AdolescentAll-Terrain Vehicle  Exposure andRiding Behaviors               Charles Jennissen, MD Kristel Wetjen, RN        ...
Background 833 ATV-related deaths in the U.S. in  2006. Since 1982, children < 16 yrs have  comprised just over a quarte...
Background In fact, more children die from ATV-related  events than from bicycle crashes.  Helmkamp JC, Aitken ME, Lawren...
Objective of Study To determine ATV exposure, safety  practices, and crash rates amongstudents taking part in a school-bas...
American Academy of Pediatrics recommendsno children under 16 drive an ATV.
University of Iowa Data                   2002-2009                             Number of Crash Victims by Age     18     ...
ATV Press Clippings in Nine  Great Plains States 2009                              Number of Victims by Specific Age     1...
Methods• Target age range of 12-15 years of age• School based Curriculum
Methods• A classroom response system was utilized to  obtain:  – Demographic information  – Determine ATV exposure and saf...
Results 18 schools in Eastern and Central Iowa participated  (3,185 students). Males and females were equally represente...
Results   Rurality was based on zip codes    and the Rural Urban Commuting    Codes (RUCA)                      39%      ...
Results                                  15% Exposure for all groups         NO  rural and urban was over                ...
Results ATV exposure  was very similar          59%     62%     63%  for rural and urban  youth                          ...
ResultsHave you ever ridden ordriven an ATV with morethan one person on it?              9% NO        91% YES
Passengers Carrying passengers greatly    increases the risk of a crash.   Multiple riders contributes to:    •   Multip...
ResultsHave you ever ridden or drivenan ATV on a public road?      19% NO         81% YES
Riding on Public Roads 62% of all U.S. ATV-related  deaths from 1985-2009. Approximately 1 out of 3  serious injuries in...
ResultsHow often do you wear ahelmet when riding an ATV?             18%    62%            9%               12%
Helmet Use Too many youth are not wearing helmets. Many states do not have ATV helmet laws. Effective helmet laws requi...
Youth Are Engaging in MultipleUnsafe Behaviors.                                    2% Riding on an ATV with       10%  pa...
CrashesHave you ever been in an ATVcrash (rolled over, hit something,fallen off)?   41% NO               59% YES
Crashes  Crashes Among These Youth  Are Alarmingly High. 1-Year follow-up:     27% of students who had     ridden an ATV ...
Crashes Students from isolated rural  communities were more likely to  have ridden an ATV, but the  likelihood of a crash...
Conclusions A very high percentage of  youths in Iowa are exposed to  ATVs. They engage in unsafe  behaviors and most ha...
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ATV Safety Summit: Consumer Awareness ATV Dealers/Teens - Adolescent ATV Exposure and Riding Behaviors

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Dr. Charles Jennissen, of the University of Iowa Department of Emergency Medicine presented this at CPSC's ATV Safety Summit Oct. 11, 2012. The study objective was to determine adolescent exposure to ATVs and their riding behaviors. Methods: A survey was administered to ~3,100 students, mostly 11-15 years of age, as part of an in-classroom ATV safety program. Results: Participants were distributed between urban (38%), rural (24%), and isolated rural (38%) communities. 85% reported riding an ATV at least a few times a year and 31% reported riding at least once a week. For those exposed, 92% had ridden with more than one person, 81% had been on a public road, and over 60% reported never or almost never wearing a helmet. 54% engaged in all three unsafe behaviors; 2% engaged in none. 59% had been in at least one ATV crash. Students from isolated rural communities were more likely to have ridden an ATV in the last year relative to their peers, but the likelihood of a crash was not different by rurality. Increased crash likelihood was seen for males and for youth engaged in multiple risky behaviors. Conclusions: A high percentage of youths in Iowa have been exposed to ATVs, engage in unsafe behaviors, and have experienced a crash. Significant efforts are needed to reduce ATV-related deaths and injuries in this high-risk pediatric population.

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ATV Safety Summit: Consumer Awareness ATV Dealers/Teens - Adolescent ATV Exposure and Riding Behaviors

  1. 1. AdolescentAll-Terrain Vehicle Exposure andRiding Behaviors Charles Jennissen, MD Kristel Wetjen, RN Gerene Denning, PhD Pamela Hoogerwerf Karisa Harland, PhD Jeffrey Peck
  2. 2. Background 833 ATV-related deaths in the U.S. in 2006. Since 1982, children < 16 yrs have comprised just over a quarter of ATV crash fatalities. Roughly 1/3 ATV-related injuries are children <16 years of age Well-over ½ are under 24 years of age US Consumer Product Safety Commission: 2010 Annual Report of ATV Deaths and Injuries. Data from the National Electronic Injury Surveillance System (NEISS)
  3. 3. Background In fact, more children die from ATV-related events than from bicycle crashes. Helmkamp JC, Aitken ME, Lawrence BA. ATV and bicycle deaths and associated costs in the United States, 2000-2005. Public Health Rep. 2009;124(3):409-418.
  4. 4. Objective of Study To determine ATV exposure, safety practices, and crash rates amongstudents taking part in a school-based ATV safety program
  5. 5. American Academy of Pediatrics recommendsno children under 16 drive an ATV.
  6. 6. University of Iowa Data 2002-2009 Number of Crash Victims by Age 18 16 14 12 10 8 6 m N V o b u e c s r t f i 4 2 0 0 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 56 61 66 72 81 Age (years)
  7. 7. ATV Press Clippings in Nine Great Plains States 2009 Number of Victims by Specific Age 18 16 14 3 per. Mov. Avg. (Number of Victims) 12 10 8 m V c s t i 6 4 2 0 1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57 59 61 63 65 Age
  8. 8. Methods• Target age range of 12-15 years of age• School based Curriculum
  9. 9. Methods• A classroom response system was utilized to obtain: – Demographic information – Determine ATV exposure and safety behaviors
  10. 10. Results 18 schools in Eastern and Central Iowa participated (3,185 students). Males and females were equally represented. 10% 74% were in our original target 17% age range of 12-15 years old.21% 53% 53%
  11. 11. Results Rurality was based on zip codes and the Rural Urban Commuting Codes (RUCA) 39% 38% Both Rural And Urban 24% Youth Were Represented In The Study.
  12. 12. Results 15% Exposure for all groups NO rural and urban was over 85% YES 80%. Around 4 out of 10 reported riding frequently 39% Daily/ 61% (daily/weekly). Monthly/ Weekly Yearly
  13. 13. Results ATV exposure was very similar 59% 62% 63% for rural and urban youth 41% 38% 37% ATV use by youth is not just a rural public health issue.
  14. 14. ResultsHave you ever ridden ordriven an ATV with morethan one person on it? 9% NO 91% YES
  15. 15. Passengers Carrying passengers greatly increases the risk of a crash. Multiple riders contributes to: • Multiple deaths in fatal ATV crashes. • Multiple injured in non-fatal ATV crashes. Young ATV users and their parents may not know the danger of multiple riders and Iowa’s no passenger law.
  16. 16. ResultsHave you ever ridden or drivenan ATV on a public road? 19% NO 81% YES
  17. 17. Riding on Public Roads 62% of all U.S. ATV-related deaths from 1985-2009. Approximately 1 out of 3 serious injuries in Iowa. ATVs are not designed for road use. Young ATV users and their parents may not know the danger of riding on the road and Iowa’s road use laws.
  18. 18. ResultsHow often do you wear ahelmet when riding an ATV? 18% 62% 9% 12%
  19. 19. Helmet Use Too many youth are not wearing helmets. Many states do not have ATV helmet laws. Effective helmet laws require: • User knowledge of the law • Consistent enforcement • Removing economic barriers Young ATV users and their parents may not understand the risk of brain injury and the benefits of helmets.
  20. 20. Youth Are Engaging in MultipleUnsafe Behaviors. 2% Riding on an ATV with 10% passengers. Riding on public roads. 34% 54% Never or almost never wearing a helmet.
  21. 21. CrashesHave you ever been in an ATVcrash (rolled over, hit something,fallen off)? 41% NO 59% YES
  22. 22. Crashes Crashes Among These Youth Are Alarmingly High. 1-Year follow-up: 27% of students who had ridden an ATV the preceding year reported having had a crash. High exposure, multiple unsafe behaviors, and lack of understanding likely contribute to high risk of crashes.
  23. 23. Crashes Students from isolated rural communities were more likely to have ridden an ATV, but the likelihood of a crash was not different by rurality. Increased crash likelihood was seen for males and for youth engaged in multiple risky behaviors.
  24. 24. Conclusions A very high percentage of youths in Iowa are exposed to ATVs. They engage in unsafe behaviors and most have experienced a crash. Significant efforts are needed to reduce ATV-related deaths and injuries in this high-risk pediatric population.
  25. 25. Questions?

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