University of Illinois College of Medicine at Peoria, One Illini Drive, Peoria, IL 61605, USA.
J Rural Health. 2010 Winter;26(1):67-72. doi: 10.1111/j.1748-0361.2009.00267.x.
All-terrain vehicles' (ATVs) popularity and associated injuries among children are increasing in the United States. Currently, most known ATV use pattern data are obtained from injured youth and little documented data exist characterizing the typical ATV use patterns and safety practices among American children in general.
To describe the typical ATV safety and use patterns of rural youth.
A cross-sectional anonymous mail survey was conducted of youth participants (ages 8-18) in the 4-H Club of America in four Central Illinois counties. Questions examined ATV use patterns, safety knowledge, safety equipment usage, crashes, and injuries.
Of 1,850 mailed surveys, 634 were returned (34% response rate) with 280 surveys (44% of respondents) eligible for analysis. Respondents were principally adolescent males from farms or rural locations. Most drove < or =1 day per week (60.2%) and used ATVs for recreation (36%) or work (22.6%) on farms and/or private property (53.4%). Most never used safety gear, including helmets (61.4%), and few (14.6%) had received safety education. Of the 67% who experienced an ATV crash, almost half (44%) were injured. Children with safety training had fewer crashes (P= .01), and those riding after dark (P= .13) or without adult supervision (P= .042) were more likely injured.
ATV use is common in a rural 4-H population. Most child ATV users were adolescent boys, had little safety training and did not use safety equipment or helmets. ATV injury prevention efforts should focus on these areas.
在美国，全地形车（ATV）的普及及其导致的儿童受伤事故呈上升趋势。目前，大多数已知的 ATV 使用模式数据都是从受伤的青少年中获得的，而描述美国儿童一般 ATV 使用模式和安全行为的具体数据则很少。
描述农村青少年典型的 ATV 安全和使用模式。
对美国 4-H 俱乐部的伊利诺伊州中部四个县的青年参与者（年龄 8-18 岁）进行了一项跨部门匿名邮寄调查。问题调查了 ATV 使用模式、安全知识、安全设备使用、事故和伤害情况。
在寄出的 1850 份问卷中，有 634 份（34%的回复率）被退回，其中 280 份问卷（44%的受访者）符合分析条件。受访者主要是来自农场或农村地区的青少年男性。大多数人每周驾驶<或=1 天（60.2%），并在农场和/或私人土地上使用 ATV 进行娱乐（36%）或工作（22.6%）。大多数人从未使用过安全装备，包括头盔（61.4%），很少有人（14.6%）接受过安全教育。在经历过 ATV 事故的 67%的儿童中，几乎有一半（44%）受伤。接受过安全培训的儿童事故较少（P=.01），夜间（P=.13）或无人监督（P=.042）骑行的儿童更容易受伤。
在农村 4-H 人群中，ATV 的使用很普遍。大多数儿童 ATV 用户是青少年男孩，几乎没有安全培训，也不使用安全设备或头盔。ATV 伤害预防工作应重点关注这些领域。
