212750 Case-control study of risk factors for all-terrain vehicle injuries on Kentucky Farms

Sunday, November 8, 2009

Jessica L. Wilson, PhD Candidate , College of Nursing, University of Kentucky, Lexington, KY
Case-Control Study of Risk Factors for All-Terrain Vehicle (ATV) Injuries on Kentucky Farms

Background/Purpose: The purpose of this study was to identify risk factors for ATV-related injury to members of farm households. The literature has previously identified injury risks for the general population of ATV riders, but there have been no studies specific to occupational use of ATVs.

Methods: A mail survey was sent to a random sample of farms in Kentucky. Cases were respondents who owned ATVs on their farm and had been injured while operating an ATV. Controls were respondents who owned ATVs for use on their farm and had not had ATV-related injuries. Prevalence-based case/control study methods were used for the analysis. Results: The response rate was 53% (N=2292). The case control analysis was based on 118 cases and 913 controls with complete data. After adjustment for covariates, the significant (p < .05) injury risks were related to the following ATV rider characteristics: age, exposure, riding on public roads, and dangerous risk-taking attitude. The p- value for Hosmer and Lemeshow was 0.95 indicating goodness of fit. Conclusions: The results of this study suggest that ATV injury risks on farms are related to a number of rider characteristics, most of which are modifiable. Community-based educational interventions for ATV riders need to be tailored to meet the needs of farmers. There is evidence to support the need for state policy regarding the use of ATVs on public roadways.

Learning Objectives:
1. Identify risk factors for occupational injury on farms related to all-terrain vehicle use. 2. Describe ATV-related injuries that occur in farmers. 3. Discuss potential interventions to decrease ATV-related morbidity and mortality in farmers.

Keywords: Agricultural Work Safety, Injury Risk

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: conduct of research in agricultural injury prevention
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.