State-specific ATV-related fatality rates: an update in the new millennium

Public Health Rep. 2012 Jul-Aug;127(4):364-74. doi: 10.1177/003335491212700404.


Objectives: We compared state-specific all-terrain vehicle (ATV) fatality rates from 2000-2007 with 1990-1999 data, grouping states according to helmet, training, and licensure requirements.

Methods: We used the CDC WONDER online database to identify ATV cases from 2000-2007 and calculate rates per 100,000 population by state, gender, and age.

Results: ATV deaths (n=7,231) occurred at a rate of 0.32 per 100,000 population. Males accounted for 86% of ATV-related deaths at a rate that was six times that for females (0.55 vs. 0.09 per 100,000 population, respectively); 60% of the male deaths occurred in the 15- to 44-year age group. With the exception of the two oldest age categories, rates were consistently higher in the no-helmet-law group. Both the number and rate of ATV-related deaths increased more than threefold between 1990-1999 and 2000-2007. West Virginia and Alaska continue to have the highest ATV fatality rates (1.63 and 2.67 ATV deaths per 100,000 population, respectively).

Conclusions: Helmet-use requirements seem to slightly mitigate ATV-related death, but training requirements do not. For policy to be effective, it must be enforced.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • Accidents, Traffic / mortality*
  • Adolescent
  • Adult
  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Alaska / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Head Protective Devices / statistics & numerical data*
  • Humans
  • Infant
  • Licensure / statistics & numerical data*
  • Male
  • Middle Aged
  • Off-Road Motor Vehicles / statistics & numerical data*
  • United States / epidemiology
  • West Virginia / epidemiology
  • Young Adult