@article{ref1,
title="All-terrain vehicles on the road: a serious traffic safety concern",
journal="Injury prevention",
year="2012",
author="Jennissen, C. and Buresh, C. and Harland, K. and Ellis, D. and Denning, G.",
volume="18",
number="Suppl 1",
pages="A192-A192",
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<0.0001 for each). As compared to off-road crash victims, on-road victims were approximately ten times more likely to be involved in a vehicle-vehicle collision (p<0.001), three times more likely to have a severe brain injury with a GCS≤8 (p<0.001), and twice as likely to have suffered a major trauma with an ISS>15 (p<0.001). Adult operators in on-road crashes were also twice as likely to test positive for alcohol as those off-road (p<0.05). Helmet use significantly reduced the odds of sustaining a brain injury, and on-road victims were only half as likely to be protected by helmets (p<0.01).  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.   This is an abstract of a presentation at Safety 2012, the 11th World Conference on Injury Prevention and Safety Promotion, 1-4 October 2012, Michael Fowler Center, Wellington, New Zealand. Full text does not seem to be available for this abstract. <p />",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2012-040590s.10",
url="http://dx.doi.org/10.1136/injuryprev-2012-040590s.10"
}