Department of Occupational Health Sciences, The University of Texas Health Science Center at Tyler, 11937 U.S. Highway 271, Tyler, TX 75708-3154, USA.
J Agromedicine. 2012 Jan;17(1):51-62. doi: 10.1080/1059924X.2012.632206.
The state of Texas was ranked 10th for all-terrain vehicle-related deaths among all states from 2007-2009. Health Service Region 4/5N of eastern Texas has a statistically significant higher rate of all-terrain vehicle-related injuries in children under the age of 18 than Texas as a whole (p < 0.001.) It is unknown why east Texas has a higher all-terrain vehicle-related injury rate. A retrospective analysis of the registry of the Texas Trauma Service Area G, which serves the east Texas area, from the years 2004-2010 was performed. Variations within the region were assessed using a geographic information system and the analysis demonstrated that the highest rates of all-terrain vehicle-related injuries in east Texas are found in two neighboring rural eastern counties. Recording mechanism of injury was an important adjunct to identifying all-terrain vehicle-related injuries. Using E-codes alone underestimated the actual injuries. Other findings demonstrated that children under age 16 had a high rate of injury, one third of those injured sustained a head injury, and helmet use was very low. This analysis can be used by the Texas Department of State Health Services in conjunction with key regional partners to direct further investigation in these areas into the role of the rural environment, other factors associated with the high injury rates, and to plan and conduct preventive intervention at the community level.
得克萨斯州在 2007 年至 2009 年期间所有与全地形车相关的死亡事件中排名第 10 位。德克萨斯州东部的第 4/5N 卫生服务区儿童全地形车相关伤害的发生率明显高于全州（p<0.001）。目前尚不清楚为什么东得克萨斯州的全地形车相关伤害率较高。对服务于东得克萨斯州的得克萨斯创伤服务区 G 登记处的 2004 年至 2010 年的数据进行了回顾性分析。使用地理信息系统评估了该区域内的差异，分析表明，东得克萨斯州全地形车相关伤害发生率最高的是两个相邻的农村东部县。损伤记录机制是确定全地形车相关损伤的重要辅助手段。仅使用 E 码会低估实际损伤。其他发现表明，16 岁以下的儿童受伤率很高，三分之一的受伤者头部受伤，头盔使用率非常低。该分析可由德克萨斯州州立卫生服务部与主要区域合作伙伴一起使用，以指导在这些地区进一步调查农村环境、与高伤害率相关的其他因素，并在社区层面规划和开展预防干预措施。
