Off-road vehicle ridership and associated helmet use in Canadian youth: an equity analysis

J Rural Health. 2013 Winter;29(1):39-45. doi: 10.1111/j.1748-0361.2012.00441.x. Epub 2012 Oct 22.


Purpose: In North America, the use of off-road vehicles by young people is increasing, as are related injuries and fatalities. We examined the prevalence of off-road ridership and off-road helmet use in different subgroups of Canadian youth in order to better understand possible inequities associated with these health risk behaviors.

Methods: Data came from Cycle 6 (2009-2010) of the WHO Health Behavior in School-Aged Children Study (HBSC). Participants (n = 26,078) were young people from grades 6-10 in 436 Canadian schools. Students were asked, for a 12-mo recall period, how frequently they rode off-road vehicles and how often they wore a helmet while riding. Engagement in off-road ridership and helmet use were estimated by age group, gender, urban-rural geographic location, socioeconomic status, and how long participants had lived in Canada.

Findings: About half of the sample reported riding off-road vehicles (12,750; 52%). Among riders, 5,691 (45%) always wore helmets. Riders were more often older students, male and born in Canada. Students in rural areas and small towns were much more likely to ride off-road vehicles than their urban peers (RR, 95% CI: 1.28 [1.23-1.33]). Helmet use was less common among females, new immigrants, older students, and those in lower socioeconomic groups. There was little reported difference in helmet use by urban-rural location.

Conclusions: Risks associated with the use of off-road vehicles and with nonhelmet use are not equitably distributed across Canadian youth. Factors characterizing off-road ridership (notably urban-rural location) are distinct from factors for helmet use. Preventive interventions should target population subgroups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Canada
  • Child
  • Female
  • Head Protective Devices / statistics & numerical data*
  • Health Surveys
  • Humans
  • Male
  • Off-Road Motor Vehicles / statistics & numerical data*
  • Prevalence
  • Risk-Taking
  • Rural Population / statistics & numerical data
  • Sex Factors
  • Urban Population / statistics & numerical data