All-terrain vehicle safety knowledge, riding behaviors and crash experience of Farm Progress Show attendees.
Although all-terrain vehicles (ATVs) are very popular in rural areas for both recreation and work purposes, the epidemiology of agricultural ATV use remains largely unknown.



Farm Progress Show attendees in 2012 (Boone, Iowa) and 2013 (Decatur, Illinois) were surveyed about ATVs, including riding behaviors, crash history, and safety knowledge. Descriptive and comparative analyses were performed (N=635 surveys).



Over half of those surveyed lived on a farm and more than 90% had ridden on an ATV. Sixty-one percent rode at least once a week and 39% reported riding almost daily. Males and respondents who lived on farms were significantly more likely to be ATV riders. Regarding unsafe behaviors, >80% of ATV users had ridden with a passenger, 66% had ridden on a public road, and nearly one-half never or almost never wore a helmet. Nearly 40% reported having been in a crash. Multivariable logistic regression analysis of adult respondent's data showed males and younger adults were both more likely to report having crashed. In addition, those reporting riding on public roads (but not having ridden with passengers) were nearly five times more likely and respondents who reported both riding on public roads and having ridden with passengers were approximately eight times more likely to have been in a crash as compared to those not reporting these unsafe behaviors. Safety knowledge did not necessarily correspond with safer behaviors; 80% who knew there should be no passengers on an ATV still had ridden with extra riders.



ATV use is prevalent in rural populations and most riders report engaging in unsafe riding behaviors.



These findings may be used to inform ATV safety education and training programs targeted toward agricultural communities, with the goal of reducing occupational ATV-related deaths and injuries and their substantial economic costs.
Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, United States. Electronic address: charles-jennissen@uiowa.edu.
Charles A
CA
Jennissen
Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, United States.
Karisa K
KK
Harland
Department of Surgery, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa; University of Iowa Stead Family Children's Hospital, University of Iowa, Iowa City, Iowa, United States.
Kristel
K
Wetjen
University of Iowa Stead Family Children's Hospital, University of Iowa, Iowa City, Iowa, United States.
Pamela
P
Hoogerwerf
University of Iowa Stead Family Children's Hospital, University of Iowa, Iowa City, Iowa, United States.
Lauren
L
O'Donnell
Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, Iowa, United States.
Gerene M
GM
Denning
D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000383:Agriculture; D002648:Child; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007087:Illinois; D007484:Iowa; D008297:Male; D008875:Middle Aged; D015541:Off-Road Motor Vehicles; D012424:Rural Population; D012449:Safety; D055815:Young Adult
Agriculture; All-terrain vehicles; Injury prevention; Occupational safety; Safety training