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Gerene M Denning - One of the best experts on this subject based on the ideXlab platform.

  • engaging agribusinesses feasibility and cost of an atv safety poster project
    Journal of Agromedicine, 2017
    Co-Authors: Charles A Jennissen, Shane Sweat, Kristel Wetjen, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    ABSTRACTObjectives: All-Terrain Vehicle (ATV)-related deaths and injuries continue to be a significant problem. Influential change agents such as agribusinesses could be important partners for improving safety behaviors among rural ATV users. Our objective was to determine how effectively an injury prevention project could engage agribusinesses through the postal service and to assess their willingness to display a safety poster. Methods: One thousand two hundred forty-four agribusinesses received an ATV safety poster and a postcard survey by mail. A randomized sampling of these businesses was surveyed by telephone 4–7 weeks later. Telephone survey questions included whether they recalled receiving the poster, and if so, whether, where and how long the poster was displayed. Results: One hundred six postcards were returned. Of the 192 eligible business persons contacted by telephone, 89% agreed to participate. Approximately one-third of telephone survey participants recalled receiving the poster. Among the...

  • all terrain Vehicle fatalities on paved roads unpaved roads and off road evidence for informed roadway safety warnings and legislation
    Traffic Injury Prevention, 2016
    Co-Authors: Gerene M Denning, Charles A Jennissen
    Abstract:

    ABSTRACTObjective: All-Terrain Vehicles (ATVs) are designed for off-highway use only, and many of their features create increased risk with roadway travel. Over half of all ATV-related fatalities occur on roadways, and nonfatal roadway crashes result in more serious injuries than those off the road. A number of jurisdictions have passed or have considered legislation allowing ATVs on public roadways, sometimes limiting them to those unpaved, arguing that they are safe for ATVs. However, no studies have determined the epidemiology of ATV-related fatalities on different road surface types. The objective of the study was to compare ATV-related deaths on paved versus unpaved roads and to contrast them with off-road fatalities. Methods: Retrospective descriptive and multivariable analyses were performed using U.S. Consumer Product Safety Commission fatality data from 1982 through 2012. Results: After 1998, ATV-related deaths increased at twice the rate on paved versus unpaved roads. Still, 42% of all roadway d...

  • the safety tips for atv riders stars programme short term impact of a school based educational intervention
    Injury Prevention, 2015
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    Background Since 1985, one-third of all US All-Terrain Vehicle (ATV)-related injuries and one-quarter of deaths involved victims Objectives To assess the efficacy of the S afety T ips for A TV R ider s (STARs) school-based programme targeting adolescents. Methods A survey was anonymously administered before and after the programme to determine demographics, knowledge and reported likelihood of using the information learned. Results Over 4600 students in 30 Iowa schools participated from November 2010 to April 2013. Initially, 52% knew most ATVs are designed for one rider, 25% knew the recommended Vehicle size for their age range and 42% knew riding on Iowa9s roads was legal only for agricultural purposes. After the programme, this increased to 92%, 82% and 76%, respectively (p Conclusions STARs increased short-term ATV safety knowledge and almost half the participants reported they would use the safety information presented. Males and frequent riders seemed more resistant, but some groups that may be more vulnerable to potential ATV crash and injury appeared amenable to the training with higher increases in postprogramme scores and greater intention of improving safety behaviours.

  • age based risk factors for pediatric atv related fatalities
    Pediatrics, 2014
    Co-Authors: Gerene M Denning, Karisa K Harland, Charles A Jennissen
    Abstract:

    OBJECTIVES: To compare and contrast characteristics and determinants of fatal All-Terrain Vehicle (ATV) crashes among pediatric age groups. METHODS: Retrospective descriptive and multivariable analyses of Consumer Product Safety Commission fatality data (1985-2009) were performed. RESULTS: Relative to 1985-1989 (baseline), pediatric deaths over the subsequent 4-year periods were lower until 2001-2004, when they markedly increased. Also, the proportion of Vehicles involved in fatalities with engine sizes >350 cubic centimeter increased, reaching ∼50% of crashes in 2007-2009. Ninety-five percent of all pediatric fatalities were on adult-size Vehicles. Victims 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. Language: en

  • a school based study of adolescent all terrain Vehicle exposure safety behaviors and crash experience
    Annals of Family Medicine, 2014
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    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. Language: en

Charles A Jennissen - One of the best experts on this subject based on the ideXlab platform.

  • engaging agribusinesses feasibility and cost of an atv safety poster project
    Journal of Agromedicine, 2017
    Co-Authors: Charles A Jennissen, Shane Sweat, Kristel Wetjen, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    ABSTRACTObjectives: All-Terrain Vehicle (ATV)-related deaths and injuries continue to be a significant problem. Influential change agents such as agribusinesses could be important partners for improving safety behaviors among rural ATV users. Our objective was to determine how effectively an injury prevention project could engage agribusinesses through the postal service and to assess their willingness to display a safety poster. Methods: One thousand two hundred forty-four agribusinesses received an ATV safety poster and a postcard survey by mail. A randomized sampling of these businesses was surveyed by telephone 4–7 weeks later. Telephone survey questions included whether they recalled receiving the poster, and if so, whether, where and how long the poster was displayed. Results: One hundred six postcards were returned. Of the 192 eligible business persons contacted by telephone, 89% agreed to participate. Approximately one-third of telephone survey participants recalled receiving the poster. Among the...

  • all terrain Vehicle fatalities on paved roads unpaved roads and off road evidence for informed roadway safety warnings and legislation
    Traffic Injury Prevention, 2016
    Co-Authors: Gerene M Denning, Charles A Jennissen
    Abstract:

    ABSTRACTObjective: All-Terrain Vehicles (ATVs) are designed for off-highway use only, and many of their features create increased risk with roadway travel. Over half of all ATV-related fatalities occur on roadways, and nonfatal roadway crashes result in more serious injuries than those off the road. A number of jurisdictions have passed or have considered legislation allowing ATVs on public roadways, sometimes limiting them to those unpaved, arguing that they are safe for ATVs. However, no studies have determined the epidemiology of ATV-related fatalities on different road surface types. The objective of the study was to compare ATV-related deaths on paved versus unpaved roads and to contrast them with off-road fatalities. Methods: Retrospective descriptive and multivariable analyses were performed using U.S. Consumer Product Safety Commission fatality data from 1982 through 2012. Results: After 1998, ATV-related deaths increased at twice the rate on paved versus unpaved roads. Still, 42% of all roadway d...

  • the safety tips for atv riders stars programme short term impact of a school based educational intervention
    Injury Prevention, 2015
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    Background Since 1985, one-third of all US All-Terrain Vehicle (ATV)-related injuries and one-quarter of deaths involved victims Objectives To assess the efficacy of the S afety T ips for A TV R ider s (STARs) school-based programme targeting adolescents. Methods A survey was anonymously administered before and after the programme to determine demographics, knowledge and reported likelihood of using the information learned. Results Over 4600 students in 30 Iowa schools participated from November 2010 to April 2013. Initially, 52% knew most ATVs are designed for one rider, 25% knew the recommended Vehicle size for their age range and 42% knew riding on Iowa9s roads was legal only for agricultural purposes. After the programme, this increased to 92%, 82% and 76%, respectively (p Conclusions STARs increased short-term ATV safety knowledge and almost half the participants reported they would use the safety information presented. Males and frequent riders seemed more resistant, but some groups that may be more vulnerable to potential ATV crash and injury appeared amenable to the training with higher increases in postprogramme scores and greater intention of improving safety behaviours.

  • age based risk factors for pediatric atv related fatalities
    Pediatrics, 2014
    Co-Authors: Gerene M Denning, Karisa K Harland, Charles A Jennissen
    Abstract:

    OBJECTIVES: To compare and contrast characteristics and determinants of fatal All-Terrain Vehicle (ATV) crashes among pediatric age groups. METHODS: Retrospective descriptive and multivariable analyses of Consumer Product Safety Commission fatality data (1985-2009) were performed. RESULTS: Relative to 1985-1989 (baseline), pediatric deaths over the subsequent 4-year periods were lower until 2001-2004, when they markedly increased. Also, the proportion of Vehicles involved in fatalities with engine sizes >350 cubic centimeter increased, reaching ∼50% of crashes in 2007-2009. Ninety-five percent of all pediatric fatalities were on adult-size Vehicles. Victims 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. Language: en

  • a school based study of adolescent all terrain Vehicle exposure safety behaviors and crash experience
    Annals of Family Medicine, 2014
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    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. Language: en

Karisa K Harland - One of the best experts on this subject based on the ideXlab platform.

  • the safety tips for atv riders stars programme short term impact of a school based educational intervention
    Injury Prevention, 2015
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    Background Since 1985, one-third of all US All-Terrain Vehicle (ATV)-related injuries and one-quarter of deaths involved victims Objectives To assess the efficacy of the S afety T ips for A TV R ider s (STARs) school-based programme targeting adolescents. Methods A survey was anonymously administered before and after the programme to determine demographics, knowledge and reported likelihood of using the information learned. Results Over 4600 students in 30 Iowa schools participated from November 2010 to April 2013. Initially, 52% knew most ATVs are designed for one rider, 25% knew the recommended Vehicle size for their age range and 42% knew riding on Iowa9s roads was legal only for agricultural purposes. After the programme, this increased to 92%, 82% and 76%, respectively (p Conclusions STARs increased short-term ATV safety knowledge and almost half the participants reported they would use the safety information presented. Males and frequent riders seemed more resistant, but some groups that may be more vulnerable to potential ATV crash and injury appeared amenable to the training with higher increases in postprogramme scores and greater intention of improving safety behaviours.

  • age based risk factors for pediatric atv related fatalities
    Pediatrics, 2014
    Co-Authors: Gerene M Denning, Karisa K Harland, Charles A Jennissen
    Abstract:

    OBJECTIVES: To compare and contrast characteristics and determinants of fatal All-Terrain Vehicle (ATV) crashes among pediatric age groups. METHODS: Retrospective descriptive and multivariable analyses of Consumer Product Safety Commission fatality data (1985-2009) were performed. RESULTS: Relative to 1985-1989 (baseline), pediatric deaths over the subsequent 4-year periods were lower until 2001-2004, when they markedly increased. Also, the proportion of Vehicles involved in fatalities with engine sizes >350 cubic centimeter increased, reaching ∼50% of crashes in 2007-2009. Ninety-five percent of all pediatric fatalities were on adult-size Vehicles. Victims 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. Language: en

  • a school based study of adolescent all terrain Vehicle exposure safety behaviors and crash experience
    Annals of Family Medicine, 2014
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    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. Language: en

  • all terrain Vehicles atvs on the road a serious traffic safety and public health concern
    Traffic Injury Prevention, 2013
    Co-Authors: Gerene M Denning, Charles A Jennissen, Karisa K Harland, D Ellis, Christopher T Buresh
    Abstract:

    Objectives: On-road All-Terrain Vehicle (ATV) crashes are frequent occurrences that disproportionately impact rural communities. These crashes occur despite most states having laws restricting on-road ATV use. A number of overall risk factors for ATV-related injuries have been identified (e.g., lack of helmet, carrying passengers). However, few studies have determined the relative contribution of these and other factors to on-road crashes and injuries. The objective of our study was to determine whether there were differences between on- and off-road ATV crashes in their demographics and/or mechanisms and outcomes of injuries. Methods: Data were derived from our statewide ATV injury surveillance database (2002–2009). Crash location and crash and injury mechanisms were coded using a modification of the Department of Transportation (DOT) coding system. Descriptive analyses and statistical comparisons (chi-square test) of variables were performed. Multivariate logistic regression analysis was used to determi...

  • all terrain Vehicles on the road a serious traffic safety concern
    Injury Prevention, 2012
    Co-Authors: Charles A Jennissen, Karisa K Harland, Christopher T Buresh, D Ellis, Gerene M Denning
    Abstract:

    Background On-road All-Terrain Vehicle (ATV) crashes are frequent despite most US states having laws restricting road use. Aims/Objectives/Purpose To determine the demographics, and the mechanisms and outcomes of injuries of on-road versus off-road ATV crashes. Methods Data from our Iowa ATV injury surveillance database (2002–2009) was derived and statistically analysed. Results/Outcomes 976 records were studied, with 38% of injured individuals from on-road crashes. Demographics were similar at each location. Females and youths under 16 were over four times more likely to be passengers (p 15 (p Significance/Contribution to the Field On-road crashes were significantly more likely to involve collision with another Vehicle, suggesting on-road ATVs represent a traffic safety concern. Even controlling for helmet use, on-road crash victims suffered more severe injuries than those off-road. Our data reinforces the importance of laws restricting ATV road use and their enforcement, and the need to increase ATV user education about the dangers of on-road riding.

Kristel Wetjen - One of the best experts on this subject based on the ideXlab platform.

  • engaging agribusinesses feasibility and cost of an atv safety poster project
    Journal of Agromedicine, 2017
    Co-Authors: Charles A Jennissen, Shane Sweat, Kristel Wetjen, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    ABSTRACTObjectives: All-Terrain Vehicle (ATV)-related deaths and injuries continue to be a significant problem. Influential change agents such as agribusinesses could be important partners for improving safety behaviors among rural ATV users. Our objective was to determine how effectively an injury prevention project could engage agribusinesses through the postal service and to assess their willingness to display a safety poster. Methods: One thousand two hundred forty-four agribusinesses received an ATV safety poster and a postcard survey by mail. A randomized sampling of these businesses was surveyed by telephone 4–7 weeks later. Telephone survey questions included whether they recalled receiving the poster, and if so, whether, where and how long the poster was displayed. Results: One hundred six postcards were returned. Of the 192 eligible business persons contacted by telephone, 89% agreed to participate. Approximately one-third of telephone survey participants recalled receiving the poster. Among the...

  • the safety tips for atv riders stars programme short term impact of a school based educational intervention
    Injury Prevention, 2015
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    Background Since 1985, one-third of all US All-Terrain Vehicle (ATV)-related injuries and one-quarter of deaths involved victims Objectives To assess the efficacy of the S afety T ips for A TV R ider s (STARs) school-based programme targeting adolescents. Methods A survey was anonymously administered before and after the programme to determine demographics, knowledge and reported likelihood of using the information learned. Results Over 4600 students in 30 Iowa schools participated from November 2010 to April 2013. Initially, 52% knew most ATVs are designed for one rider, 25% knew the recommended Vehicle size for their age range and 42% knew riding on Iowa9s roads was legal only for agricultural purposes. After the programme, this increased to 92%, 82% and 76%, respectively (p Conclusions STARs increased short-term ATV safety knowledge and almost half the participants reported they would use the safety information presented. Males and frequent riders seemed more resistant, but some groups that may be more vulnerable to potential ATV crash and injury appeared amenable to the training with higher increases in postprogramme scores and greater intention of improving safety behaviours.

  • a school based study of adolescent all terrain Vehicle exposure safety behaviors and crash experience
    Annals of Family Medicine, 2014
    Co-Authors: Charles A Jennissen, Karisa K Harland, Kristel Wetjen, Jeffrey Peck, Pam Hoogerwerf, Gerene M Denning
    Abstract:

    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. Language: en

Mary E Aitken - One of the best experts on this subject based on the ideXlab platform.

  • video intervention changes parent perception of all terrain Vehicle atv safety for children
    Injury Prevention, 2016
    Co-Authors: Taylor House, Samantha H Mullins, Andrea J Sutton, Shasha Bai, David C. Schwebel, Christopher J Swearingen, Mary E Aitken
    Abstract:

    Background Children aged Objective To determine if a brief intervention consisting of validated computer simulations of ATV performance with a child driver changes attitudes, beliefs and planned safety behaviours of parents of children who ride ATVs. Design/methods Participants were parents of children presenting to a children9s hospital emergency department. All participants had children who had ridden an ATV in the past year. Subjects viewed a video simulation of ATVs in scenarios featuring 6-year-old and 10-year-old biofidelic anthropomorphic test devices. Parents completed a survey both before and after viewing the video to report attitudes/beliefs on ATV safety for children, use of safety equipment and family ATV use, as well as risk and safety perception. Results Surveys were collected from 99 parents, mostly mothers (79%), Caucasian (61%) and had high school education or less (64%). The intervention shifted parents’ belief in overall ATV safety (48% unsafe pre-intervention, 73% unsafe post-intervention, p Conclusion Video simulations of ATV performance with child riders changed short-term risk perception and planned safety behaviours of parents whose children ride ATVs. Similar educational interventions hold promise for larger-scale studies in at-risk populations.

  • state specific atv related fatality rates an update in the new millennium
    Public Health Reports, 2012
    Co-Authors: James C Helmkamp, Mary E Aitken, James Graham, Corey R Campbell
    Abstract:

    OBJECTIVES: We compared state-specific All-Terrain Vehicle (ATV) fatality rates from 2000-2007 with 1990-1999 data, grouping states according to helmet, training, and licensure requirements. METHODS: We used the CDC WONDER online database to identify ATV cases from 2000-2007 and calculate rates per 100,000 population by state, gender, and age. RESULTS: ATV deaths (n=7,231) occurred at a rate of 0.32 per 100,000 population. Males accounted for 86% of ATV-related deaths at a rate that was six times that for females (0.55 vs. 0.09 per 100,000 population, respectively); 60% of the male deaths occurred in the 15- to 44-year age group. With the exception of the two oldest age categories, rates were consistently higher in the no-helmet-law group. Both the number and rate of ATV-related deaths increased more than threefold between 1990-1999 and 2000-2007. West Virginia and Alaska continue to have the highest ATV fatality rates (1.63 and 2.67 ATV deaths per 100,000 population, respectively). CONCLUSIONS: Helmet-use requirements seem to slightly mitigate ATV-related death, but training requirements do not. For policy to be effective, it must be enforced. Language: en

  • a trial of an all terrain Vehicle safety education video in a community based hunter education program
    Journal of Rural Health, 2011
    Co-Authors: Robert S Williams, James C Helmkamp, James Graham, Rhonda Dick, Tonya Thompson, Mary E Aitken
    Abstract:

    Purpose: All-Terrain Vehicle (ATV) injury is an increasingly serious problem, particularly among rural youth. There have been repeated calls for ATV safety education, but little study regarding optimal methods or content for such education. The purpose of this study was to determine if an ATV safety video was effective in increasing ATV safety knowledge when used in a community-based statewide hunter education program. Methods: During the baseline phase, surveys focusing on ATV safety were distributed to students in the Arkansas hunter safety program in 2006. In the intervention phase a year later, an ATV safety video on DVD was provided for use in required hunter education courses across Arkansas. The same survey was administered to hunter education students before and after the course. Findings: In the baseline phase, 1,641 precourse and 1,374 postcourse surveys were returned and analyzed. In the intervention phase, 708 precourse and 694 postcourse surveys were completed. Student knowledge of ATV safety after watching the video was higher than in preintervention classes. Knowledge of appropriate helmet usage increased from 95% to 98.8% (P Language: en

  • atv and bicycle deaths and associated costs in the united states 2000 2005
    Public Health Reports, 2009
    Co-Authors: James C Helmkamp, Mary E Aitken, Bruce A Lawrence
    Abstract:

    OBJECTIVE: We determined the rate and costs of recent U.S. All-Terrain Vehicle (ATV) and bicycle deaths. METHODS: Fatalities were identified from the National Center for Health Statistics Multiple Cause-of-Death public-access file. ATV and bicycle deaths were defined by International Classification of Diseases, 10th Revision codes V86.0-V86.9 and V10-V19, respectively. Lifetime costs were estimated using standard methods such as those used by the National Highway Traffic Safety Administration. RESULTS: From 2000 through 2005, 5,204 people died from ATV crashes and 4,924 from bicycle mishaps. A mean of 694 adults and 174 children died annually from ATV injuries, while 666 adults and 155 children died from bicycle injuries. Death rates increased among adult ATV and bike riders and child ATV riders. Males had higher fatality rates for both ATVs and bicycles. Among children, total costs increased 15% for ATV deaths and decreased 23% for bicycle deaths. In adults, ATV costs increased 45% and bike costs increased 39%. CONCLUSIONS: Bicycle- and ATV-related deaths and associated costs are high and, for the most part, increasing. Promotion of proven prevention strategies, including helmet use, is indicated. However, enforcement of helmet laws is problematic, which may contribute to observed trends. Language: en