State-specific ATV-related fatality rates: an update in the new millennium.
Helmkamp-JC; Aitken-ME; Graham-J; Campbell-CR
Public Health Rep 2012 Jul-Aug; 127(4):364-374
Objectives. We compared state-specific all-terrain vehicle (ATV) fatality rates from 2000-2007 with 1990-1999 data, grouping states according to helmet, training, and licensure requirements. Methods. We used the CDC WONDER online database to identify ATV cases from 2000-2007 and calculate rates per 100,000 population by state, gender, and age. Results. ATV deaths (n=7,231) occurred at a rate of 0.32 per 100,000 population. Males accounted for 86% of ATV-related deaths at a rate that was six times that for females (0.55 vs. 0.09 per 100,000 population, respectively); 60% of the male deaths occurred in the 15- to 44-year age group. With the exception of the two oldest age categories, rates were consistently higher in the no-helmet-law group. Both the number and rate of ATV-related deaths increased more than threefold between 1990-1999 and 2000-2007. West Virginia and Alaska continue to have the highest ATV fatality rates (1.63 and 2.67 ATV deaths per 100,000 population, respectively). Conclusions. Helmet-use requirements seem to slightly mitigate ATV-related death, but training requirements do not. For policy to be effective, it must be enforced.
Motor-vehicles; Mortality-data; Mortality-rates; Regulations; Surveillance-programs; Head-protective-equipment; Training; Drivers; Men; Women; Age-groups; Law-enforcement; Safety-education; Safety-helmets; Safety-practices
James C. Helmkamp, MS, PhD, National Institute for Occupational Safety and Health, Western States Office, Denver Federal Center, PO Box 25226, Denver, CO 80225-0226
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