All-terrain vehicle injury in children: strategies for prevention.
OBJECTIVE
A variety of educational efforts, policies, and regulations have been adopted to reduce all-terrain vehicle (ATV) injury in children. Despite this, ATV use by children continues and serious injuries are common. The purpose of this study was to investigate the knowledge, practices, and beliefs of ATV users to help develop effective educational strategies to promote safer ATV use.


METHODS
Focus groups were conducted to characterize participant ATV use and safety awareness as well as to explore avenues for prevention. Feedback on draft ATV safety public service announcements was elicited. Themes of transcribed focus group data were summarized.


METHODS
Rural state with high ATV use and injury rates.


METHODS
Adult and adolescent ATV users.


METHODS
None.


METHODS
Summaries of focus group discussions.


RESULTS
ATV riders frankly discussed current use and safety behaviors and were aware of some ATV risks. Youths felt that age specific regulation was unlikely to be a helpful strategy. Participants endorsed messages demonstrating graphic consequences as likely to get the attention of young riders regarding risks. Educational settings were suggested, including hunter and driver safety classes.


CONCLUSIONS
Efforts to improve ATV safety awareness should clearly show pediatric ATV injury risk and safety practices. Campaigns must also show realistic understanding of current use practices to be credible for users. Messages emphasizing the consequences of ATV use were endorsed as most likely to have impact. Approaches based on age based restrictions were considered unrealistic and alternative strategies were suggested.
Department of Pediatrics, University of Arkansas for Medical Sciences College of Medicine, Little Rock, USA. AitkenMaryE@uams.edu
M E
ME
Aitken
C J
CJ
Graham
J B
JB
Killingsworth
S H
SH
Mullins
D N
DN
Parnell
R M
RM
Dick
D000063:Accidents, Traffic / Q000517:prevention & control* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D001131:Arkansas; D001334:Automobile Driving / Q000331:legislation & jurisprudence / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D005260:Female; D017144:Focus Groups; D006266:Health Education / Q000379:methods; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015541:Off-Road Motor Vehicles / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012309:Risk-Taking