@article{ref1,
title="State-specific ATV-related fatality rates: an update in the new millennium",
journal="Public health reports (1974)",
year="2012",
author="Helmkamp, James C. and Aitken, Mary E. and Graham, James and Campbell, Corey R.",
volume="127",
number="4",
pages="364-374",
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.<p /> <p>Language: en</p>",
language="en",
issn="0033-3549",
doi="",
url="http://dx.doi.org/"
}