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Rural adolescent attitudes and use of helmets while riding ATVs, motorcycles and dirt bikes.
Jennissen, Charles A; Karunatilaka, Sehansa R; Iverson, Brianna J; Spolsdoff, Devin E; Wetjen, Kristel M; Vergara, Brenda; Landers, Shannon R; Hoogerwerf, Pam J.
Afiliación
  • Jennissen CA; Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA. charles-jennissen@uiowa.edu.
  • Karunatilaka SR; Stead Family Department of Pediatrics, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA. charles-jennissen@uiowa.edu.
  • Iverson BJ; College of Liberal Arts and Sciences, University of Iowa, Iowa City, IA, USA.
  • Spolsdoff DE; Roy J. and Lucille A. Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
  • Wetjen KM; Department of Emergency Medicine, Roy J. and Lucille A. Carver College of Medicine, University of Iowa, 200 Hawkins Dr, Iowa City, IA, 52242, USA.
  • Vergara B; Division of Pediatric Surgery, Department of Surgery, University of Iowa Health Care, Iowa City, USA.
  • Landers SR; Injury Prevention and Community Outreach Program, University of Iowa Health Care Stead Family Children's Hospital, University of Iowa, Iowa City, IA, USA.
  • Hoogerwerf PJ; College of Osteopathic Medicine, Kansas City University, Kansas City, MO, USA.
Inj Epidemiol ; 11(Suppl 1): 44, 2024 Sep 05.
Article en En | MEDLINE | ID: mdl-39237989
ABSTRACT

BACKGROUND:

Head injuries are the most common cause of death in some motorized vehicles for which helmet use can significantly decrease the risk. Our objective was to determine rural adolescents' attitudes regarding helmets and their use while riding ATVs, motorcycles and dirt bikes.

METHODS:

A convenience sample of 2022 Iowa FFA (formerly Future Farmers of America) Leadership Conference attendees were surveyed. After compilation, data were imported into the statistical program, R ( https//www.R-project.org/ ). Descriptive statistics, contingency table, logistic regression and non-parametric alternatives to ANOVA analyses were performed.

RESULTS:

1331 adolescents (13-18 years) participated. One half lived on a farm, 21% lived in the country/not on a farm and 28% were from towns. Nearly two-thirds (65%) owned an ATV with 77% of all having ridden one in the past year. Farm residents had the highest ATV ownership (78%) and having ridden (80%) proportions, both p < 0.001. Overall, ownership and ridership for motorcycles (22% and 30%, respectively) and dirt bikes (29% and 39%, respectively) was significantly less than ATVs, all p < 0.001. Of ATV riders, those living on farms or in the country/not on a farm rode them more frequently than those from towns, p < 0.001. Higher percentages always/mostly wore helmets when riding dirt bikes (51%) and motorcycles (57%) relative to ATVs (21%), p < 0.001. Those from farms had lower proportions wearing helmets versus those living elsewhere for all vehicles. Helmet use importance ratings (1-10, 10 high) were not different for motorcycles (mean 8.6, median 10) and dirt bikes (mean 8.3, median 10), but much lower for ATVs (mean 6.1, median 6). Females, non-owners, and helmet law supporters all had higher helmet use importance ratings. Males, those from farms, and owners and riders of the vehicles all had lower proportions that supported helmet laws. Support for helmet laws was significantly lower for ATVs (30.7%) than dirt bikes (56.3%) or motorcycles (72.3%), both p < 0.001. Those whose families had strict ATV "No Helmet, No Riding" rules had much higher helmet use and helmet importance ratings.

CONCLUSIONS:

Our study indicates that the safety culture surrounding helmet use is relatively poor among rural adolescents, especially on farms, and deserves targeted interventions.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Inj Epidemiol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Inj Epidemiol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido