20052387
• Citation:
  Ann Fam Med 2014 Jul/Aug; 12(4):310-316
• Contact Point Address:
  Charles A. Jennissen, MD, Department of Emergency Medicine, University of Iowa, Carver College of Medicine, 200 Hawkins Dr., Iowa City, IA 52242
• Email:
  charles-jennissen@uiowa.edu
• Federal Fiscal Year:
  2014
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Iowa, Iowa City
• Peer Reviewed:
  True
• Start Date:
  20010930
• Source Full Name:
  Annals of Family Medicine
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:85b3ed2a345a240c888829bb4095f5b2c296966f31f318cefb6cb771e22329af67ed90520f6f4398482290c7a57889320c69ba0ef8e851f99f04b456b89a757b
• Download URL:
  https://stacks.cdc.gov/view/cdc/211918/cdc_211918_DS1.pdf
• File Type:
  [PDF - 520.18 KB ]