National Farm Medicine Center, Marshfield Clinic Research Institute, Marshfield Clinic Health System, Marshfield, WI, United States.
Department of Agricultural and Biological Engineering, Penn State University, University Park, PA, United States.
JMIR Public Health Surveill. 2020 May 29;6(2):e15477. doi: 10.2196/15477.
Injuries related to the operation of off-road vehicles (ORVs), including all-terrain vehicles (ATVs), continue to be a significant public health concern, especially in rural and agricultural environments. In the United States alone, ATVs have played a role in thousands of fatalities and millions of injuries in the recent decades. However, no known centralized federal surveillance system consistently captures these data. Traditional injury data sources include surveys, police reports, trauma registries, emergency department data, newspaper and online media reports, and state and federal agency databases.
The objectives of this study paper were to (1) identify published articles on ORV-related injuries and deaths that used large databases and determine the types of datasets that were used, (2) examine and describe several national US-based surveillance systems that capture ORV-related injuries and fatalities, and (3) promote and provide support for the establishment of a federally-funded agricultural injury surveillance system.
In this study, we examined several national United States-based injury datasets, including the web-based AgInjuryNews, the Fatality Analysis Reporting System, databases compiled by the US Consumer Product Safety Commission, and the National Fatality Review Case Reporting System.
Our review found that these data sources cannot provide a complete picture of the incidents or the circumstantial details needed to effectively inform ORV injury prevention efforts. This is particularly true with regard to ORV-related injuries in agricultural production.
We encourage the establishment of a federally funded national agricultural injury surveillance system. However, in lieu of this, use of multiple data sources will be necessary to provide a more complete picture of ORV- and other agriculture-related injuries and fatalities.
与越野车（ORV）操作相关的伤害，包括全地形车（ATV），仍然是一个重大的公共卫生问题，特别是在农村和农业环境中。仅在美国，几十年来 ATV 已导致数千人死亡和数百万人受伤。然而，没有已知的联邦集中监测系统能够持续捕获这些数据。传统的伤害数据来源包括调查、警方报告、创伤登记处、急诊部数据、报纸和在线媒体报道，以及州和联邦机构数据库。
本研究论文的目的是：（1）确定使用大型数据库的与 ORV 相关伤害和死亡的已发表文章，并确定使用的数据集类型；（2）检查和描述几个美国国家基于监测系统，以捕获与 ORV 相关的伤害和死亡事件；（3）促进和支持建立一个联邦资助的农业伤害监测系统。
在这项研究中，我们检查了几个美国国家基于的伤害数据集，包括基于网络的 AgInjuryNews、死亡分析报告系统、美国消费者产品安全委员会编制的数据库以及国家伤害审查案例报告系统。
我们的审查发现，这些数据源无法提供事件的全貌或有效告知 ORV 伤害预防工作所需的环境细节。对于农业生产中与 ORV 相关的伤害尤其如此。
我们鼓励建立一个联邦资助的全国农业伤害监测系统。但是，在没有该系统的情况下，需要使用多个数据源来更全面地了解 ORV 和其他农业相关的伤害和死亡事件。
