361 A population-based study of all-terrain vehicle exposure in a rural county

BackgroundAll-terrain vehicle (ATV) crashes are common in agricultural communities, but few studies have reported on who is being exposed and may be at greatest injury risk. This study was performed to determine the epidemiology of ATV exposure and crashes in a rural county.MethodsData was analysed from the Keokuk County Rural Health study which is a prospective population-based, longitudinal study of residents in Keokuk County, Iowa. Descriptive and comparative analyses were performed on 2006 Round 3 survey data which included ATV-related questions.ResultsOf 1,123 respondents, 38% reported having ridden an ATV in the previous year. Respondents who were male, younger, currently working on a farm, had higher income, or owned/rented more acres had a greater likelihood of recent ATV exposure. Adults with children in the home were more likely to have ridden an ATV in the past year than those with none (53% vs. 28%, p < 0.0001). ATV exposure also varied by place of residence, with 57% of those living on a farm being exposed vs. 20% of those living in town (p < 0.0001). Respondents who were working on farms had the highest exposure rates (75%). Those 12–19 years of age, with taxable household income