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All-terrain vehicle injuries in Texas, mapping the path to intervention with a geographic information system

Sharon D Huff1, Paul K McGaha, Marie Reed

  • 1Department of Occupational Health Sciences, The University of Texas Health Science Center at Tyler, 11937 U.S. Highway 271, Tyler, TX 75708-3154, USA. Sharon.huff@uthct.edu

Journal of Agromedicine
|December 24, 2011
PubMed

Insights

Eastern Texas experiences a higher rate of all-terrain vehicle (ATV) injuries in children than the state average. Rural areas in East Texas show the highest injury rates, necessitating targeted prevention strategies.

Area of Science:

  • Public Health
  • Injury Prevention
  • Epidemiology

Background:

  • Texas ranked 10th nationally for all-terrain vehicle (ATV)-related deaths (2007-2009).
  • Health Service Region 4/5N in East Texas exhibits a significantly higher rate of ATV-related injuries in children (<18 years) compared to the state average (p < 0.001).
  • The reasons for elevated ATV injury rates in East Texas remain unclear.

Purpose of the Study:

  • To investigate the geographic distribution and characteristics of all-terrain vehicle (ATV)-related injuries in East Texas.
  • To identify specific areas and populations at higher risk for ATV injuries within the region.
  • To inform targeted public health interventions and preventive strategies.

Main Methods:

  • Retrospective analysis of the Texas Trauma Service Area G registry (2004-2010).
  • Geographic Information System (GIS) used to assess regional variations in injury rates.
  • Analysis of injury mechanisms, patient demographics, injury types, and protective equipment use.

Main Results:

  • The highest rates of all-terrain vehicle (ATV)-related injuries in East Texas are concentrated in two adjacent rural counties.
  • Children under 16 years old accounted for a significant proportion of injuries.
  • One-third of injured children sustained head injuries, and helmet usage was notably low.
  • Utilizing specific injury mechanism codes provided a more accurate count than relying solely on E-codes.

Conclusions:

  • Rural environments in East Texas are associated with high rates of all-terrain vehicle (ATV) injuries in children.
  • Low helmet use and head injuries highlight critical areas for intervention.
  • Findings support targeted investigations into contributing factors and community-level preventive measures by the Texas Department of State Health Services and regional partners.

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