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American Journal of Epidemiology Vol. 153, No. 11 : 1112-1118
Copyright © 2001 by The Johns Hopkins University School of Hygiene and Public Health

ORIGINAL CONTRIBUTIONS

Risk Factors for All-Terrain Vehicle Injuries: A National Case-Control Study

Gregory B. Rodgers1 and Prowpit Adler2

1 Directorate for Economic Analysis, US Consumer Product Safety Commission, Washington, DC.
2 Directorate for Epidemiology, US Consumer Product Safety Commission, Washington, DC.

A case-control study design was used to determine and quantify all-terrain vehicle (ATV) risk factors. The analysis was based on the results of two national probability surveys conducted in 1997: a survey of injured ATV drivers treated in hospital emergency departments and a survey of the general population of ATV users. Cases were drawn from the injury survey; controls (ATV drivers who had not been injured) were drawn from the user survey. Risk factors were quantified by means of a binary logistic regression analysis. After adjustment for covariates, injury risks were systematically related to a number of driver characteristics (age, gender, driving experience), driver use patterns (monthly driving times, recreational vs. nonrecreational use), and vehicle characteristics (number of wheels, engine size). The results of the analysis suggest that future safety efforts should focus on reducing child injuries, getting new drivers to participate in hands-on training programs, and encouraging consumers to dispose of the three-wheel ATVs still in use.

accidents; case-control studies; logistic models; off-road motor vehicles; risk factors; wounds and injuries

Abbreviations: ATV, all-terrain vehicle; CI, confidence interval; OR, odds ratio


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