Children are more adversely affected by all-terrain vehicle (ATV) related injuries than adults, finds a study by a research team at Wake Forest Baptist Medical Care. The research team said that the major risk factors for young riders are entirely preventable.
"The injuries children sustain from ATV-related accidents are frequently more severe than injuries received from motor vehicle crashes," said Thomas Pranikoff, M.D., professor of pediatric surgical sciences at Wake Forest Baptist and lead author of the study published in the Journal of Emergency Medicine.
Pranikoff and colleagues reviewed data from 16 published studies conducted from 2000 to 2010 on the epidemiology and risk factors among ATV-related injuries in American children.
The factors that appear related to the relatively high rates of death and injury for children are more powerful machines, younger drivers and lack of safety equipment and risky driving behavior, Pranikoff said. The most common causes of ATV injuries among young riders are vehicle rollover, collision with a stationary object and ejection from the vehicle.
"Unfortunately, legislation and programs designed to reduce risks have largely been unsuccessful, so we need to try a different approach to reduce injuries," he said.
Peer-to-peer and brief interventions, especially with the use of motivational approaches, have shown promise in changing risky behaviors in other arenas but have not been studied with respect to ATVs.
"As ATV use continues to rise in the United States with bigger and faster machines becoming more prominent, research to define effective means of changing ATV-riding behaviors in children, whether implemented in the hospital, school of other settings, will be crucial in reducing pediatric injury and death," Pranikoff said.