Page 3 - Kansas Journal of Medicine, Volume 10 Issue 4
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process was conducted verbally and completion of the survey indicat-  KANSAS JOURNAL of  MEDI CIN E
     ed consent. The project was approved by the Wichita State University
     Institutional Review Board.                                      KANSAS ATV SAFETY PROMOTION
                                                                          continued.
       Data Analysis. Data were reported descriptively using frequencies
     (percentages). Significance tests were conducted with the chi-square
     test of association and Fisher’s exact statistics. The data were ana-  information. Most track respondents (4/5) agreed it is their profes-
     lyzed with SPSS for Windows, Version 23.0.                 sional responsibility to educate riders on ATV safety; the only track
                                                                respondent who did not agree did not own/ride ATVs nor knew
     RESULTS                                                    anyone involved/killed in an ATV-related accident.
       Survey Respondents. Thirteen of forty-one dealers participated
     in the survey for a response rate of 32% (Table 1). Half of respondents   Table 2. Dealer respondents’ self-reported safety promotion
     (7/13) reported being an ATV salesperson. Most dealers (10/13) sold   (N = 13).
     ATVs as secondary products (such as car dealership) with ATV sales   Safety Gear                       N (%)
     ranging from five to 200 annually. Few dealer respondents (2/13)       Recommend                      13 (100)
     reported owning an ATV; most (11/13) reported personally riding       Sell                            13 (100)
     ATVs. Most respondents (11/13) reported knowing someone involved       Sell Head Protection
     in an ATV accident.                                                 DOT or snell certified            13 (100)

                                                                         Open face with shield              12 (92)
     Table 1. Characteristics of survey respondents.                     Open face without shield           12 (92)
                                            Dealers  Tracks
                                            (N = 13)  (N = 5)            Motocross Style                   13 (100)
      Personally ride ATV                    11 (85)  3 (60)         Sell Body Protection
      Personally own ATV                     2 (15)   1 (20)             Ankle boots                        10 (77)
      Personally involved in ATV accident    8 (62)   1 (20)             Chest protectors                   9 (69)
      Know someone in accident               11 (85)  3 (60)             Gloves                            13 (100)
      Know someone disabled in an accident   4 (31)    NA                Clothing                           12 (92)
      Know someone killed                    3 (23)    NA        Safety Information at Purchase
      Agrees                                                         Inquire age of rider                   11 (85)
          State laws should be stricter      3 (23)    NA            Offer courses                          4 (31)
          Professional responsibility to educate on safety  7 (53)  4 (80)      Offer safety information    4 (31)
     Note: Data are reported in frequencies (percentages).           Perform skills test                    2 (15)
     NA = Question not asked in survey.                         DOT = Department of Transportation

       Five of sixteen ATV tracks participated in the survey for a response   DISCUSSION
     rate of 31%. Most respondents (3/5) reported being a track owner/  The aim of this study was to describe ATV safety promotion (as
     manager. Only one of the track respondents reported owning an ATV;   sales or use of safety gear or provision of education) at the point of
     while three reported personally riding ATVs. Most respondents (3/5)   sale or track use in the state of Kansas. While all dealer respondents
     reported knowing someone involved in an ATV accident.      reported recommending safety gear and selling head protection, not all
       ATV Dealer Safety Promotion. All ATV dealer respondents   sell other safety gear such as body protection. Further, safety courses
     reported asking a buyer how ATVs will be utilized, but less (11/13)   and skills tests are not commonly reported safety promotion practices
     asked the age of the primary rider and fewer (5/13) asked about   at point of sale. Self-reported safety practices by participating tracks
     secondary riders (Table 2). Only half of dealer respondents (7/13)   include all requiring head protection, less have requirements regard-
     reported it was their professional responsibility to provide ATV safety   ing age and size of rider to ATV. Few ATV dealer or track respondents
     education to buyers. Dealer belief regarding professional responsibil-  report providing safety information or courses.
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     ity to educate on safety was associated with other characteristics or   Historical studies such as Percy and Duffy  reporting ATV related
     safety promotion significantly.                            injuries and Warda and colleagues  reporting safety behaviors have
                                                                                             1
        ATV Track Safety Promotion.  All ATV track respondents (100%)   called for preventive and safety measures such as consistent use of
     reported requiring riders to wear helmets (Table 3). Over half (3/5)   safety gear, mandatory rider training, as well as consumer and dealer
     reported specific helmet requirements. Of those, all required Depart-  education. Congruently, recent literature also concluded that safety
                                                                                                    5
     ment of Transportation (DOT) certified and most (2/3) required   precautions can reduce injury related costs  and recommended pre-
                                                                                            10
                                                                                 6
     Snell certified helmets. No respondents reported requiring over the   ventative guidelines  or initiatives  to reduce ATV related injuries.
     ankle boots or chest protectors, but two require goggles and closed   ATV dealers and track owners may be open to displaying ATV safety
                                                                                                  17
     toe shoes. Two of the five track respondents also reported provid-  information similarly to agribusinesses. Public health campaigns
     ing safety courses and more than half (3/5) offered additional safety  through influential change agents, such as ATV dealers and track
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