{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T14:40:52Z","timestamp":1779374452635,"version":"3.53.1"},"reference-count":59,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:00:00Z","timestamp":1751587200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Off-road vehicles (ORVs) are motorized vehicles engineered specifically for navigating rough terrain. They are often seen in rural, remote, and agricultural settings, but are widely used in Canada, primarily for recreation, and are responsible for a disproportionate number of severe injuries and deaths in the paediatric population. ORVs are becoming heavier and faster, and injuries associated with their use by children and adolescents are similar in severity to those sustained in motor vehicle crashes. However, while the automotive industry is bound by safety legislation, strict enforcement, and engineering and road strategies to prevent harm, there is no comparable regulatory framework for ORVs, leaving a gap in safety advancements. Based on a comprehensive literature search undertaken in February 2024, this statement provides an overview of the effects of ORV use by children and adolescents, factors influencing ORV crashes and resultant injuries, and recommendations for health care providers and governments to reduce preventable harms associated with ORVs in the paediatric population.<\/jats:p>","DOI":"10.1093\/pch\/pxaf027","type":"journal-article","created":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T10:53:39Z","timestamp":1743591219000},"page":"769-775","source":"Crossref","is-referenced-by-count":1,"title":["Off-road vehicle use by children and adolescents: Strategies to prevent injury"],"prefix":"10.1093","volume":"30","author":[{"given":"Suzanne","family":"Beno","sequence":"first","affiliation":[{"name":"Canadian Paediatric Society, Injury Prevention Committee , Ottawa, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristian","family":"Goulet","sequence":"additional","affiliation":[{"name":"Canadian Paediatric Society, Injury Prevention Committee , Ottawa, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Fuselli","sequence":"additional","affiliation":[{"name":"Canadian Paediatric Society, Injury Prevention Committee , Ottawa, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilie","family":"Beaulieu","sequence":"additional","affiliation":[{"name":"Canadian Paediatric Society, Injury Prevention Committee , Ottawa, Ontario ,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,7,4]]},"reference":[{"issue":"4","key":"2026010605170067300_CIT0001","doi-asserted-by":"publisher","first-page":"e20171164","DOI":"10.1542\/peds.2017-1164","article-title":"Age legislation and off-road vehicle injuries in children","volume":"140","author":"Flaherty","year":"2017","journal-title":"Pediatrics"},{"issue":"2","key":"2026010605170067300_CIT0002","doi-asserted-by":"publisher","first-page":"e15477","DOI":"10.2196\/15477","article-title":"Assessing the emergent public health concern of all-terrain vehicle injuries in rural and agricultural environments: Initial review of available national datasets in the United States","volume":"6","author":"Weichelt","year":"2020","journal-title":"JMIR Public Health Surveill"},{"issue":"Suppl 1","key":"2026010605170067300_CIT0003","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1186\/s40621-022-00404-7","article-title":"All-terrain vehicle exposure and the association of certified training on adolescent behaviors and crash experiences","volume":"9","author":"Jennissen","year":"2022","journal-title":"Inj Epidemiol"},{"key":"2026010605170067300_CIT0004","doi-asserted-by":"publisher","first-page":"27864","DOI":"10.3402\/ijch.v74.27864","article-title":"Patterns of youth injury: A comparison across the northern territories and other parts of Canada","volume":"74","author":"Byrnes","year":"2015","journal-title":"Int J Circumpolar Health"},{"key":"2026010605170067300_CIT0005","doi-asserted-by":"publisher","DOI":"10.3402\/ijch.v72i0.21090","article-title":"Injuries in the North--Analysis of 20 years of surveillance data collected by the Canadian Hospitals Injury Reporting and Prevention Program","volume":"72","author":"Do","year":"2013","journal-title":"Int J Circumpolar Health"},{"key":"2026010605170067300_CIT0006","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1016\/j.socscimed.2016.09.026","article-title":"Vulnerability to unintentional injuries associated with land-use activities and search and rescue in Nunavut, Canada","volume":"169","author":"Clark","year":"2016","journal-title":"Soc Sci Med"},{"issue":"1","key":"2026010605170067300_CIT0007","doi-asserted-by":"publisher","first-page":"e0191384","DOI":"10.1371\/journal.pone.0191384","article-title":"Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers","volume":"13","author":"Brussoni","year":"2018","journal-title":"PLoS One"},{"key":"2026010605170067300_CIT0008","volume-title":"The epidemiology of all-terrain vehicle- and snowmobile-related injuries in Ontario. 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