State-Specific ATV-Related Fatality Rates: An Update in the New Millennium

Helmkamp, James C.; Aitken, Mary E.; Graham, Jessica; Campbell, Corey R.

doi:10.1177/003335491212700404

Cited by 41 publications

(38 citation statements)

References 15 publications

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“…Moreover, there is little to no evidence that improvements in knowledge and training actually lead to reductions in injury occurrence or severity [36,37]. While it is not possible to ascertain fully the years of quad riding experience that those fatally injured in this sample had, it is evident from the text available in the records that many had considerable experience and were far from novice riders.…”

Section: Discussionmentioning

confidence: 89%

Quads, Farmers 50+ Years of Age, and Safety in Australia

Lower

Monaghan

Rolfe

2016

Safety

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Abstract:Quads are the leading cause of fatal non-intentional injuries on Australian farms. Due to normal age-related physiological and cognitive changes, farmers 50-years of age and above are at increased risk when using quads. This study identifies a non-statistically significant increasing trend for fatal quad incidents involving this cohort in Australia. It is contended that these vehicles are not "fit-for-purpose" for many typical agricultural tasks more broadly and that the ageing process further exacerbates these risks. Encouraging and promoting the use of more "fit-for-purpose" vehicles in the agricultural sector should be the primary focus of intervention approaches. Supplementing this, other approaches that reduce risks, specifically relating to rollovers, crush/asphyxiation and head injuries must be enacted.

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Section: Discussionmentioning

confidence: 89%

Quads, Farmers 50+ Years of Age, and Safety in Australia

Lower

Monaghan

Rolfe

2016

Safety

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“…Unfortunately, 69% of states allow ATVs on public roads to some extent, and recent legislative efforts are primarily increasing roadway use rather than limiting it. 34,35 Although evidence for the effectiveness of ATV safety laws is mixed, 18,[36][37][38][39] we speculate that this reflects varying degrees of enforcement. Environments where laws may be better enforced demonstrate safer riding behaviors.…”

Section: To 17 Years Of Agementioning

confidence: 95%

Age-Based Risk Factors for Pediatric ATV-Related Fatalities

Denning¹,

Harland

Jennissen³

2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Younger age has been identified as an independent risk factor for all-terrain vehicle (ATV)-related injuries. Since the mid-1980s, one-third of ATVrelated deaths have involved children younger than 18 years of age. WHAT THIS STUDY ADDS:Using national data, we found both similarities and differences between pediatric age groups in the contribution of known risk factors to ATV-related deaths. The observed differences suggest the importance of targeting injury prevention approaches to specific age ranges. . Ninety-five percent of all pediatric fatalities were on adult-size vehicles. Victims ,6 years old had the highest proportion of girls (24%) and passengers (76%), and the lowest helmet use (17%). More than half of 6-to 11-year-old children were vehicle operators; 1 in 4 were carrying passengers in their own age range. Over the study period, 12-to 15-year-old children accounted for more than half of all pediatric ATV-related fatalities. The proportion of youth riding on the road increased with age, as did the proportion of collisions with other vehicles. Older teens had the highest proportions of roadway fatalities (72%) and collision events (63%), and 19% of their crashes involved alcohol. Head injuries occurred in 63% of victims (the major determinant being roadway riding), and helmets reduced the likelihood of head injury among fatal crash victims by 58%.CONCLUSIONS: There were significant differences between pediatric age groups in the relative contribution of known risk factors for ATV-related fatalities. Future injury prevention efforts must recognize these differences and develop interventions based on the age range targeted.

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“…There is ongoing discussion about what restrictions to include in state laws to best protect young riders. 6,18,26 Debate on the impact of education and training on injury and fatality rates is longstanding. Most ATV riders report having had minimal formal instruction in safe-riding practices.…”

Section: Discussionmentioning

confidence: 99%

“…12, 25, 32 -34 Helmets have been shown to decrease head injuries by as much as 58% in ATV crashes as well as prevent facial and neck trauma. 4,18,25 States with mandatory helmet-use requirements for ORV riders have also shown reduced rates of ORVrelated deaths. 18 Although lifesaving, routine helmet use by children occurs <50% of the time, recent literature suggests.…”

Section: Discussionmentioning

confidence: 99%

“…4,18,25 States with mandatory helmet-use requirements for ORV riders have also shown reduced rates of ORVrelated deaths. 18 Although lifesaving, routine helmet use by children occurs <50% of the time, recent literature suggests. 35 Additionally, although helmets are successful in the prevention of trauma to the head and neck, crush injuries from rollovers onto smaller children have not been impacted by helmet laws.…”

Section: Discussionmentioning

confidence: 99%

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Age Legislation and Off-Road Vehicle Injuries in Children

Flaherty

Raybould²,

Kelleher

et al. 2017

Pediatrics

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BACKGROUND AND OBJECTIVES:In 2010, the Massachusetts Legislature passed a comprehensive law that restricted off-road vehicle (ORV) use by children <14 years old and regulated ORV use by children up to the age of 18 years. We aimed to examine the impact of the 2010 Massachusetts law on the rates of ORV-related injuries. METHODS:A retrospective analysis was performed of Massachusetts emergency department (ED) and inpatient discharges between 2002 and 2013 as found in the Center for Health Information and Analysis database by using external causes of injury codes specific to ORV-related injuries. Yearly population-based rates were compared before and after the implementation of the law (2002-2010 vs 2011-2013) by using Poisson regression analysis and segmented regression.RESULTS: There were 3638 ED discharges and 481 inpatient discharges for ORV-related injuries in children across the 12-year study period. After the implementation of the law, the rate of ED discharges declined by 33% in 0-to 9-year-olds, 50% in 10-to 13-year-olds, and 39% in 14 to 17-year-olds (P < .0001). There was no significant decline in ED discharges for 25-to 34-year-olds. Inpatient hospital discharges were also reduced by 41% in 0-to 17-year-olds after implementation (P < .001). CONCLUSIONS:As compared with adults (ages 25-34 years), the population-based ORV-related injury rate of residents <18 years old significantly declined after the passage of legislation that imposed age restrictions and other safeguards for youth riders.abstract

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State-Specific ATV-Related Fatality Rates: An Update in the New Millennium

Cited by 41 publications

References 15 publications

Quads, Farmers 50+ Years of Age, and Safety in Australia

Quads, Farmers 50+ Years of Age, and Safety in Australia

Age-Based Risk Factors for Pediatric ATV-Related Fatalities

Age Legislation and Off-Road Vehicle Injuries in Children

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