ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2013
More fatal all-terrain vehicle crashes occur on the roadway than off: increased risk-taking characterises roadway fatalities.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- Assessing the Emergent Public Health Concern of All-Terrain Vehicle Injuries in Rural and Agricultural Environments: Initial Review of Available National Datasets in the United States.JMIR public health and surveillance · 2020Pooled it
- Pelvis and lower extremity fractures related to 4-wheeled off-road vehicles: trends from the national electronic injury surveillance system database.OTA international : the open access journal of orthopaedic trauma · 2026Article
- An Analysis of ATV and UTV-Related Injuries Pre- and Post-Enactment of West Virginia Senate Bill 690.AJPM focus · 2025Article
- Rural adolescent attitudes and use of helmets while riding ATVs, motorcycles and dirt bikes.Injury epidemiology · 2024Article
- The association between county ordinances allowing off-road vehicles on public roads and crash rates.Injury epidemiology · 2024Article
- Recreational off-highway vehicle exposure, safety behaviors and crash experiences among adolescents.Injury epidemiology · 2022Article
- Pediatric injury due to wheeled recreational devices: a single-institution retrospective study.Injury epidemiology · 2022Article
- The dark side of nighttime all-terrain vehicle use.Injury epidemiology · 2021Article
- Recreational off-highway vehicle crashes resulting in victims being treated at a regional trauma center: mechanisms and contributing factors.Injury epidemiology · 2020Article
- Parental attitudes and family helmet use for all-terrain vehicles and bicycles.Injury epidemiology · 2020Article
- All-terrain vehicle serious injuries and death in children and youth: A national survey of Canadian paediatricians.Paediatrics & child health · 2019Article
- Using Geospatial Mapping to Determine the Impact of All-Terrain Vehicle Crashes on Both Rural and Urban Communities.The western journal of emergency medicine · 2017Article
- Characteristics of Side-by-Side Vehicle Crashes and Related Injuries as Determined Using Newspaper Reports from Nine U.S. States.Safety (Basel, Switzerland) · 2016Article
- A school-based study of adolescent all-terrain vehicle exposure, safety behaviors, and crash experience.Annals of family medicine · 2014Article
- What influences youth to operate all-terrain vehicles safely?Health education research · 2014Article
- All-terrain vehicle-related nonfatal injuries among young riders in the United States, 2001-2010.Pediatrics · 2013Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAll-terrain vehicles (ATVs) have steadily increased in popularity, size and speed, characteristics that likely contribute to the alarming rise in ATV-related fatalities. One potentially high-risk activity is riding on the road.
objectivesTo compare fatal ATV crashes that occur on the roadway and off, to more fully understand factors that contribute to fatalities at each location.
methodsFatality data from the US Consumer Product Safety Commission (CPSC) were used for descriptive and comparative analyses. Multivariate logistic regression analysis was performed to determine relative risk.
resultsOver 60% of all fatalities (1985-2009) resulted from roadway crashes. After 1998, roadway fatalities increased at over twice the rate of off-road fatalities. Roadway crashes were more likely than off-road crashes to involve multiple fatalities, carrying passengers, alcohol use, collisions and head injuries. Roadway victims were less likely to be helmeted than off-road victims. Passengers and operators with passengers were also less likely to be helmeted than operators riding alone. Helmeted victims were half as likely to suffer a head injury.
conclusionsFatal roadway crashes were more likely than off-road crashes to involve risk-taking behaviours (eg, carrying passengers) that could exacerbate the inherent difficulty of operating ATVs on roadway surfaces. Higher crash forces from greater speed, and lower use of protective equipment, may also have contributed to higher roadway mortality rates. Eliminating non-essential ATV road use may be an effective way to reduce ATV-related fatalities. This will likely require a substantial investment in rider education and better enforcement of ATV road use restriction laws.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.