Socioeconomic factors associated with helmet use in pediatric ATV and dirt bike trauma

Autor: Aaron M Yengo-Kahn, Christopher M Bonfield, Kelly L Vittetoe, Jackson H Allen, Purnima Unni, Katlyn G McKay, Owais Ghani, Pradeep Mummidi, Amber L Greeno
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Trauma Surgery & Acute Care Open, Vol 7, Iss 1 (2022)
Druh dokumentu: article
ISSN: 2397-5776
DOI: 10.1136/tsaco-2021-000876
Popis: Objectives Recreational off-road vehicle crashes can produce severe injury and death among children, often from head trauma sustained while riding unhelmeted. Although required for competition, recreational riders commonly forego helmets. This study aimed to identify socioeconomic factors associated with unhelmeted injuries among children riding all-terrain vehicles (ATVs) and dirt bikes recreationally, thus informing injury prevention efforts.Methods A retrospective review was completed of patients younger than 18 years who presented after recreational ATV or dirt bike crash to a single American College of Surgeons-verified level 1 pediatric trauma center (2010–2019). Demographic, injury, and outcome data were collected. US Census data regarding median and per capita income, poverty prevalence, and scholastic graduation rates were recorded for each patient’s home county. Relationships between helmet use at the time of injury, demographics, and socioeconomic variables were examined.Results The cohort comprised 680 injured recreational ATV (n=510; 75%) and dirt bike (170; 25%) riders. Unhelmeted riders (n=450) were significantly older (median age 13 vs 11 years; p=0.008) and more often rode ATVs (n=399). Significantly greater percentages of females (77.9%; p
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